...The Health of Native Hawaiian and Other Pacific Islanders -------- Grand Canyon University: NRS-429VN ------- Native Hawaiian and Other Pacific Islanders (NHPI) Population In 1997, the Office of Management and Budget revised Statistical Policy Directive No. 15, Race and Ethnic Standards for Federal Statistics and Administrative Reporting and separated the 1976 racial category of “Asian and Pacific Islander” into two groups: “Asian” and “Native Hawaiian or Other Pacific Islanderi Native Hawaiians, Samoans and Chamorros are indigenous peoples to the State of Hawaii, the U.S.Territory of American Samoa and the U.S. Territory of Guam respectively. 8 out of 10 Pacific Islanders in the U.S. are native to the United Statesiv. Pacific Islanders include diverse populations who differ in language and culture. They are of Polynesian, Micronesian and Melanesian backgroundsv. The Polynesian group is the largest and includes Native Hawaiians, Samoans, Tongans and Tahitiansvi. The Micronesian group, which is the second largest, includes primarily Chamorros from Guam but also includes other Chamorro and Carolinian from the Mariana Islands, Marshallese, Palauans and various others which include but is not limited to Pohnpeian, Chuukese, Kosraen, and Yapese from the Federated States of Micronesiavii. Of the Melanesian group, which would include Papua New Guinea, the Solomon Islands and Fiji, Fijian‐Americans are the largest in this groupviii. According to the 2000 U.S. Census, there...
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...Health Promotion Among Diverse Populations “Native Hawaiians/Pacific Islanders have higher rates of smoking, alcohol consumption, and obesity than other minority populations.” (CDC, 2013). This is just one of many examples of how minority groups differ, and how health and health promotion/prevention vary from Native Hawaiian/Pacific Islanders (NHPI) to the major population. Race, ethnicity, socioeconomic status, and education have a major impact on the NHPI group. The most current data available, paints a picture of poor health choices and many health disparities. With the NHPI group having higher death rates related to cancer in comparison to non-Hispanic whites (CDC, 2013). As previously stated, the NHPI group has poor health promotion, as they are the minority group with the highest smoking, alcohol consumption, and obesity rates (CDC, 2013). The full-blooded Hawaiian people known as Kanaka Maoli, are estimated to be completely gone by year 2043 as a result of having “the worst health and socioeconomic indicators in Hawaii” (Louie, 2001). One health indicator is the prevalence of cancer in comparison to all US racial and ethnic groups. There are estimated 111 per 100,000 women with breast cancer in the Kanaka Maoli as compared to 86 per 100,000 for white women (Louie, 2001). Prior to the 1700’s, the Hawaiian natives believed in “ka mauli o k’aina a he mauli kanasa.” Which is a Hawaiian saying that pertains to protecting and maintaining the land directly effects the health...
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...minority group that I chose was Native Hawaiian or other Pacific Islander. The health for this group of people is not the greatest. They have higher mortality rates among many of the major diseases and they also have a high percentage of people that are below the poverty line as well as those that are not college graduates. (CDC, 2013) When it comes to promoting health in this group there are different ways to approach it when dealing with this minority group. One of the things that we need to do is make sure that they can have access to quality and that we use the health promotion model to provide primary, secondary, and tertiary care when it comes to making sure that this minority group gets to be at their optimal health. When it comes to the current health status of this group it is not the best. When looking at the statistics of this group they have a higher mortality rate in many of the major diseases. They also have a higher percentage of people who live below the poverty line and are not college educated. Also they are one of least likely to be employed at the management level position. When I was looking at the center for disease controls website a few of the biggest killers for people of this minority group were cancer, heart disease, stroke, and obesity. (CDC, 2013) I know these are major issues for a fact in this minority group. Many of my friends during high school were native Hawaiians and pacific islanders. When you think of this minority group you don’t think of...
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...Health Promotion Among Asian Americans Robert Ramirez Grand Canyon University: NRS-429V Family-Centered Health Promotion February 22, 2015 Health Promotion Among Asian Americans The U.S. Public Health Service defines health promotion as “the process of advocating health in order to enhance the probability that personal, private, and public support of positive health practices will become a societal norm” (Edelman, Mandle, & Kudzma, 2014). Health is a basic human right; optimal health is a well-balanced structure of emotional, physical, spiritual, psychological, intellectual, and social well-being. The purpose of health promotion in nursing is to increase health knowledge that will in turn positively influence health behaviors of individuals and communities (Foster, 2012). Roughly 36% of the U.S. population is made up of various ethnic or racial minorities. Of that 36%, 4.8% were Asian Americans. According to the Office of Management and Budget, “Asians” consist of people that originate from the Far East, Southeast Asia, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan Thailand, Vietnam, or the Philippine Islands (CDC, 2014). These 14.7 million people are dispersed throughout the country, with Hawaii having the largest concentration (57%) of the total Asian population (CDC, 2014). The CDC (2014) states that minority groups “experience a disproportionate burden of preventable disease, death, and disability compared with non-minorities.” This paper will concentrate...
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...Health Promotion Among Diverse Populations: Asian Americans Courtney Rasmussen Grand Canyon University February 15, 2015 In 1849, the Chinese were some the first ethnic group that many refer to as Asian Americans and later as Asian American/Pacific Islanders (AAPI). (Kem B. Louie, 2001) “Asian” however, refers to a very diverse group of people that come from over fifty (50) different countries, that speak more than one hundred (100) different dialects, which practice a broad range of different religions, and lead a variety of lifestyles. People from as far east such as Southeast Asia, Thailand, Vietnam, the Philippine Islands, Japan, the Indian subcontinent including for example Cambodia, Indonesia, China, Korea, Pakistan, Nepal, Taiwan, and Malaysia. (Office of Minority Health and Health Equity, 2013) Asian Americans are often stereotyped as the “model minority,” and are perceived to be in tiptop health and have financial security. Therefore, their health concerns are often overlooked or quite frankly, often times, a language barrier is what stands between them and their health. Heart disease and Cancer are the leading causes of death in AAPI. (Office of Minority Health and Health Equity, 2013) And, approximately two million AAPI are uninsured in this country. While AAPI’s are less likely to live in poverty and more likely to graduate from college and have a management position, there remain still, several startling health disparities for this population of people. (Office...
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...Analyze the health status of a specific minority group. Select a minority group that is represented in the United States (examples include: American Indian/Alaskan Native, Asian American, Black or African American, Hispanic or Latino, Native Hawaiian, or Pacific Islander.) In an essay of 750-1,000 words, compare and contrast the health status of the minority group you have selected to the national average. Consider the cultural, socioeconomic, and sociopolitical barriers to health. How do race, ethnicity, socioeconomic status, and education influence health for the minority group you have selected? Address the following in your essay: 1. What is the current health status of this minority group? 2. How is health promotion defined by the group? 3. What health disparities exist for this group? Describe at least one approach using the three levels of health promotion prevention (primary, secondary, and tertiary) that is likely to be the most effective given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice. Cite a minimum of three references in the paper. You will find important health information regarding minority groups by exploring the following Centers for Disease Control and Prevention (CDC) links: Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review...
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...Analyze the health status of a specific minority group. Select a minority group that is represented in the United States (examples include: American Indian/Alaskan Native, Asian American, Black or African American, Hispanic or Latino, Native Hawaiian, or Pacific Islander.) In an essay of 750 -1,000 words, compare and contrast the health status of the minority group you have selected to the national average. Consider the cultural, socioeconomic, and sociopolitical barriers to health. How do race, ethnicity, socioeconomic status, and education influence health for the minority group you have selected? Address the following in your essay: 1. What is the current health status of this minority group? 2. How is health promotion defined by the group? 3. What health disparities exist for this group? Describe at least one approach using the three levels of health promotion prevention (primary, secondary, and tertiary) that is likely to be the most effective given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice. Cite a minimum of three references in the paper. You will find important health information regarding minority groups by exploring the following Centers for Disease Control and Prevention (CDC) links: 1. Minority Health: http://www.cdc.gov/minorityhealth/index.html 2. Racial and Ethnic Minority Populations: http://www.cdc.gov/minorityhealth/populations/remp.html RUBRIC: The health status of the...
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...Base on the expert committee report on community health nursing of the World Health Organization “A community is a social group determined by the geographic boundaries and/ or common values and interests. Its members know and interact with one another. It functions within a particular social structure and exhibits and creates norms, values and social institutions” World Health Organization (WHO), 1974, p.7). However, the direct, hands-on clinical nursing care delivered to individuals or families in a community setting as a whole is the target and the intended of the nursing practice in community health. Community health on the other hand according to the reference book is the meeting of collective needs by identifying problems and managing behaviors within the community itself and between the community and the larger society. It emphasizes the process dimension and also includes the dimensions of status and structure (Stanhope & Lancaster, 2008). The approach of looking at the care of the client in all dimension guides the nurse to think upstream and identify risks that could be prevented. The author’s subjective perspective is that it is easier said than done, one being that there is a popular misconception that by providing health care makes a healthy population in my opinion. Another point to consider is that we are caring for a culturally diverse population. Caring for the culturally diverse groups has been a focus of nursing from its beginning. As early as 1893, under...
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...ESSAY WRITING A MODEL ESSAY TOPIC Good health is the right of all Australians. How does the state of Aboriginal health care relate to that of non-Indigenous Australians? Why is this so and how can this situation be addressed so that there is parity across all segments of Australian society? Discuss. “Good health is not just the physical wellbeing of an individual, but the social, emotional, and cultural wellbeing of the whole community in which each individual is able to achieve their full potential as a human being thereby bringing about the total wellbeing of their community”. (Anderson, 2000, para. 6) If we take Anderson's view as the definition of good health, then the fact that an Indigenous baby raised in an Aboriginal community can expect to live 20 years less than other babies strongly indicates that the relative health status of Australia's Indigenous population is indeed much poorer than that of the rest of the Australian population (Merston, 1999, p.32). This is largely due to inadequate living conditions, lifestyle, lack of education and employment, and historical conditions. To improve the health status of Australia's Indigenous population, the government not only needs to allocate more funds to health services and the improvement of overall living conditions, but also to investigate ways in which health services can be offered to better reflect the cultural needs of this group. Indigenous Australians suffer a higher amount of illness and die at a...
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...Health Promotion Among Diverse Populations: Understanding the Challenges Faced by the Native Hawaiian Population Kristen L. Gallagher Grand Canyon University: NRS 429V March 7, 2015 There are many diverse cultural groups living in the world today. The United States is no exception, with the U.S. Census bureau reporting that as of 2010, more than 36% of the U.S. population identified themselves as members of a minority group (Hixson, Hepler & Kim, 2012). While many people face challenges in access to healthcare, members of minority populations face even greater barriers. In an effort to combat some of these difficulties, the Department of Health & Human Services established the Healthy People 2020 initiative. Healthy People 2020 is an evidence based plan designed to improve the health of our country’s people by reducing preventable health diseases (“About Healthy People”, 2010). The people native to the Hawaiian Islands face roadblocks to healthcare that are uncommon in the rest of the country, and the Healthy People 2020 action plan faces unusual considerations in Hawaii that are not concerns on the mainland (“Hawaii’s Healthy People”, 2012). Hawaii has long been thought of as paradise, with its temperate climate, beautiful beaches and the culture of its native people. While these visions of Hawaii may be true, Hawaii also suffers from exorbitant costs of living, geographically limited healthcare, and the dilution of a culture in which native Hawaiian people...
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...Health disparities are not uncommon to those of a lower socioeconomic, racial or ethnic group. At increasing and alarming numbers, the minority population are hit the greatest. It is a major challenge each group faces in their daily lives. Programs such as Racial and Ethnic Approaches to Community Health (REACH) was put in place to end health gaps in the United States. REACH tailors specifically toward the African-America/Black, American Indians, Hispanics/Latinos, Asian Americans, Alaska Natives, and Pacific Islanders that provides programs and interventions. Health disparities are quite prevalent amid these groups of people. Heart disease, obesity, and diabetes rank higher within these communities (National Center for Chronic Disease Prevention...
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...Benchmark Assignment: Epidemiology Paper Grand Canyon University Concepts in Community and Public Health NRS-427V-0501 Benchmark Assignment: Epidemiology Paper Hepatitis B The definition for Hepatitis changes with whom you ask. To some it means a horrible painful way to die while others are able to look at it as a disease. The word Hepatitis means liver inflamation. The liver is a large, glandular, reddish-brown organ located in the upper right side of the abdomen. It consists of 5 lobes and secretes bile into the gallbladder and into the small intestine and aids in the digestion of lipids. Hepatitis is often caused by a virus. Hepatitis A, B, and C are the most common types in the United States but there is also a type D, E, and there was thought to be an F but after a thorough investigation they failed to prove its existence. Hepatitis B (HBV) is a liver disease that is contagious. It is believed that approximately 1.2 to 1.4 million people in the United States have chronic Hepatitis many of which are not officially diagnosed. There are two stages or categories of Hepatitis B, chronic and acute. Chronic Hepatitis B is anyone who has had the virus for longer than 6 months ("Hepatitis B," 2010) and at this point it is considered a lifelong illness. The beginning or acute phase of Hepatitis B is the first 6 months of being exposed to the virus. During this first 6 months some people are able to fight the infection off and get rid of it. Symptoms may...
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...Health Promotion Among Diverse Populations Grand Canyon University: NRS-429V Health Promotion Among Diverse Populations The United States is a Nation of diverse races and cultures. The population of the United States is broken down into two classifications: the majority and the minority. As of 2014 the majority of individuals living in the US classified themselves as white, which is defined as “a person originating from any of the original people of Europe, the Middle East, or North Africa”. As of 2014 this group made up 77.4 percent of the US population (USCB, 2014). The rest of the US population consists of many different races, collectively called the minority. The minority is made up of multiple different races, including but not limited to: American Indian/Alaskan Native, Asian American, Black or African American, Hispanic or Latino, Native Hawaiian, and Pacific Islander. Healthcare disparities for minority groups in the US are larger than for the majority group; the minority group bears a disproportionate burden of disease, injury, premature death, and disability. For persons of these racial/ethnic minority populations, health disparities can mean lower life expectancy, decreased quality of life, loss of economic opportunities, and perceptions of injustice (CDC, 2004). The Hispanic or Latino race in particular has a larger gap in quality health care and disease prevention than most others. This report will discuss the health status, health promotion...
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...Health Promotion Among Black or African American Population [Your Name] Grand Canyon University: Family-Centered Health Promotion(NRS-429V) January 10, 2016 Health Promotion Among Black or African American Population The Center for Disease Control and Prevention [CDC] (2015) notes that “Starting in 1997, the Office of Management and Budget (OMB) requires federal agencies to use a minimum of five race categories: White, Black or African American, American Indian or Alaska Native, Asian, and Native Hawaiian or other Pacific Islander.” Each minority group differs in health status and disparities and health promotion. In this paper the writer will focus on a specific minority group, the Black or African Americans, and will compare the minority group’s current health status to the national average. Further the author will discuss which health disparities exist in this particular minority group and what health promotion means to them and then will discuss an a approach using the three levels of health promotion prevention that is the most effective given the unique needs of the minority group with an explanation of why it might be the most effective approach. The Black or African Americans make up 15.2% of the total United States population and consists of people of African American, Sub-Saharan African or Afro-Caribbean decent. It is the second largest minority population. The current health status of this minority group is continuing to get...
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...Health Promotions among Diverse Populations America has a population of wide diversity of racial or ethnic minorities. “According to the 2010 U.S. Census, approximately 36.3 percent of the population currently belongs to a racial or ethnic minority group: American Indian or Alaska Native, Asian American, Black or African American, Hispanic or Latino, and Native Hawaiian or Other Pacific Islander.” (Center for Disease Control and Prevention [CDC].) The narrative of this paper will take a closer look at the health of Hispanics or Latino population. The topics addressed will be the health status of Hispanics or Latino, Barriers to health and influencing factors, disparities that exits, and a health promotion approach. The Hispanic or Latino group is by “The OMB definition of Hispanic or Latino origin refers to a person of Cuban, Mexican, Puerto Rican, South or central American, or other Spanish culture or origin regardless of race.” (Edelman, 2014). Hispanic/Latino make up for being one of the largest ethnic minority and quickly growing in the US. Poverty and lack of education or some crucial factors that affect the ability to provide health promotion within this culture. In 2009 the poverty rate for Hispanics increased to 25.3%, from 2008 which was at 23.2%, (Edelman, 2014). Poverty can cause poor health. Poverty can result in depression, high stress which can affect a person’s long term health. Lack of money decrease a diet of nutrition and healthy food...
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