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social determinants of health and the impact on diabetes and hypertension
causes and effects of health disparities
causes and effects of health disparities
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Diabetes and Health Disparities Jo A Cain Galen College of Nursing Healthy People 2020 defines health disparities as a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage (“Healthy People 2020,” n.d.). Health Disparities that are associated with diabetes include many different minority populations. These populations that are affected more severely by diabetes and do not receive diabetes research, treatment or education. Racial and ethnic minority populations have a higher risk of diabetic complications such as lower limb amputations and kidney failure. According to Clark, M. L., & Utz, S. (2014) diabetes is the sixth leading cause of death in the United States and social determinants as well as health determinants need to be considered with diabetes and improving the outcomes. These determinants …show more content…
C., Benbow, D., Collins-McNeil, J., Edwards, C., McDougald, C., & Sharpe, D. A Culturally Targeted Self-Management Program for African Americans with Type 2 Diabetes Mellitus. (2012, December 15). Retrieved from http://www.ncbi.nlm.nih.gov Clark, M. L., & Utz, S. (2014, June 15). Social determinants of type 2 diabetes and health in the United States. World Journal of Diabetes WJD, 5(3), 296. doi:10.4239/wjd.v5.13.296 Diabetes. (n.d.). Retrieved from https://www.healthypeople.gov/2020/topics- objectives/topic/diabetes Health Disparities. (2016, February 29). Retrieved from http://www.diabetes.org/advocacy/advocacypriorities/health-disparities.html Philis-Tsimikas, A., &Gallo, L. C. (2014). Implementing Community-Based Diabetes Programs: The Scripps Whittier Diabetes Institute Experience. Curr Diab Rep Current Diabetes Reports, 14(2). Doi:10.1007/s11892-013-0462-0 Schroedl, A. (2012, July 28). Reducing Racial/Ethnic Health Care Disparities Through Innovation and Nursing Advocacy. The Internet Journal of Advanced Nursing Practice IJANP, 11(2).
- Diabetes is the 7th leading cause of death in the United States as of 2010.
Diabetes Mellitus (Type 2 diabetes/adult onset diabetes) is an epidemic in American Indian and Alaska Natives communities.7 AI/AN have the highest morbidity and mortality rates in the United States.7 American Indian/Alaska Native adults are 2.3 more times likely to be diagnosed with Diabetes Mellitus than non-Hispanic Whites.7 More importantly, AI/AN adolescent ages 10-14 are 9 times likely to be diagnosed with Diabetes Mellitus than non-Hispanic Whites.7 Type 2 diabetes is high blood glucose levels due to lack of insulin and/or inability to use it efficiently.8 Type 2 diabetes usually affects older adults; 8 however, the incident rate is rising quicker amongst AI/AN youth than non-Hispanic Whites.7 This is foreshadowing of earlier serious complications that will be effecting the AI/AN communitie...
Diabetes UK is a growing community that has over 300,000 supporters around the nation involving people diagnosed with diabetes, as well as their friends and families whom are affected by the condition. Collaborating with as many as 5,500 volunteers and 315 voluntary groups they raise awareness and funds, as well as campaign for change and support. Diabetes UK has a professional membership of over 6,000 healthcare providers from various clinical backgrounds. Members of the organization are professionals in the field of diabetes care, treatment and research. They use their expertise to collect the evidence base for strategies that help those affected by diabetes and educate their campaigns for helpful services.
McLaughlin, S., “Traditions and Diabetes Prevention: A Healthy Path for Native Americans” Diabetes Spectrum 23.4 (2010): 272-277. Google Scholar. Web. 3 May 2014.
Mainous, A. G., Diaz, V. A., & Geesey, M. E. (2008). Acculturation and healthy lifestyle among Latinos with diabetes. The Annals of Family Medicine, 6(2), 131-137.
American Diabetes Association, “Native Americans and Diabetes”; available from http://www.diabetes.org/communityprograms-and-localevents/nativeamericans.jsp; Internet; accessed 11 November 2004.
Diabetes has recently become a focal point of health care systems around the world due to its high prevalence and the severity of secondary complications caused by the disease. Over the course of my project on diabetes, I have had the opportunity to speak with a group of diabetics to understand from a patient’s perspective how diabetes is managed in a rural community. While I found that while some patients ignored treatment and refused to make any dietary changes, the majority of the patients I interviewed were well-informed and actively managing diabetes in their everyday life.
Based on the quantitative data available, type 2 diabetes is a very serious issue affecting the residents of Merced County. Compared to all 58 counties in California, Merced ranks 50th in the number of deaths from this disease, with an age-adjusted mortality rate of 26.1 deaths per 100,000 of the population (2007-2009).4 In comparison, California’s age-adjusted average is 19.5 deaths.5 However, we find that Merced fairs better than the 65.8 deaths per 100,000 persons set as the target rate by Healthy People 2020.6 In addition, healthypeople.gov has an overarching goal related to type 2 diabetes and health which is to reduce the disease and economic burden of diabetes mellitus (DM) a...
Interestingly no significant differences were identified between the experimental and comparison groups in terms of knowledge, adaptation, and program satisfaction. However, diabetes self-care activities significantly improved (p = .02) for the experimental group (p. 316).
The Diabetes Empowerment Education Program (DEEP) was developed by the Midwest Latino Health Research Training and Policy Center at the University of Illinois at Chicago. The training format includes a training of trainers and an educational curriculum. The training of trainers targets community health workers and the educational curriculum is designed to engage community residents in self-management practices for prevention and control of diabetes. Currently, the DEEP curriculum is taught in four (4) countries and in 12 states within the United States ("Everyone with Diabetes", 2015).
Castro, F., Shaibi, G. Q., & Boehm-Smith, E. (2009). Ecodevelopmental contexts for preventing type 2 diabetes in Latino and other racial/ethnic minority populations. Journal of Behavioral Medicine, 32(1), 89-105.
The Latinos Diabetes Initiative is a successful program that was launched in July 2002 by the Joselin Diabetes Center. This center is dedicated to defeating diabetes in all forms—as it is one of the global leaders in diabetes research, care, and education. Their goal is to prevent and cure diabetes for future or current patients. They are an independent, non-profit institution affiliated with Harvard’ Medical school, one of the best in the nations. The main focus though for the Latinos Diabetes Initiative is that they are aimed to give affected (with diabetes) and non-affected Hispanics improved lives with culturally oriented patient care, education, outreach, and research (source). The number of
Satterfield, DW, Volansky, M, Caspersen, CJ, Engelgau, MM, Bowman, BA, Gregg, EW, Geiss, LS, Hosey, GM, May, J & Vinicor, F 2003, ‘Community- Based Lifestyle Interventions to Prevent Type 2 Diabetes’, Diabetes Care, vol.26, no.9, September, pp.2643-2652, viewed 10th May 2011.
Health disparities are the variances in access to healthcare. This also include variance in availability of health care services, facilities, education, and insurance. Another aspect is the variance in the type of violence, injury, and disease that exist in specific communities and ethnic groups. Health disparities leads to inequalities in healthcare access and availability. Health disparities could have negative effects on the health of groups of people, resulting from greater social and economic obstacles. These obstacles could come from discrimination/exclusion due to ethnicity, religion, socioeconomic status, gender, sexual orientation, and geographic location.
In conclusion, diabetes is a serious disease and can be life threatening. With the right research and implementation of new studies diabetes can be reduced among the populations. We as a people need to realize this epidemic and all get together and beat it. Restaurants need to stop putting chemicals and unnecessary fats in their food. Not only diabetics but everyone should educate themselves on what is going in your body when you eat. Also, exercising and getting off the couch, in children, needs to be addressed and that alone would help reduce diabetes in the younger population. I can’t stress enough on education. If you know what you are eating or how you are exercising you protect yourself from poor health and live a great life. Type 2 diabetes can be dwindled down with a conscious individual and group effort.