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Socio economic influences on health
Socio economic influences on health
Racial inequality
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Throughout US history, it has been known that race typically influences how an individual will benefit or flourish within American society. It is well recognized that people thrive in the US in many ways, but that notion is a misconception. What some individuals might not know is that race or ethnicity usually has a negative or positive impact on an individual or group. There has been a long time racial discrimination or limitation on many ethnic individuals that are non-white. We have to consider that majority of the people that are in authoritarian positions are of Caucasian descent; not saying that all are discriminatory, but it seems like this nation was designed to benefit Caucasian affiliates. Well, if we look at high rates of poverty, incarceration, government assistance, ethnic groups within America dominate in each category that I’ve just listed and many more. From the looks of things, ethnic groups tend to do badly in negative connotative categories or classifications that are related to social economical status. Usually, we see Hispanics and African Americans frequently labeled as the top margin in these statistical data analysis in regards to unfavorable implications. To be more specific, Hispanics and African Americans lead drastically in health care deficiencies in America. These two groups either lack proper or have no insurance of any sort. This is why we have a hefty amount of physical health complications and ill related deaths amongst these two ethnic groups. Where as whites trail behind impressively. I believe that Hispanics and African Americans are considerably mentioned in these perspectives due to their low social economical status in society. Both populations on average work low-income jobs or are u... ... middle of paper ... ...correct way. Not only that, I had fun experimenting with the various functions that SPSS is able to do. There is so much more for me to figure out and I am going to take the initiative to become more familiar with SPSS. Works Cited References/Citations Burger, A. E. (2011). Seasonal influenza vaccination disparities between U.S. non-hispanic whites and hispanics, 2000--2009. (Order No. 1503397, Utah State University). ProQuest Dissertations and Theses, , 84. Retrieved from http://search.proquest.com/docview/914706526?accountid=9840. (914706526). Garrett, P. W., Roberto-Forero, Dickson, H. G., & Whelan, A. K. (2008). Communication and healthcare complexity in people with little or no english: The communication complexity score. Ethnicity & Health, 13(3), 203-217. doi:http://dx.doi.org/10.1080/13557850701837328
Throughout American history, relationships between racial and ethnic groups have been marked by antagonism, inequality, and violence. In today’s complex and fast-paced society, historians, social theorists and anthropologists have been known to devote significant amounts of time examining and interrogating not only the interior climate of the institutions that shape human behavior and personalities, but also relations between race and culture. It is difficult to tolerate the notion; America has won its victory over racism. Even though many maintain America is a “color blind nation,” racism and racial conflict remain to be prevalent in the social fabric of American institutions. As a result, one may question if issues and challenges regarding the continuity of institutional racism still exist in America today. If socialization in America is the process by which people of various ethnicities and cultures intertwine, it is vital for one to understand how the race relations shape and influence personalities regarding the perceptions of various groups. Heartbreaking as it is, racism takes a detour in acceptance of its blind side. Further, to better understand racism one must take into account how deeply it entrenched it is, not only in politics, and economics but also Health Care settings. In doing so, one will grasp a decisive understanding of "who gets what and why.” The objective of this paper is to explore and examine the pervasiveness of racism in the health care industry, while at the same time shed light on a specific area of social relations that has remained a silence in the health care setting. The turpitude feeling of ongoing silence has masked the treatment black patients have received from white health care providers...
Black people are paid almost half of what white people are paid, which forces them to live in low income communities which tend to be unsafe, and also put their whole family in danger. Due to their low income, they might not be able to afford health care which causes them to “lose more work because of illness, have more carious teeth, lose more babies as a result of both miscarriage and infant death…” according to William Ryan from Blaming the Victim page 648. People who have low income due to the wage gap tend not to be able to afford college compared to white people, which hinders their future and their ability to succeed. In fact, on page 214 in Shades of Belonging: Latinos and Racial Identity, Sonia Tafoya states “Hispanics who identified themselves as white have higher levels of education and income and greater degrees of civic enfranchisement than those who pick some other race category.” This shows how minorities are mistreated in society unlike white people. In the end, it doesn’t matter what your abilities are because if you are not white you are not treated equally. “If you’re not white, you’re black,” (141 Sethi). Anyone who is not white in the United States are seen as inferior. If you’re not white, you 're not treated as an equal. Non-whites are judged based on their appearance and are made fun of due to their accents. Numerous non-whites are harassed and are told “you are in America, learn how to speak English!” When in fact, there is no official language of the United States. According to Sonia Shah in Asian American? on page 217, Asians are paid less in the workforce even when they have the same level of education as whites. Regardless of whether non-whites receive the same education level as whites, they are still not equal, not even in the work
Large disparities exist between minorities and the rest of Americans in major areas of health. Even though the overall health of the nation is improving, minorities suffer from certain diseases up to five times more than the rest of the nation. President Clinton has committed the nation to eliminating the disparities in six areas of health by the Year 2010, and the Department of Health and Human Services (HHS) will be jumping in on this huge battle. The six areas are: Infant Mortality, Cancer Screening and Management, Cardiovascular Disease, Diabetes, HIV Infection and AIDS, and Child and Adult Immunizations.
Diabetes is a prevalent health disparity among the Latino population. Diabetes is listed as the fifth leading cause of death among the Latino population in the website for Center for Disease Control and Prevention, CDC, in 2009. According to McBean, “the 2001 prevalence among Hispanics was significantly higher than among blacks.” (2317) In other words among the Hispanic or Latino community, there is a higher occurrence of diabetes as compared to other racial/ethnic groups such as Blacks and Native Americans. The prevalence of diabetes among Latinos is attributed to the social determinants of health such as low socioeconomic status and level of education. Further, this becomes an important public health issue when it costs the United States $174 billion in both direct and indirect costs, based on the 2007 The National Diabetes Fact Sheet released by the CDC. In turn, medical expenses are twice as high for a patient that has diabetes as opposed to one without. Finally, this high cost becomes another barrier to receiving care for Latinos when some are in the low socioeconomic status.
Moreover, the relationship between race and is complicated and overlapping. Hence, only a few words can be said. Firstly, ethnicity is a counterproductive mainly because it entails the establishment of the systematic distinctions between insiders and outsiders, us and them. Consequently, having such systematic differences lead to equality and inequality in society. As an illustration, some ethnic groups from the US such African Americans have ancestors that have a history of slavery, and because of that, they were unable to obtain an education. However, even though their offsprings are free, most individuals still have a disadvantage in getting a formal education compared to white individuals. As Scott (1999)
"Hispanics have more deaths from diabetes and chronic liver disease than whites, and similar numbers of deaths from kidney disease" (CDC, 2015). Even though the percentage of Hispanics suffering from high blood pressure is 17% in comparison to 20% of whites. Hispanics are 68% who suffer from poorly controlled high blood pressure compared to whites which are 54%. Health risks may vary among Hispanic subgroups and whether they are US born or not. Lower death rate is suffered by the Hispanic than whites.
In recent discussions of health care disparities, a controversial issue has been whether racism is the cause of health care disparities or not. On one hand, some argue that racism is a serious problem in the health care system. From this perspective, the Institute of Medicine (IOM) states that there is a big gap between the health care quality received by minorities, and the quality of health care received by non-minorities, and the reason is due to racism. On the other hand, however, others argue that health care disparities are not due to racism. In the words of Sally Satel, one of this view’s main proponents, “White and black patients, on average don’t even visit the same population of physicians” (Satel 1), hence this reduces the chances of racism being the cause of health care disparities. According to this view, racism is not a serious problem in the health care system. In sum, then, the issue is whether racism is a major cause of health care disparities as the Institute of Medicine argues or racism is not really an issue in the health care system as suggested by Sally Satel.
Conaty-Buck, S. (2009). Unblocking barriers: Clearing the channel to improve communication between practitioners and patients with low health literacy. (Order No. 3364864, University of Virginia). ProQuest Dissertations and Theses, , 121. Retrieved from http://search.proquest.com.uproxy.library.dc-uoit.ca/docview/305011452?accountid=14694. (305011452).
The sociological analysis for why these inequalities in health and health care happen are mainly because of racism that has happened throughout society across the United States. The racial differences between black and white was a big deal in the past for the U.S. and this brought massive attention whether a person should be treated like this because of their skin. Gender in society plays an important role in identifying social status and therefore, has more increased health care to be implemented within society. Next, Race/Ethnicity is the category in how we define ourselves within society (White, Black, American Indian, Pacific Islander, etc.). This inequality is traces all the way back to disease, and forms of social norms that fail to maintain
Healthcare disparities are when there are inequalities or differences of the conditions of health and the quality of care that is received among specific groups of people such as African Americans, Caucasians, Asians, or Hispanics. Not only does it occur between racial and ethnic groups, health disparities can happen between males and females as well. Minorities have the worst healthcare outcomes, higher death rates, and are more prone to terminal diseases. For African American men and women, some of the most common health disparities are diabetes, cancer, hypertension, cardiovascular disease, and HIV infections. Some factors that can contribute to disparities are healthcare access, transportation, specialist referrals, and non-effective communication with patients. There is also much racism that still occurs today, which can be another reason African Americans may be mistreated with their healthcare. “Although both black and white patients tended not to endorse the existence of racism in the medical system, African Americans patients were more likely to perceive racism” (Laveist, Nickerson, Bowie, 2000). Over the years, the health care system has made improvements but some Americans, such as African Americans, are still being treating unequally when wanting the same care they desire as everyone else.
African Americans face a multidimensional health care crisis that affects the young or old, rich or poor. Too many African Americans are uninsured or underinsured. The elderly cannot afford long-term health care leaving the family to care for them. Health care cost is constantly rising and are out of control, reform is the only way out.
The purpose of this essay is to firstly give an overview of the existence of inequalities of health related to ethnicity, by providing some evidence that ethnic inequality in health is a reality in the society and include definitions of keywords. Secondly, I will bring forward arguments for and against on the major sociological explanations (racial discrimination, arefact, access to and quality of care) for the existence of health inequalities related to ethnicity. Thirdly, I would also like to take the knowledge learnt for this topic and brief outline how this may help me in future nursing practice.
Today’s society protects against discrimination through laws, which have been passed to protect minorities. The persons in a minority can be defined as “a group having little power or representation relative to other groups within a society” (The Free Dictionary). It is not ethical for any person to discriminate based on race or ethnicity in a medical situation, whether it takes place in the private settings of someone’s home or in a public hospital. Racial discrimination, in a medical setting, is not ethical on the grounds of legal statues, moral teachings, and social standings.
There is a strong correlation with an individual or group SES and the quality of health care received. Social Economic Class relates to what group of class an individual fit in based on their income, which can include wages, investments or other source. The quality of care depends on the facilities that is offering the services, the staff, accessibility to the service and the kind of health insurance that the person has. Affording health care is expensive and the lower or poor class has to decide between being able to afford food or other daily needs and going to a clinic for screening. Most of the time, individuals who fall in the class will ignore the health signs while continue to work to feed the family. Individual who are in the middle class or upper class will have more access to resources such as better health insurance, access to better health facilities because they have cars and able to take a day from work, and having and higher education give you an advantage over other class. We can look at the southern belt to see how individuals with living in the southern states of the United States have deteriorating health and are more prone to diabetes, coronary heart disease, cancer and death.
Cockerham (p.94) explains how racial inequalities in the United States can effect a person 's health. Some ethnicities such as Asians, are known for having great health and life expectancies, where as African Americans may experience many health issues and have shorter life spans. White Americans and Black Americans life span are different because African Americans are known for having disadvantages with health issues such as AIDS, cancer, and heart disease.