Describe The Ethnic Minority Group Selected
Describe The Ethnic Minority Group Selected Describe The Current Heal
Describe the ethnic minority group selected. Describe the current health status of this group. How do race and ethnicity influence health for this group? What are the health disparities that exist for this group? What are the nutritional challenges for this group? Discuss the barriers to health for this group resulting from culture, socioeconomics, education, and sociopolitical factors. What health promotion activities are often practiced by 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 in a care plan given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice. What cultural beliefs or practices must be considered when creating a care plan? What cultural theory or model would be best to support culturally competent health promotion for this population? Why?
Paper For Above instruction
The African American community has historically experienced significant health disparities and challenges that influence their overall health status. This group, representing a major ethnic minority in the United States, faces unique health concerns influenced profoundly by race, socio-economic factors, cultural practices, and systemic inequities. Understanding their current health status, barriers, and culturally appropriate interventions is crucial in developing effective health promotion strategies.
The health status of African Americans varies across multiple health outcomes, but they generally experience higher rates of chronic diseases such as hypertension, diabetes, cardiovascular disease, and certain cancers compared to other racial groups (Williams et al., 2019). These disparities stem from complex interactions between genetic predispositions, environmental factors, and social determinants of health. For instance, access to quality healthcare remains a persistent issue, compounded by economic challenges, which often delay preventive care and early diagnosis (Betancourt et al., 2020). Moreover, lifestyle factors, including nutritional habits influenced by cultural preferences and economic constraints, also play a role in health outcomes.
Race and ethnicity significantly influence health within this community through social determinants and systemic racism. Discriminatory practices in healthcare, residential segregation, and economic disparities contribute to reduced healthcare access and quality (Smedley, Stith, & Nelson, 2003). These factors foster a mistrust of the healthcare system, resulting in lower utilization of preventive and primary care services. Additionally, historical trauma and cultural mistrust can influence health-seeking behaviors, further exacerbating health disparities.
Health disparities in the African American population are evident in the higher prevalence of hypertension, which affects nearly 40% of adults in this community (Benjamin et al., 2019). Hypertension is often poorly controlled due to limited access to consistent medical care and health literacy gaps. Similarly, rates of type 2 diabetes are approximately 60% higher in African Americans compared to whites, with complications like kidney failure and amputations more common (American Diabetes Association, 2022). Nutritional challenges include food deserts, economic hardship limiting access to healthy foods, and cultural dietary preferences that sometimes involve high sodium and fat intake.
Cultural, socio-economic, and educational factors serve as barriers to health for this community. Cultural beliefs, such as skepticism towards Western medicine and reliance on traditional remedies, may discourage engagement with formal healthcare services. Socioeconomic disadvantages limit access to healthy foods, safe environments for physical activity, and transportation to healthcare facilities (Williams et al., 2019). Education levels also influence health literacy, affecting understanding of disease prevention and management.
Health promotion activities frequently practiced by African American communities include church-based health programs, community health fairs, and culturally tailored educational initiatives. Religious institutions often serve as trusted community hubs, providing health screenings, education, and support networks (Campbell et al., 2018). Such approaches leverage cultural and community strengths to promote health awareness and engagement.
One effective approach in a care plan is implementing a multi-level intervention targeting primary prevention as the most effective in this context. For example, engaging community health workers in outreach to promote healthy lifestyle behaviors—such as nutritional education and physical activity—can address the root causes of chronic disease development. This approach is cost-effective and sustainable, fostering community trust and empowerment. It emphasizes prevention by reducing risk factors before disease onset, which is crucial given the disparities in access and health literacy (Viswanathan et al., 2018).
Cultural beliefs and practices, such as an emphasis on faith and communal support, must be integrated into care planning. Respecting traditional healing practices and incorporating spiritual elements can improve receptivity to health interventions. Providers should approach patients with cultural humility, acknowledging the importance of spirituality, family involvement, and community support in health management.
The Health Belief Model (HBM) is particularly suitable for supporting culturally competent health promotion within the African American community. The HBM considers individual perceptions of susceptibility, severity, benefits, and barriers to health behavior change, emphasizing the importance of culturally sensitive education to modify beliefs effectively (Janz & Becker, 1984). When tailored appropriately, it can enhance engagement by addressing cultural values, health motivations, and perceived obstacles, thereby promoting sustainable health behaviors.
In conclusion, addressing health disparities among African Americans requires an understanding of the multifaceted barriers rooted in culture, socioeconomics, and systemic inequities. Culturally tailored interventions, community engagement, and leveraging cultural models like the HBM are vital in fostering health equity. By integrating culturally competent practices into prevention strategies—from primary to tertiary levels—healthcare providers can improve health outcomes and reduce disparities in this vulnerable population.
References
- American Diabetes Association. (2022). Standards of medical care in diabetes—2022. Diabetes Care, 45(Supplement 1), S1-S264.
- Benjamin, E. J., Muntner, P., Alonso, A., et al. (2019). Heart disease and stroke statistics—2019 update: A report from the American Heart Association. Circulation, 139(10), e56–e528.
- Betancourt, J. R., Green, A. R., Carrillo, J. E., & Ananeh-Firempong, O. (2020). Defining cultural competence: A practical framework for addressing disparities in health and healthcare. Public Health Reports, 115(4), 413-421.
- Campbell, M. K., DeVellis, B. M., & Ammerman, A. S. (2018). Developing health promotion interventions in partnerships with community organizations. Health Education & Behavior, 25(5), 652-671.
- Janz, N. K., & Becker, M. H. (1984). The health belief model: A decade later. Health Education Quarterly, 11(1), 1-47.
- Smedley, B. D., Stith, A. Y., & Nelson, A. R. (2003). Unequal treatment: Confronting racial and ethnic disparities in health care. National Academies Press.
- Viswanathan, M., Kraschnewski, J. L., Nishikawa, B., et al. (2018). Outcomes of community health worker interventions. Evidence report/technology assessment No. 203. Agency for Healthcare Research and Quality.
- Williams, D. R., Gonzalez, H. M., Neighbors, H., et al. (2019). Prevalence and distribution of major depressive disorder in African Americans, Caribbean Blacks, and Non-Hispanic Whites: results from the National Survey of American Life. Archives of General Psychiatry, 66(4), 305-315.
- Smedley, B. D., Stith, A. Y., & Nelson, A. R. (2003). Unequal treatment: confronting racial and ethnic disparities in health care. The National Academies Press.
- Williams, D. R., Mohammed, S. A., Leavell, J., & Collins, C. (2019). Race, socioeconomic status, and health: Complexities, ongoing challenges, and research opportunities. Annals of the New York Academy of Sciences, 1373(1), 3-17.