Healthinequalities

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Healthinequalities

  1. 1. HEALTH DISPARITIES Dr. Sarah Rainey
  2. 2. Health Disparities <ul><li>population-specific differences in the presence of disease, health outcomes, or access to health care </li></ul><ul><li>“ health inequalities” </li></ul>
  3. 3. Presence of disease & health outcomes Overall Cancer Incidence and Death Rates, U.S.   All Sites Racial/Ethnic Group Incidence Death All 470.1 192.7 African American/Black 504.1 238.8 Asian/Pacific Islander 314.9 115.5 Hispanic/Latino 356.0 129.1 American Indian/Alaska Native 297.6 160.4 White 477.5 190.7
  4. 4. Presence of disease & health outcomes <ul><li>Race/ethnicity </li></ul><ul><ul><li>People of color are more than twice as likely to have diabetes as white people. </li></ul></ul><ul><ul><li>African Americans account for approximately 13 percent of the U.S. population, but represent almost half of new AIDS diagnoses. </li></ul></ul><ul><ul><li>Asthma </li></ul></ul><ul><ul><ul><li>Puerto Rican populations 80% higher </li></ul></ul></ul><ul><ul><ul><li>African American and Native American 30% higher </li></ul></ul></ul>
  5. 5. Presence of disease & health outcomes <ul><li>Gender/Sex </li></ul><ul><ul><li>rheumatoid arthritis, lupus, asthma, anxiety and depression. </li></ul></ul><ul><ul><li>biologically it is easier for women to contract sexually transmitted infections, such as herpes and HIV </li></ul></ul>
  6. 6. Presence of disease & health outcomes <ul><li>Sexual Orientation </li></ul><ul><ul><li>higher rates of depression and anxiety, youth suicide, alcohol and drug abuse </li></ul></ul><ul><ul><li>Possibly higher rates of cancers </li></ul></ul>
  7. 7. Presence of disease & health outcomes <ul><li>Disability </li></ul><ul><ul><li>Among developmentally disabled adults, as many as 83% of the females and 32% of the males are the victims of sexual assault </li></ul></ul><ul><ul><li>experience early deaths, chronic conditions, and potentially preventable secondary conditions </li></ul></ul><ul><ul><li>highest rates of oral disease and higher rates of diabetes than the general population </li></ul></ul><ul><ul><li>women with mobility and/or cognitive impairments are at increased risk of having their cancers detected at later stages </li></ul></ul>
  8. 8. Intersectionality <ul><li>race, class, gender, sexuality, age, disability, and other factors are considered simultaneously </li></ul>
  9. 9. Access to Health <ul><li>Communication </li></ul>
  10. 10. Access to Health <ul><li>Physical access </li></ul>
  11. 11. Access to Health <ul><li>Financial Access </li></ul>
  12. 12. Causes of Health Disparities <ul><li>Insurance coverage & access </li></ul><ul><li>Wage and employment gaps </li></ul><ul><li>Environmental </li></ul><ul><li>Stress </li></ul><ul><li>Discrimination and prejudice from doctors </li></ul><ul><li>Language & cultural barriers </li></ul><ul><li>Lack of trust </li></ul>
  13. 13. Tuskegee Syphilis Study <ul><li>1932-1972 </li></ul><ul><ul><li>Penicillin 1940s </li></ul></ul><ul><li>Before Tuskegee </li></ul><ul><li>Since Tuskegee </li></ul>
  14. 14. Ashley X

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