Response on Health Disparities
Kateryna,
Thank you for sharing your post. Deaths from heart disease are higher among persons of Black ethnicity than Whites and other races. Heart disease also develops at earlier ages among Blacks than it does for other races. Close to 48% and 44% of African American women and men, respectively, have one form or another of heart disease (Van Dyke et al., 2018). Research has shown that even among the growing upper and middle class, the rate of heart disease among Blacks is still higher than among Whites in similar socioeconomic status. Blacks’ most common risk factors for stroke and heart disease are high BP, diabetes, and obesity. Although the adverse lifestyle-mediated, behavioral, and clinical risk factors impact the excess CVD burden among Blacks, it has become clear that geography, place of residence, and neighborhood play an essential role and that neighborhood and community factors have a role in creating the disparities in CVD outcomes (Mensah, 2018). Independent of income and education, residential segregation founded on ethnicity and race in the US can lead to adverse CVD outcomes among Blacks and other minorities. It has been argued that residential segregation based on race is a cause of health disparities. Hence, any efforts at ending racial disparities should make serious efforts at addressing segregation and its long-term consequences. Strategies to address the burden of CVD and the differences should involve active engagement of the strategic partnership’s engagement with the affected communities as a legitimate way of promoting cardiovascular health and reducing inequities (Mensah, 2018). However, it was not until recently that the role played by community partnerships in promoting and reducing cardiovascular health and disparities, respectively, had been under-recognized.
References
Mensah G. A. (2018). Cardiovascular Diseases in African Americans: Fostering Community Partnerships to Stem the Tide. American journal of kidney diseases: the official journal of the National Kidney Foundation, 72(5 Suppl 1), S37–S42. https://doi.org/10.1053/j.ajkd.2018.06.026
Van Dyke, M., Greer, S., Odom, E., Schieb, L., Vaughan, A., Kramer, M., & Casper, M. (2018). Heart disease death rates among blacks and whites aged≥ 35 years—United States, 1968–2015. MMWR Surveillance Summaries, 67(5), 1.
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Response on Health Disparities
A health disparity is when health outcomes are perceived to be more significant to specific populations and, to a lesser extent, to particular populations. One of the Healthy People health promotion initiative’s primary objectives has been reducing or preventing health disparities. For example, Healthy People 2000 aimed at minimizing health disparities among the citizens of the United States, Healthy People 2010 aimed at eliminating health disparities, and Healthy People 2020 aimed at achieving equity in health, eliminating disparities, and enhancing the health of all populations (Office of Disease Prevention and Health Promotion, 2020). Efforts to ensure that healthcare disparities have been eliminated and health equity is achieved have focused majorly on diseases and healthcare services.
One of the health disparities is the high rate of heart disease among Black or African Americans. African Americans between 18 and 49 are twice as likely to succumb to heart diseases than whites (CDC, 2017). The majority of the adults from the African-American population also reveal that they rarely see a doctor due to financial issues. However, the federal and state governments have tried to address this disparity. For example, through the Affordable Care Act, the federal government has increased health coverage, especially for low-income earners, to ensure these people can access healthcare services. The federal government is also implementing national programs like the Million Hearts to address cardiovascular diseases, like Heart disease. State governments have trained community health workers who provide educational services to minority groups on better healthy lifestyles, like eating healthy diets and exercising to prevent and manage heart diseases.
References
CDC. (2017). Vital Signs: African American Health. Retrieved from https://www.cdc.gov/vitalsigns/aahealth/index.html
Office of Disease Prevention and Health Promotion. (2020). Health Disparities. HealthyPeople.gov. Retrieved from https://www.healthypeople.gov/2020/about/foundation-health-measures/Disparities
