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collective identity, distinctiveness, sharing of customs, food, dress, music, religion, and symbols |
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group whose members share a common national, social, and cultural heritage |
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socially defined population that is derived from distinguishable physical characteristics that are genetically determined |
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social group that does not constitute a dominate portion of the total population of a given society |
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influence of culture on health/health behavior |
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concept of body (shape, size, function) diet and nutrition caring curing |
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health disparities: life expectancy |
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Definition
78 for whites 73 for blacks |
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Health Disparities: Diabetes |
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Definition
18% American Indians/Alaskan Natives 15% Blacks 14% Hispanic 8% Whites |
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Health Disparities: Cardiovascular Disease |
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blacks have higher rates for heart failure, HTN, stroke, and mortality |
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Health Disparities: Cancer |
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black women less likely to have breast cancer, but more likely to die from it blacks have higher incidence and mortality from colorectal cancer black women twice as likely to die from cervical cancer hispanic women twice as likely to have cervical cancer |
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Definition
blacks 10x more likely to have than whites and 3x more likely than Hispanics |
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Health Disparities: Asthma |
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Definition
blacks and American Indians/Alaskan Natives more likely to have blacks 3x more likely to die from it than whites |
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Health Disparities: Mental Distress |
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Definition
American Indians/Alaskan Natives nearly 2x more likely to have than whites |
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7 determinants of health inequalities and needs |
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Definition
1) biological factors 2) lifestyle factors 3) health damaging behavior 4) unhealthy, stressful living and working conditions 5) inadequate access to health services 6) natural selection/social scale 7) first 3 unfair/unjust, last 4 avoidable/unjust |
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Definition
blacks and hispanics 2x more likely to live in poverty median family income higher for asians and whites greater # blacks and hispanics "near poor" |
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Education/Communication Disparities |
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Definition
blacks and hispanics have lower rates of educational attainment higher educational levels linked to longer life ~1/6 US pop. speaks another language at home |
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health system interventions for disparities |
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Definition
evidence-based cost control financial incentives in healthcare interpretation services community health workers multidisciplinary teams patient education/empowerment cross-cultural education in health professions |
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