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Health Disparities
and Health Equality
Emerging Populations
Ethnic minorities
Homeless persons
Persons with HIV/AIDS
Migration
Voluntary migration
Involuntary migration
Ethnic Diversity
Race
Ethnicity
Ethnic group
Group set apart on basis of cultural/national origin
characteristics
Values/perceptions about health/illness
Socialization process within ethnic group
Minority group
Culture, Values,
and Value Orientation
Culture
Cultural values
Value orientation
Cultural Competency
Health
Healing
Wellness belief systems
Perceived causes of illness and disease
Behaviors of seeking health care
Attitudes towards health care providers.
Folk Healing
and Professional Care
Ethnocentrism
Holism
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Arab Americans
Background
Three major waves of immigration from late 1800s to
1960s
Three largest groups: Lebanese, Syrians, Egyptians
Religions: Christianity, Judaism, Islam
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Barriers to care
Role of religion
Importance of family; male-dominated family structure
Present-oriented
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Asian Americans/
Pacific Islanders
Background
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Asian Americans/
Pacific Islanders (Cont.)
Barriers to care
Poverty
Stress in intergenerational relationships
Cultural norms that prevent health care seeking
Loss of social networks
Poor access to services
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Background
Largest ethnic group; relatively young population
Mexican, Puerto Ricans, Cubans most common
Large diversity within Latino population
Higher incidence of
Stomach cancer
Diabetes mellitus
Cardiovascular disease
HIV
Copyright 2014 by Mosby, an imprint of Elsevier Inc.
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Barriers to care
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Blacks/African Americans
Background
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Barriers to care
Poverty
Lack of health insurance
Inadequate or unsafe environments
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Background
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Barriers to care
Difficult access to care
Underserved population
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Homeless Persons
Characteristics
Causes of homelessness
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Barriers to care
Access
Affordability
Lack of transportation
Poverty
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Strategies to Address
Homelessness
Multifaceted approaches
Residential programs
Supportive services for chronically ill
Role of community health nurses
Training
Developing sense of community within homeless
population
Development of public/private partnerships
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Overview
HIV strategies
PreventionMost Important!
Rapid diagnosis
Symptom management
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Family
Prevention strategies
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Nursings response
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