class#2 topic 2.doc - Topic 2 DQ#1 According to the article Health Disparity and Structural Violence How Fear Undermines Health among Immigrants at risk

class#2 topic 2.doc - Topic 2 DQ#1 According to the article...

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Topic 2DQ#1According to the article “Health Disparity and Structural Violence: How Fear Undermines Health among Immigrants at risk for Diabetes, “narratives tell the story of the interconnectedness between fear and health. Thematically, the issue of fear is a dominant feature that affects how an individual approaches day to day living and health. Explain the relationship between fear and health identified by the researchers in the article. Do you agree that structural violence perpetuates health disparity? The researchers in this article looked at the health disparities and diabetes amongst a group of indigent Hispanic immigrants in Albuquerque, New Mexico, researchers wanted to use a structural violence framework when examining why diabetes was so prominent in their community. A structural violence framework uses multiple aspects of a person’s life to understand why these health disparities exist. When applying this framework to disease it takes into account the fixated social norms in our institutionsinequalities and there effects on people’s health choices. When the groups and participants were interviewed the relationship between health and fear was a common topic. Three main aspects of fear stood out in these conversations: cost; language, discrimination and immigration status; and cultural disconnect. When it came to cost, the participants expressed that the fear of not being able to pay their bills and provide the basic needs for their family prevented them from seeking any type of medical attention or preventative care due to lack of insurance or financial resources. Fearing insult on their intelligence by lack of spoken English, Spanish accents and fear of not being able to describe their symptoms was a factor for delaying medical attention until their symptoms got worse. In this community researchers found numerous undocumented immigrants that feared discrimination by the health providers and the threat of possible deportation was a constant stressor in their lives which led to further illness. They also felt that they did not have the freedom to express their use of alternative medicine. In their culture alternative medicine is a common practice to treat disease and illness. Fear was also attributed to the possible inadequate medical attention that they would face because they chose to use these alternativesmeasures first.I do agree that structural violence does maintain health disparities. If you are in fear of discrimination because of structural inequalities to seek medically attention then you will be at great risk of disease.
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