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Chapter Ten - Community Health and Minorities Chapter 10...

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Chapter 10 Community Health and Minorities
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Overview of Diversity As America rapidly becomes the world’s first truly multiracial democracy, race relations remains an issue that too often divides the nation and keeps the American dream from becoming a reality for all Americans. President’s Initiative on Race (1997) Goal was to strengthen our shared foundation as Americans so we can all live in an atmosphere of trust and understanding
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Overview of Diversity © U.S Census Bureau Percentage Distribution of U.S Population by Race, Ethnicity
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Overview of Diversity Projected U.S Population by Race and Hispanic Origin © U.S Census Bureau
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Diversity and Health “Advances in medical technology, lifestyle improvements, and environmental protections have all led to health gains. Yet these changes have not produced equal benefit in some racial and ethnic populations. This is the continuing challenge to public health professionals and the standard we must keep in mind when measuring our progress: what is the health status of the least empowered among us?” Centers for Disease Control and Prevention 1997 .
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Landmark 1985 Report The Secretary’s Task Force Report on Black and Minority Health (1985) First documented the health status disparities of minority groups in the United States Contributed significantly to the Healthy People 2000 Objectives (1990)
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Race and Health Initiative Initiative to Eliminate Racial and Ethnic Disparities in Health (1998) Purpose was to enhance efforts in: (1) Preventing Disease (2) Promoting Health (3) Delivering care to racial and ethnic communities
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Racial and Ethnic Classifications U.S. Office of Management and Budget Directive 15 “Race and Ethnic Standards for Federal Statistics and Administrative Reporting” presents brief rules for classifying into 4 racial and 2 ethnic categories. (1978) Revised standards issued in 1997 and expanded race from 4 to 5 categories.
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Race and Ethnic Classifications Race American Indian or Alaskan Native Asian Pacific Islander Black White Ethnicity Hispanic origin or not of Hispanic origin
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What is the difference between Latino and Hispanic? Hispanic is a “generic” term that applies to those groups that speak Spanish. Most people prefer Latino because it also takes into consideration country of origin and shared cultural heritage
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Race and Ethnic Classifications
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Health Data Sources and Their Limitations Gaps in the information system Bias analysis Self-reported data Reliability
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