Larges racialethnic minority group in america

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Larges racial/ethnic minority group in America Prevalence of diabetes, hypertension, TB, STDs, alcoholism, cirrhosis homicide and AIDS is high in comparison to non-whites. More likely than non-Hispanics to be without regular source of health care and to use hospital emergency rooms as their primary source of medical services. o They are overrepresented in jobs that don’t offer insurance Hispanic Paradox: Despite their overall low SES and levels of health insurance in the US, they have lower mortality rates than whites. They have lower mortality rates for heart disease, cancer, pulmonary diseases and influenza than whites and blacks. o A high birth rate and large scale immigration from mostly young adults may contribute to low mortality rates. Native Americans There has been a significant improvement for particular patterns of disease in the last 40 yrs. with infant mortality falling from 82.1 per 1000 to 8.4 per 1000 for Alaskan Indians Heart disease is the leading cause of of death, Have high mortality rates for diabetes, 2 nd to blacks More American Indians die from accidents- many of which are related to alcohol Twice as likely to die from suicide; among males Asian Americans The healthiest racial group overall; also has the highest levels of income, education and employment of any racial minority group Mortality overall is 424.3 per 100,000 Heart disease he leading cause of death for Asians yet the mortality for CHD is low compared to whites and other minorities. Low infant mortality rate 4.5 per 1000 Why are the health statistics for white males similar to those for black females? Discuss social class as a fundamental cause of morbidity/mortality. Based on several studies of neighborhood disadvantage (see below) and persistent studies associating socioeconomic status as a factor contributing to poor health, Link and Phalen were able to conclude that SES is a fundamental cause of mortality because:
o SES has an influence on multiple diseases diabetes, monitoring blood pressure o SES affects these diseases through multiple pathways of risks o SES is reproduced over time it has been associated for centuries since the Black Death i.e. rich have better resources than the poor o SES involves accessing resources that can be used to minimize the consequences of disease Low SES puts this variable at a disadvantage The degree of socioeconomic resources a person has or does not have (money, knowledge, status, power and social connections), protects health or contributes to to premature mortality

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