Please write a paragraph with your opinion based on the text bellow. Please include citations and references in case you need to used for the question.

Question description

Please write a paragraph with your opinion based on the text bellow. Please include citations and references in case you need to used for the question.

Diabetes is a chronic disease that has been a problem in this country for quite sometime. Mainly because the course of the disease changes with each passing day. Although it affects individuals of many types of economic and cultural backgrounds; it tends to be more prevalent in the Hispanic population (American Diabetes Association, 2014). In the Article, “Health Disparity and Structural Violence: How Fear Undermines Health Among Immigrants at Risk for Diabetes”, three main dimensions of fear were identified: cost, language discrimination and immigration status, and cultural disconnect (Page-Reeves et al., 2013, p.36). From a health providers perspective, the understanding is that prevention and treatment is important. From the perspective of the consumer, other priorities are to be considered. This article identified that the immigrants involved had more important obligations such as paying basic utilities, food, shelter and their own children’s healthcare over theirs. Adding their own healthcare needs adds to the financial stress of these already low income families. “People are afraid to go to the doctor…they can’t afford the bills, can’t make the payment…they are scared, afraid and people are afraid of debt” (Page-Reeves et al., 2013, p. 36). These individuals essentially figure that the effects are long term anyway, so they put it off and in the long run end up with more costly consequences. Then there is the language discrimination and immigration status issue where in healthcare institutions were found to have employees that were making the immigrants feel guilty or less because of their illegal status or lack of english speaking skills. This included issues with lack of interpretation services or just having mediocre translation services overall. This made immigrants feel as though citizens were more deserving of healthcare services than them. Due to these dynamics, immigrants can feel a sense of intimidation and fear in institutional health contexts that can lead them to adopt strategies downplaying their real health-related needs and concerns in an attempt to make themselves seem more “deserving” of assistance (Page-Reeves et al., 2013, p. 38). This also caused the ripple effect of cultural disconnect; where immigrants felt disconnected from staff members and other patients. This in turn caused a gap in communication and participants did not feel comfortable enough confiding their healthcare needs in fear that their customs would not be understood or undermined.

I do agree that structural violence does create health disparities. Unfortunately, this is unlikely to change soon. Society as a whole would have to truly change the way they treat the diverse populations that exist in this country. As it is, this country struggles with providing healthcare to their own citizens. Providing healthcare to its incoming immigrants will be a struggle as well. This is where all healthcare professionals and government officials should unite and work together extensively to address these health disparities until we no longer inadvertently cause harm to our population.

References

American Diabetes Association. (2014). Prevalence of Diabetes Among Hispanics/Latinos From Diverse Backgrounds: The Hispanic Community Healthstudy. Retrieved on June 18, 2018 from http://care.diabetesjournals.org/content/37/8/2233

Page-Reeves, J., Niforatos, J., Mishra, S., Regino, L., Gingrich, A., & Bulten, J. (2013). Health Disparity and Structural Violence: How Fear Undermines Health Among Immigrants at Risk for Diabetes. Journal Of Health Disparities Research & Practice, 6 (2), 30-47.

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