Health Promotion in Minority Populations

Select an ethnic minority group that is represented in the United States (American Indian/Alaskan Native, Asian American, Black/African American, Hispanic/Latino, Native Hawaiian, or Pacific Islander). Using health information available from Healthy People, the CDC, and other relevant government websites, analyze the health status for this group.

In a paper of 1,000-1,250 words, compare and contrast the health status of your selected minority group to the national average. Include the following:

Describe the ethnic minority group selected. Describe the current health status of this group. How do race and ethnicity influence health for this group?
What are the health disparities that exist for this group? What are the nutritional challenges for this group?
Discuss the barriers to health for this group resulting from culture, socioeconomics, education, and sociopolitical factors.
What health promotion activities are often practiced by this group?
Describe at least one approach using the three levels of health promotion prevention (primary, secondary, and tertiary) that is likely to be the most effective in a care plan given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice.
What cultural beliefs or practices must be considered when creating a care plan? What cultural theory or model would be best to support culturally competent health promotion for this population? Why?

Sample Solution

Health Promotion in Minority Populations

The demographics of Asian Americans describe a heterogeneous group of people in the United States who can trace their ancestry to one or more countries in East, South or Southeast Asia. Asian Americans have historically been upheld as a “model minority,” experiencing few health problems relative to other minority groups. Research within the past 20 years, however, has shown that Asian Americans are at high risk for hepatitis B, liver cancer, tuberculosis, and lung cancer, among other conditions (Chen MS, Hawks BL 1995). It is the only U.S. population suffering cancer as the leading cause of death. The Racial and Ethnic Approaches to Community Health for Asian Americans (REACH FAR) Project is implementing a multi-level and evidence-based health promotion and Hypertension (HTN) control program in faith-based organizations serving Asian American communities across multiple denominations (Christian, Muslim, and Sikh) in New York/New Jersey.

similar proportion of patients in both treatment groups at the start of surgery (21% levobupivacaine, 18% bupivacaine) and during surgery (32% in both treatment groups). This may be due to use of higher concentration (0.75%) of levobupivacaine and bupivacaine in their study.

In another study done by Kara F et al[11] compared the effects of epidural 0.5% bupivacaine and 0.5% levobupivacaine administration on quality of anaesthesia, incidence of side effects, and time for requirement of analgesia in hip and lower extremity surgery found no significant difference in side effect profile in both groups.

In previous studies as by Gristwood RW et al[5] showed levobupivacaine has lesser side effect profile than bupivacaine, demonstrated that levobupivacaine could be a safer alternative local anaesthetic drug to bupivacaine, as far as cardiotoxicity is concerned. Although we were not able to reveal the safety profile of these two drugs in emergent cardiac situations produced as a result of cardiotoxicity. So it is not necessary that a larger sample size than our study could reveal significant differences in the safety profile of these two drugs. This may be the limitation of our study.

CONCLUSION:-

In our study we concluded that combination of levobupivacine and fentanyl is equipotent to bupivacaine and fentanyl in epidural anaesthesia. Rather it seems to be a better alternative local anaesthetic agent in epidural anaesthesia. Although in our study we failed to demonstrate a better safety profile of levobupivacaine than bupivacaine due to smaller sample size.

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