Chapter 10 HLTH 255
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What are the proportions of people living in the United States by race and ethnicity?
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White 66.9, Hispanic 14.4, Black 13.4, Asian 4.9, American Indian 1.5,Native Hawaiian 0.3
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Explain \"Hispanic origin\"
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Ethnic category NOT race that has some Spanish origin
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Describe the SES of Americans of Hispanic origin
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Lower income levels, high poverty rates, lower cancer rate,
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What are the fastest growing minority groups in the United States?
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Hispanic, Asian
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What minority group believes in the concept of balance is related to health, and imbalance is related to disease?
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Asian Americans
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Which minority group is known for the value they place on the appreciation, respect, and reverence for the land?
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American Indians and Alaskan Natives
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Refugees
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Refugees: People who flee their homes from danger.
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Which minority group has the lowest infant mortality rate?
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Asian/Pacific Islanders
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In 1998, the age-adjusted death rate for coronary heart disease and stroke was highest among what minority groups?
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Black Americans
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Which minority groups have the highest prevalence rates of hypertension in the United States?
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Black Americans
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To what has the disproportionate numbers of HIV and AIDS cases in black Americans and Americans of Hispanic origin been attributed?
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Higher prevalence of unsafe or risky health behaviors (unprotected sex, intravenous drug use), lack of access to health care,
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What has been considered the most influential single contributor to premature morbidity and mortality by many public health researchers?
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Socioeconomic status
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Social power
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Access to bases of production such as information, knowledge, and skills
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Immigrants
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Immigrants: Migrate from other countries to set up residence in another country.
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Aliens
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Aliens: People who were not born in a particular country.
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Illegal aliens
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Illegal aliens: Entered a country without permission.
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political power
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A social power-base is needed to gain this. Voting, power of voice and of collective action.
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psychological power
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Individual sense of potency demonstrated in self-confident behavior.
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Lowest education level
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Hispanic
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Lowest incomes
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Black Americans
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Ten Principles Related to Cultural Competence
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1.) Have a self understanding of race, ethnicity, and power 2.) Understand historical factors 3.) Understand psycho-social stressors 4.) Understand cultural differences within minority groups 5.) Understand minority client within the family life cycle and in an intergenerational conceptual framework 6.)Understand the diff. between culturally acceptable behaviors of psycholpathological characteristics. 7.) Understand indigenous healing practices 8.) Understand cultural beliefs of health 9.) Understand health service resources for minority patients. 10.) Understand public health policies
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Who is at greatest risk for low health literacy?
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White native born Elderly and minorities have the highest percentage
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Types of health literacy tests
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Fry method (count number of sentences and syllables) Newest vital (look at the nutritonal label)
