How Fear Undermines Health Among Immigrants
When reviewing the article, “Health Disparity and Structural Violence: How Fear Undermines Health Among Immigrants at Risk for Diabetes,” the status of health to the underserved in our 47th state was quite alarming. The article addresses diabetes as an epidemic problem in the U.S. (Boyle, Thompson, Gregg, Barker, and Williamson 2010; Centers for Disease Control and Prevention 2011). Approximately 8.3% of the population (or 25.8 million people) suffer from diabetes in the U.S., with the majority (nearly 95%) having type-2 diabetes (Centers for Disease Control and Prevention 2011). The question became how did this happened and why? What were the barriers to health care that prevented a decline of diabetes. The sixth leading cause of death in Albuquerque, New Mexico is diabetes related (New Mexico Health Policy Commission 2009).
The population studied were Hispanic immigrants. This populations ethnicity is not the only risk factor according to study findings (Hanis, Hewett-Emmett, Bertin, and Schull). There are several factors, but the cost of health care is one of the major factors causing the disparity in them receiving health care(Page-Reeves 2013). The has been supported by the report release by the American Diabetes Association(ADA)in 2017 “Economic Cost of Diabetes “which detailed the cost to care for those diagnosis with diabetes totals $327 billion in 2017. The cost of health care would be considered as “structural violence” part of the conceptualization of institutional inequality. The violence is related to a group of individuals being unable to live by way of their own innate skills and capacity(Page-Reeves 2013). Gultang’s (1969) essay Violence, Peace, and Research suggest violence is relate to “below their potential realizations” (Galtung 1969, p. 168).
The fear that prevents this population is elated to I may die from this disease, but since it is not an immediate probability the need to change are seek medical help is not of great importance on the moment.
Yes, I agree the disparities in health and the violence factor to improve it will mainly be done by our nurse profession as the push to have 80% of all registered nurses to hold a BSN degree by 2020. This would help facilitate with health promotions and the cost would decreased if populated had easier and cheaper access. As nurses we can also become a liaison for those with limited access to health care by no fault of their own, but are victims of structural violence described class, gender, race, politics ,ethnicity, religion and family (Page-Reeves 2013).
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