During lecture, we discussed determinants and how they affect the frequency of an illness or a disease in either a positive or negative direction. When we look at America, we have one of the best health care. Yet when we look at the difference in races and what group of people get the treatment they need, it becomes increasingly obtuse. Looking at two different problems that we face in America, obesity and tobacco use, we can see the clear difference in terms of race. Non-Hispanic white women are recorded to have a over prevalence of obesity then African American women(the difference being 33% vs 49.6%). You can see similar trends when comparing non-Hispanic whites vs any other ethnicity. What seems to be the problem? The answer is health disparity. Health disparity is the difference in health and distribution of health determinants depending on what race or ethnicity you are. This problem has many reasons for it. From socioeconomics to community engagement or lack thereof, the lack of representation of minorities in research studies are just a few examples. The main that I want to focus on is community engagement. Community is a very influential part of everyday life as it can manipulate you to do things that you would normally not do. Despite that there being a huge movement to not use tobacco or cigarettes, tobacco use is still fairly used among different minorities. Is it because there isn’t enough ads in these specific areas or is it because of culture.
Here we have the example known as the Healthy Black Family Project. The main purpose is to implement protocol or other interventions from the Diabetes Intervention Project and culturally apply to urban minority populations in east Philadelphia. Similar to the recent lectures, people don’t change their health habits even if told that what they are doing is bad for them. They require extrinsic sources. In this project, people in the work force are given incentives and such as monetary gain for not smoking tobacco as well. Many researchers from the University of Philadelphia are proving classes on nutrient as well as physical activity classes to decrease the over prevalence of obesity .
So why is it that so few organizations such as this one helping reduce issues such as obesity or tobacco use. Is it because people just don’t know that this problem exists or would it be because nobody understands how this could happen to begin with?