scholarly journals Do attitudes and behavior of health care professionals exacerbate health care disparities among immigrant and ethnic minority groups? An integrative literature review

2017 ◽  
Vol 70 ◽  
pp. 89-98 ◽  
Author(s):  
Daniel Drewniak ◽  
Tanja Krones ◽  
Verina Wild
Keyword(s):  
Health Care ◽  
Literature Review ◽  
Ethnic Minority ◽  
Health Care Professionals ◽  
Health Care Disparities ◽  
Minority Groups ◽  
Ethnic Minority Groups ◽  
And Behavior ◽  
Attitudes And Behavior

Race and Health Disparities in Adults With Intellectual and Developmental Disabilities Living in the United States

2014 ◽  
Vol 52 (6) ◽  
pp. 409-418 ◽  
Author(s):  
Haleigh M Scott ◽  
Susan M Havercamp
Keyword(s):  
Health Care ◽  
Developmental Disabilities ◽  
Ethnic Minority ◽  
Minority Groups ◽  
Hispanic Americans ◽  
The United States ◽  
Care Utilization ◽  
Intellectual And Developmental Disabilities ◽  
Ethnic Minority Groups ◽  
Racial Ethnic

Abstract Research has documented disparities in health care and access for people with intellectual and developmental disabilities (IDD) and people in racial and ethnic minority groups. Though both populations are underserved, the additive impact of being both a member of a racial/ethnic minority and having IDD is largely unknown. This study uses data from a nationally representative survey to explore health service utilization among adults with IDD belonging to minority racial/ethnic groups compared to adults with IDD who are White. The results of this study indicated that racial/ethnic minority groups are disadvantaged in several essential areas of health care utilization and that Hispanic Americans are particularly underserved. Additional research is needed to identify and address the factors driving this difference.

scholarly journals Accessibility of health care experienced by persons with dementia from ethnic minority groups and formal and informal caregivers: A scoping review of European literature

Dementia ◽  
2021 ◽  
pp. 147130122110553
Author(s):  
Gözde Duran-Kiraç ◽  
Özgül Uysal-Bozkir ◽  
Ronald Uittenbroek ◽  
Hein van Hout ◽  
Marjolein I. Broese van Groenou
Keyword(s):  
Health Care ◽  
Health Literacy ◽  
Ethnic Minority ◽  
Ethnic Minorities ◽  
Access To Health Care ◽  
Minority Groups ◽  
Informal Caregivers ◽  
Ethnic Minority Groups ◽  
People With Dementia ◽  
Access To Health

The number of persons with dementia from ethnic minority backgrounds is increasing. However, ethnic minority groups use health care services less frequently compared to the general population. We conducted a scoping review and used the theoretical framework developed by Levesque to provide an overview of the literature concerning access to health care for ethnic minority people with dementia and (in)formal caregivers. Studies mentioned barriers in (1) the ability to perceive a need for care in terms of health literacy, health beliefs and trust, and expectations; (2) the ability to seek care because of personal and social values and the lack of knowledge regarding health care options; and (3) lack of person-centered care as barrier to continue with professional health care. Studies also mentioned barriers experienced by professionals in (1) communication with ethnic minorities and knowledge about available resources for professionals; (2) cultural and social factors influencing the professionals’ attitudes towards ethnic minorities; and (3) the appropriateness of care and lacking competencies to work with people with dementia from ethnic minority groups and informal caregivers. By addressing health literacy including knowledge about the causes of dementia, people with dementia from ethnic minorities and their informal caregivers may improve their abilities to access health care. Health care professionals need to strengthen their competencies in order to facilitate access to health care for this group.

Teaching Sociocultural Psychiatry Throughout the Lifespan

2019 ◽  
pp. 245-260
Author(s):  
Priya Sehgal ◽  
Maya Nauphal ◽  
Justin A. Chen
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Health Disparities ◽  
Ethnic Minority ◽  
Minority Groups ◽  
Medical Training ◽  
Cultural Humility ◽  
Ethnic Minority Groups ◽  
And Training ◽  
Racial And Ethnic Minority

In response to persistent and growing health disparities among racial and ethnic minority groups in the United States, health care institutions have started to enhance cultural competency education and training in both health care organizations and medical education. This effort to integrate culture into professional guidelines and training curricula has been consistent among the psychiatric workforce over the last few decades. While these efforts to address mental health disparities among racial and ethnic minority groups are welcomed, much more work is needed to integrate sociocultural education into medical training. This chapter describes the evolution of sociocultural medical education from teaching cultural competence to cultural humility, with its opportunities and challenges. Using a case-based approach, the authors propose general principles from existing curricula that can help psychiatric faculty design and teach sociocultural curricula for psychiatry trainees in diverse settings.

Educational Program to Improve Provider Knowledge, Attitudes, and Behavior in Lesbian, Gay, Bisexual, and Transgender Self-Disclosure

2017 ◽  
Vol 10 (1) ◽  
pp. 65-70 ◽  
Author(s):  
Amber Henry
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Educational Program ◽  
Care Providers ◽  
Self Disclosure ◽  
Fear Of Victimization ◽  
Bisexual And Transgender ◽  
And Behavior ◽  
Attitudes And Behavior

Lesbian, gay, bisexual, and transgender (LGBT) individuals have long been subject to discrimination. This has led to the fear of victimization and the overall avoidance of health care services and increasing health disparities in this group. Health care providers, including nurses who have limited knowledge, poor attitudes, and behavior, have been shown to significantly dilute the patient–provider relationship. This reduces self-disclosure and increases likelihood of poor outcomes of the LGBT individual. An educational program was developed to focus on health care providers (n = 8) knowledge, attitudes, and behavior in LGBT self-disclosure. A pretest, posttest methodology was used to assess the aforementioned concepts using a 29-item sexual orientation counselor competency scale. All measured concepts showed clinical significance with highest being self disclosure, which revealed both clinical and statistical significance from (SD) 1.0 to 1.63, a 63% increase. The implications of these findings on the current and future practice of health care providers and nurses support cultural competency training for both practicing health care professionals and students in educational curriculums.

Abstract P171: Ethnic Inequalities In Cardiac Revascularization After Acute Coronary Syndrome

Circulation ◽  
2014 ◽  
Vol 129 (suppl_1) ◽  
Author(s):  
Louise Van Oeffelen ◽  
Ilonca Vaartjes ◽  
Kariien Stronks ◽  
Michiel Bots ◽  
Charles Agyemang
Keyword(s):  
Health Care ◽  
Acute Coronary Syndrome ◽  
Ethnic Minority ◽  
Health Care System ◽  
Ethnic Differences ◽  
Minority Groups ◽  
Ethnic Minority Groups ◽  
Coronary Syndrome ◽  
Majority Population ◽  
Revascularization Procedures

Background: Extensive literature in the USA reports lower revascularization rates after coronary heart disease among African Americans than among White Americans. Ethnic differences in revascularization procedures in European countries with an egalitarian health care system are rarely studied. We investigated disparities in revascularization procedures after an acute coronary syndrome (ACS) between ethnic minority groups and the Dutch majority population. Methods: All ACS events between 2006 and 2011 were identified in the Agis insurance Health Database using Diagnosis Treatment Combinations. Multivariable logistic regression analyses (adjusted for age, sex, ACS type, degree of urbanisation, socioeconomic status and comorbidity) were used to identify ethnic differences in revascularization procedures (percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG)) within 30 days after the ACS event. Results: On average, after 41.3% of all ACS events a revascularization procedure was performed. In the fully adjusted model, no difference in revascularization rate between the Dutch majority population and the ethnic minority groups under study were found (Moroccan (1.05; 0.77-1.43), Turkish (0.94; 0.75-1.18), Hindustani Surinamese (0.92; 0.70-1.21), and non-Hindustani Surinamese (1.15; 0.61-2.17)). Also age-stratified results did not show significant differences. Conclusion: In the Netherlands, a country with an egalitarian health care system, no ethnic inequalities in revascularization rate within 30 days after an acute coronary syndrome were observed. ACS type, degree of urbanisation, SES, and comorbidity did not influence the findings. Future research should elucidate whether disease severity may have obscured results.

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