Overview The burden of diabetes in the United States has become a persistent threat to the health and welfare of the people and the nation. Diabetes is ranked the seventh cause of death. Diabetes is a disease characterized by high levels of blood glucose caused by problems in insulin production, working of the produced insulin, or even both, which results in serious complications and ultimately death (National Diabetes Education Program, 2007). Type-two diabetes however, occurs when the body cannot produce enough insulin or make use of insulin the body produces effectively. It has been diagnosed in all shades of the U.S. population, and Hispanics are nearly as twice (12.8%) to have diabetes compared to non-Hispanic whites (7.6%) (Center for Disease Control and Prevention, 2016). Hispanics are disproportionately afflicted with diabetes compared with other ethnicities like Non-Hispanic whites or Asian Americans, looking at levels of diabetes complications (Appendix A, Figure 1). In a study, Coffman, Norton, and Beene (2012) found that nearly half (46.6%) of Hispanics randomly selected had low health literacy levels. There is a consensus among researchers on the issue of poor knowledge or education in diabetes and diabetes self-management. Whereas ideas, such as diet and exercise modifications, using medications correctly, self-monitoring of blood glucose, and making regular follow ups with a primary care provider are generally accepted, they are often not understood and not
Your GP can assess whether you have incontinence, decide which type of incontinence you have, give general advice on controlling symptoms of incontinence, provide information on pelvic floor exercises and bladder retraining, and give treatment for incontinence with prescribed medicines. If lifestyle changes and treatments don't solve the problem, your GP can refer you to a continence adviser or specialist.
Based on the United States census, it is estimated that by the year 2050 one in three people living in the United Sates will be of Hispanic/Latino origin which include sub groups like Puerto Rican, Mexican, Cuban, Central Americans, and South Americans (Heart Association, 2014). Within those subgroups, the prevalence varied for people of Mexican descent from as high of 18.3 percent to as low as 10.3 percent for people of South American descent, Dominicans and Puerto Rican descent 18.1 percent, Central American descent and Cubans descent 13.4 percent all living in the United States with diabetes type 2. On another commentary being published in the same issue of Diabetes Care, the author wrote, “the differences in diabetes and obesity prevalence among Latinos subgroups are marked when all individuals are combined into a single group” (Heart Association, 2014). Diabetes in Latino Americans has become more prevalence with aging, by the time they reach the age of 70 years, 44.3 percent of Latino men age 70 years old to 74 years old will have develop diabetes. The same study also indicated that the longer Latino Americans live in the United States the more likely they will develop diabetes, that is according to the education and income level of the person. The study also shows
According to the American Diabetes Association, more Americans die each year from diabetes than from AIDS and breast cancer combined. As a result, researchers have extensively studied the causes, treatments, and interventions for diabetes. Despite efforts to ameliorate its effects, diabetes remains a prevalent danger in society. In 2014, 7% of U.S. adults were living with diagnosed diabetes (Centers for Disease Control and Prevention [CDC], 2016). In Louisiana that number was even higher - 10.4% of adults have been diagnosed with diabetes. Breaking it down by age group, however, in Louisiana 3% of people aged 18 and 44 have been diagnosed, and 15.2% of people 45-64. (Centers for Disease Control and Prevention [CDC], 2015a). Several studies have predicted future rates of diabetes both in the United States and worldwide - nearly all of these studies reached a similar conclusion: rates of diabetes will continue to rise (Boyle et al., 2001).
Diabetes is a prevalent health disparity among the Latino population. Diabetes is listed as the fifth leading cause of death among the Latino population in the website for Center for Disease Control and Prevention, CDC, in 2009. According to McBean, “the 2001 prevalence among Hispanics was significantly higher than among blacks.” (2317) In other words among the Hispanic or Latino community, there is a higher occurrence of diabetes as compared to other racial/ethnic groups such as Blacks and Native Americans. The prevalence of diabetes among Latinos is attributed to the social determinants of health such as low socioeconomic status and level of education. Further, this becomes an important public health issue when it costs the
The Hispanic population is constantly growing and we have an estimated 13.7% of Hispanics making up the United States. “The annual percentage of patients with prediabetes in whom overt type 2 diabetes develops is about 5% in the general US population and may reach 15% in the Hispanic American population” (Idrogo & Mazze, 2004, para. 7). This a community health issue because of the percentage of Hispanic individuals that may end up with diabetes. These individuals need to be educated to help the promotion, protection, and maintenance of diabetes in this group. That is why I have created the intervention program for this ethnic group.
Hispanics represents one of the most dramatic and important demographic trends affecting the United States (Escarce, Morales, & Rumbaut, 2006). Some common chronic conditions, including diabetes, hypertension, cardiovascular disease, and cancer are some of the medical issues that plague the Hispanic community. Diabetes Compared with non-Hispanic whites, Hispanics have higher rates of Type 2 diabetes. Due to the higher prevalence of diabetes in Hispanics, the burden of complications attributable to diabetes is greater for Hispanics than for other groups (Escarce et al., 2006). Complications of
The Hispanic community faces many challenges in America. One of the major health issues that affect this community is obesity. If not treated, obesity will eventually result in other chronic health problems like diabetes, hypertension and metabolic syndrome. Creating an environment that will foster healthy eating and a healthy lifestyle will enable this group to avoid diabetes or hypertension in the future. Managing existing diabetes is also critical for this at risk group to avoid the chronic problems that may arise form uncontrolled diabetes.
We all know death is inevitable, as morbid as it sounds, but we also all would like to prolong death as long we can to live long, happy lives. Unfortunately, some people fail to fully connect how their daily lifestyle impacts the ability to live these ideal long and happy lives. As the CDC (2016) states, nearly 70% of the U.S. population is considered overweight or obese and almost 40 million people still smoke. These statistics indicate that there are numerous unhealthy behaviors that a bulk of our population chooses to participate in. This brings us to the question, what would it take to shift our country into not only helping them to stop, but also them wanting to stop partaking in these unhealthy behaviors and truly fulfill the desire to want to live longer? Since the majority of the population relies on the U.S. health system to help treat them once arguably preventable health issues arise, why not take the opportunity to use the same system to help combat these unhealthy behaviors from the start. The U.S. health system could implement more educational opportunities, specific prevention programs, help reduce health disparities, increase health literacy, and offer incentives for healthy behaviors.
Diabetes is a chronic disease that requires constant self-care management practices among diabetic patients. The patients have to make decisions to stick to a strict diet and exercise plan, they also have to be involved in complex activities aimed towards their care and health. Diabetes self-management education provides patients with essential information and has been shown to have a positive impact on the health of patients. Self-management enhances patients with skills and knowledge and information for self-care. The problem focus for this project is lack of culturally diabetes self-management education for the diabetic Hispanic adult population who receive care at a free clinic in Indio, California. Patients who have diabetes need information about their behavior and diet plans to help in the management and maintenance
With the huge diversity and changeability of human biology, it is impossible to imagine a reality without some mutations, changes, or issues in the organs and tissues of humans. Thus, it rightly follows that medications and pharmaceuticals have been created in an effort to counteract the various ailments and illnesses that people can experience. However, as time has gone on and these pharmaceuticals have become more and more high-tech, regulated, and trusted, they have also become incredibly commercialized. Worse still, medications have become incredibly expensive and can be unattainable for some people.
The following is a case study of a 41 year-old Mexican American woman who was recently diagnosed with type 2 diabetes.
Welfare in the United States began in the 1800’s when the colonies imported British Poor Laws. Before the Great Depression began in America, the government was already supporting certain programs such as the Civil War Pension Program was that passed in 1862 that gave aid to Civil War Veterans and their families. Once the Great Depression hit, unemployment rose and President Franklin D. Roosevelt, enacted the Social Security Act in 1935. The act formed a number of programs that provided aid to a wider population. Due to the demand of welfare needs, Roosevelt created agencies to help accommodate individuals. He created the United States Department of Health and Human Services (HHS), the Department of Housing and Urban Development (HUD), the Department of Labor, the Department of Agriculture, and the Department of Education to name a few. When Bill Clinton came into office, he created the Personal Responsibility and Work Opportunity Reconciliation Act. Under this act, each state was provided with lump sums of money annually. However, this act also pushed for people to get off of welfare and into the workforce (history).
Healthcare in the United States is rooted in the private sector. The private sector directly funds 56% of the expenditures through private health insurance, household expenditures and copays, and other private expenditures. (CMS, 2014) The US healthcare system can thank the private sector for providing much strength such as new diagnostic technologies, innovative treatments and procedures, and dynamism. American hospitals and physicians are regarded internationally as being of high quality. Americans can also be proud that the physician- patient relationship is among the most trusted and valued relationships in the country. By allowing the private sector to take a lead role in the healthcare system, the United States values
The health of the population is currently one of the most debated topics in society. The United States is among one of the most unhealthy countries in the world. When people of other countries are asked to describe Americans, they usually respond with a statement about the health status of the citizens, or about how Americans are supposedly “obsessed” with freedom. Many individuals believe that their physical health and their personal freedoms have relation. There are many ways that this can be both proven or rejected. Smoking in public facilities is where much debated stems from; some people believe that it is best to take away the right to smoke in public, whereas that it is a personal freedom that should be honored.
America is without a question the leading country of medical and scientific advances. There always seem to be a new medical breakthrough every time you watch the news or read the paper, especially in the cure of certain diseases. However, the medical research requires an enormous amount of money. The U.S. spends the most money on health care yet many people, mainly the working class Americans are still without any type of health insurance and thus are more susceptible to health risks and problems. The concept of health insurance for Americans was formulated over a century ago. Most Americans obtain health insurance from