Multicultural Health
Life expectancy and overall health have improved in recent years for most Americans, thanks in part to an increased focus on preventive medicine and dynamic new advances in medical technology. However, not all Americans are benefiting equally. For too many racial and ethnic minorities in the United States, good health is elusive, since appropriate care is often associated with an individual's economic status, race, and gender. While Americans as a group are healthier and living longer, the nation's health status will never be as good as it can be as long as there are segments of the population with poor health status.
Compelling evidence that race and ethnicity correlate with persistent, and often increasing, health disparities among U.S. populations demands national attention. Indeed, despite notable progress in the overall health of the Nation, there are continuing disparities in the burden of illness and death experienced by blacks or African Americans, Hispanics or Latinos, American Indians and Alaska Natives, and Native Hawaiian and Other Pacific Islanders, compared to the U.S. population as a whole. The demographic changes anticipated over the next decade magnify the importance of addressing disparities in health status. Groups currently experiencing poorer health status are expected to grow as a proportion of the total U.S. population; therefore, the future health of America as a whole will be influenced substantially by improving the health of these racial and ethnic minorities. A national focus on disparities in health status is particularly important as major changes unfold in the way in which health care is delivered and financed.
Current information about the biologic and genetic characteristics of minority populations does not explain the health disparities experienced by these groups compared with the white, non-Hispanic population in the United States. These disparities are believed to be the result of the complex interaction among genetic variations, environmental factors, and specific health behaviors.
- Even though the Nation's infant mortality rate is down, the infant death rate among African Americans is still more than double that of whites. Heart disease death rates are more than 40 percent higher for African Americans than for whites. The death rate for all cancers is 30 percent higher for African Americans than for whites; for prostate cancer, it is more than double that for whites. African American women have a higher death rate from breast cancer despite having a mammography screening rate that is nearly the same as the rate for white women. The death rate from HIV/AIDS for African Americans is more than seven times that for whites; the rate of homicide is six times that for whites.
- Hispanics living in the United States are almost twice as likely to die from diabetes as are non-Hispanic whites. Although constituting only 11 percent of the total population in 1996, Hispanics accounted for 20 percent of the new cases of tuberculosis. Hispanics also have higher rates of high blood pressure and obesity than non-Hispanic whites. There are differences among Hispanic populations as well. For example, whereas the rate of low birth weight infants is lower for the total Hispanic population compared with that of whites, Puerto Ricans have a low birth weight rate that is 50 percent higher than the rate for whites.
- American Indians and Alaska Natives have an infant death rate almost double that for whites. The rate of diabetes for this population group is more than twice that for whites. The Pima of Arizona have one of the highest rates of diabetes in the world. American Indians and Alaska Natives also have disproportionately high death rates from unintentional injuries and suicide.
- Asians and Pacific Islanders, on average, have indicators of being one of the healthiest population groups in the United States. However, there is great diversity within this population group, and health disparities for some specific segments are quite marked. Women of Vietnamese origin, for example, suffer from cervical cancer at nearly five times the rate for white women. New cases of hepatitis and tuberculosis also are higher in Asians and Pacific Islanders living in the United States than in whites.
Read more on minority health issues at the CDC Office of Minority Health.
HealthyNJ also offers pages with links to health information for: African Americans, Asian Americans, Gay-Lesbian-Bisexual-Transgendered, Native Americans, Rural Residents, Urban Residents, and Veterans.
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Recommended Links
National Center for Farmworker Health
National Center for Farmworker Health Online Library - 2011 National Healthcare Quality and Disparities Reports - Agency for Healthcare Research and Quality
- Against the Odds: Making a Difference in Global Health - National Library of Medicine
- Cross Cultural Health Care Program
- Culture Cues - University of Washington Medical Center
- Culture, Language and Health Literacy - US Health Resources and Services Administration
- CulturedMed - SUNY Institute of Technology at Utica/Rome
- Diversity - Administration on Aging
- Diversity and Health Disparities - National Institute on Alcohol Abuse and Alcoholism
- DiversityRx: Improving Health Care for a Diverse World - Henry J. Kaiser Family Foundation, National Conference of State Legislatures
- EthnoMed - University of Washington
- Examples of Health Disparities - National Cancer Institute
- Health Access Project
- Health Disparities - Centers for Disease Control and Prevention
- Health Disparities - National Institutes of Health
- Health Information for Minority Women - WomensHealth.gov
- Health Information Translations - Ohio State University Medical Center
- Healthy Roads Media
- Indian Health Service - Dept of Health and Human Services
- Lesbian, Gay, Bisexual, and Transgender Populations: 2011 National Healthcare Disparities Report - Agency for Healthcare Research and Quality
- MedlinePlus: Health Disparities - National Library of Medicine
- MedlinePlus: Population Groups - National Library of Medicine
- Minority Health - Centers for Disease Control and Prevention
- Multi-Cultural Resources for Health Information - National Library of Medicine
- Multicultural Health Clearinghouse - Special Populations Students' Health Concerns Committee (SPSHCC)
- Multicultural and Multilingual Health Information - NSW (Australia) Multicultural Health Communication Service
- Multicultural Views on Organ Donation - Donate Life America
- Multilingual Health Information - Stanford Hospital Health Library
- Race, Ethnicity and Medical Care - Kaiser
- Refugee Health Information Network
- SPIRAL/Selected Patient Information Resources in Asian Languages - Tufts University's Health Sciences Library
- Toolkit for Serving Diverse Communities - Administration on Aging
- Transracial and Transcultural Adoption - Children's Bureau
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Páginas de Web Recomendadas
'Lectura' de las Emociones de los Demás Varía Según la Cultura - HolaDoctor Referencia Médica de Healthwise/Univision
Oficina de Salud para Minorías y Salud Multicultural - Departamento de Salud y Servicios a Envejecientes de New Jersey - Departamento de Salud y Servicios para Personas Envejecientes de New Jersey
Recursos en Español y Otras Idiomas - Healthy Roads Media
Tradiciones Médicas Occidentales (Americanas) - Children's Hospitals and Clinics of Minnesota
- Aptitud Cultural en el Cuidado de la Salud Mental - Alianza Nacional de Enfermedades Mentales
- Asuntos Latinos - Programa de Radio “Nuestros Niños” por Interactive Parenting Media
- Curación con Monedas: Lo Que Necesita Saber al Respecto - Programa de Cuidado de la Salud de Niños de California (California Childcare Health Program)
- Cultura Latina - BabyCenter en Español
- Determinantes Sociales de la Salud - Organización Mundial de la Salud (WHO)
- Enciclopedia Médica en MedlinePlus - Biblioteca Nacional de Medicina de los EE.UU.
- Grupos Poblacionales - Organización Panamericana de la Salud
- healthfinder® en Español - Oficina de Prevención de Enfermedades y Promoción de la Salud y el Centro Nacional de Información sobre la Salud de los EE.UU.
- Hispanos en Desventaja - Asociación Americana de Personas Jubiladas (AARP)
- Hispanos o Latinos y Otras Minorías - Centros para el Control y la Prevención de Enfermedades (CDC)
- Información Sobre Vacunas: Índice por Idioma (Language Index) - Immunization Action Coalition (Coalición para Acción en las Inmunizaciones)
- Información para Habladores de Varios Idiomas - Base de Datos Nacional sobre Seguridad en la Agricultura
- Jóvenes: Shock Cultural - KidsHealth/Centro de Medios de Información para la Salud Infantil de la Fundación Nemours
- Leyes en New Jersey y Usted: Cuidado de Salud - Servicios Legales de New Jersey
- MedlinePlus: Salud de los Afroamericanos - Biblioteca Nacional de Medicina de EE.UU. desde los Institutos Nacionales de la Salud
- MedlinePlus: Salud de los Asiáticoamericanos - Biblioteca Nacional de Medicina de EE.UU. desde los Institutos Nacionales de la Salud
- MedlinePlus: Salud de los Hispanoamericanos - Biblioteca Nacional de Medicina de EE.UU. desde los Institutos Nacionales de la Salud
- MedlinePlus: Salud de los Indios Norteamericanos - Biblioteca Nacional de Medicina de EE.UU. desde los Institutos Nacionales de la Salud
- Ninos Multirraciales - Academia Americana de Psiquiatría del Niño y del Adolescente
- Oficina de Salud de las Minorías - Oficina de Salud de las Minorías del Departamento de Salud y Servicios Humanos de EE. UU.
- Origen Étnico y Salud - Organización Panamericana de la Salud
- Pacientes Estandarizados - Revista de la American Medical Association
- Padres: Familias Bilingües - KidsHealth/Centro de Medios de Información para la Salud Infantil de la Fundación Nemours
- Pobreza y Salud - Revista de la American Medical Association
- Portal de Información de Enfermedades Raras y Medicamentos Huérfanos (disponible también en otras idiomas)- Orphanet (Europa)
- ¿Qué Es la Competencia Cultural y Por Qué Es Importante? - Recuperándonos Juntos/Alianza Nacional de Enfermedades Mentales
- Salud Mental en la Comunidad Hispana o Latina - Asociación Estadounidense de Psiquiatría
- Salud y Competencia Cultural - Programa de Cuidado de la Salud de Niños de California (California Childcare Health Program)
- Welcome to the United States: A Guide for New Immigrants & Bienvenidos a los Estados Unidos de América: Guía para Inmigrantes Nuevos - Servicio de Ciudadanía e Inmigración
de los Estados Unidos