The National Center for Health Statistics, National Vital Statistics 2014 Report, International Comparisons of Infant Mortality and Related Factors: United States and Europe, 2010 finds that the U.S. Infant Mortality rate is worse than 25 other developed nations. According to Dr. Deborah Campbell, a professor of clinical pediatrics at Albert Einstein College of Medicine, “There is a well-delineated history of racial and ethnic disparities in maternal and infant outcomes in the U.S., with black women and their infants being at greatest risk and having the highest rates of poor outcomes”. See a summary at MedlinePlus.
A randomized controlled trial is underway to determine if improved coordination and support will improve outcomes and reduce health care costs for complex patients. Dr. Jeffrey Brenner is leading the effort.
According to new research by the U.S. Centers for Disease Control and Prevention, “key practices that support breast-feeding are much less common in medical centers where the black population is higher than average”. This may contribute to the lower breast feeding rate among African American women compared to white women. Specifically “breast-feeding rates among black infants are about 16 percent lower than for white infants”.
We Have the Power to Prevent Diabetes is a poster in which the message instructs:
- ” Move More
- Make Healthy Food Choices
- Take Off Some Weight
- Set Goals You Can Meet
- Record Your Progress
- Seek Help
- Keep At It”
The media campaign is sponsored by the CDC and NIH.
You may wonder what “transnationalism” describes. The authors of the following article, in their abstract describe transnationalism as “maintenance of transborder activities”. Their research suggests that transnationalism may have a positive impact on the “psychosocial well-being”, but a negative impact on health management of immigrants.
Sanon, M., Spigner, C., & McCullagh, M. C., (2014). Transnationalism and Hypertension Self-Management Among Haitian Immigrants. J Transcult Nurs 1043659614543476, first published on July 25, 2014 doi:10.1177/1043659614543476. Retrieved from http://tcn.sagepub.com/content/early/2014/07/24/1043659614543476.abstract.
The New York Times (June 10, 2014) reports that “about 228,000 women and girls in the United States have been cut or are at risk of it” when parents take them on vacation to their country of origin. Genital cutting, also termed female genital mutilation (FGM) is defined by WHO as “all procedures that involve partial or total removal of the external female genitalia, or other injury to the female genital organs for non-medical reasons”. Countries with the highest rates of this practice are: Somalia (98 percent of women are cut), Guinea (96 percent), Djibouti (93 percent), Eritrea (89 percent) and Mali (89 percent), according to the New York Times. The practice has been illegal in the U.S. since 1996 and beginning last year it is illegal to transport girls to have the procedure. U.S. health care providers can reduce this practice by asking and educating parents of young girls from the countries listed above about the law and by reporting to Child Protective Services families who intend to take girls abroad for the procedure. Educational materials are available at WHO.
The Northwest Center for Public Health Practice of the University of Washington provides free web-based trainings in the form of online courses, webinars, toolkits, and exercises. The topics cover all areas of Public Health including cultural competence, health disparities, and communication.
The journal Cross-Cultural Research from Sage Journals recently includes articles on parental power, prestige and acceptance in relation to their teen children’s psychological adjustment in Pakistan, Spain, Turkey, Korea, Greece, Croatia, Poland, Portugal, Bulgaria and China.
- Clinical ideas & tools
- Concepts of culture
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- Immigrants & refugees
- inequity & health disparities
- Integrative, Complementary & Alternative Medicine
- Limited english proficiency
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- Power, privilege, inequity & health disparities
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