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Healthy People 2020 defines a health disparity as “a particular type of health difference linked with social, economic, and environmental disadvantage. Health disparities adversely affect groups of people who have systematically experienced greater obstacles to health based on their racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory, or physical disability; sexual orientation or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion.” Based on Module 6 (pg. 2), the term ‘health disparities’ refers to population-specific differences in the presence of disease, health outcomes, quality of health care, and access to health care services” (National Conference of State Legislatures, 2012).

Health disparities exist across race/ethnicity and socioeconomic class that is considered morally wrong and suggested that individual rights have negatively affected their health and well-being (Morrison & Furlong, 2014). For example, Braveman (2003) argued that “A health disparity between more and less advantaged population groups constitutes an inequity. Not because we know the proximate causes of that disparity and judge them to be unjust, but rather because the disparity is strongly associated with unjust social structure. Those structures systematically put disadvantaged groups at generally increased risk of ill health and also generally compound the social and economic consequences of ill health.”

In addition to determinates of health, other influences impact the health of our most vulnerable population and it includes the availability of and access to high-quality education, nutritious food, decent and safe housing, affordable, reliable public transportation, culturally sensitive health care providers, health insurance, clean water, and non-polluted air (Healthypeople.gov) For example, there is a need for social and economic strategies to increase overall healthier outcomes while the adequate dietary intake is one of the key factors in maintaining good health and in increasing the quality of life in population health (Giacalone et, al, 2016).

Recognizing health disparities between the most and least-advantaged populations worldwide will enable us to implement a strategy to fix, reduce and eliminate health inequalities and achieve healthier outcomes (Morrison & Furlong, 2014). I believe the overall goal of the Department of Health and Human Services will help reduce racial and ethnic disparities, as well as achieve health equity and improve the health of all groups in the American population. To change the system, we must continue to expand the scope, close the gap, and eliminate health care disparities for the entire American population.

References

Braveman, P.A. “Measuring Health Inequalities: The Politics of the World Health Report 2000,” in Health and Social Justice: Politics, Ideology, and Inequity in the Distribution of the Disease, ed. Richard Hofrichter (San Francisco: Jossey-Bass, 2003).

Disparities. (n.d.). Retrieved from https://www.healthypeople.gov/2020/about/foundation-health-measures/Disparities

Giacalone, D., Wendin, K., Kremer, S., Frost, M. B., Bredie, W. L., Olsson, V., Risvik, E. (2016). Health and quality of life in an aging population – Food and beyond.

Morrison, E., & Furlong, E. (2014). Health care ethics: Critical issues for the 21st century

(3rd ed.). Burlington, MA: Jones and Bartlett Jones, C. M. (2010, April). The Moral

Quality and Preference, 47, 166- 170. doi: 10.1016/j.foodqual.2014.12.002

Weissert, W, G., & Weissert, C, S. (2012). Governing health: the politics of health policy. Baltimore, MD: Johns Hopkins Univ. Press

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