native elder caregiver curriculum necc caring for our elders: health disparities among native elders...
Post on 29-Dec-2015
217 Views
Preview:
TRANSCRIPT
NATIVE ELDER CAREGIVER CURRICULUMNECC
Caring for Our Elders: Health Disparities Among Native Elders 2.2
Caring for our Elders: Health Disparities Among Native Elders 2.2
1
Health Disparities: Native Elders
HEALTH DISPARITIES AMONG NATIVE ELDERS Session 2.2
2
Average Life expectancy for American Indians varies by geographic location low average age of 64.3 years in
Aberdeen Area high average age of 76.3 years in
California Average life expectancy age in general
population is 76.9 years**cited in McDonald, Ludtke, & Allery (July 10, 2002) Testimony to Senate Committee on Indian Affairs
Health Disparities: Native Elders
HEALTH DISPARITIES AMONG NATIVE ELDERS Session 2.2
3
“Health Disparity” Definition:
“gaps in the quality of health & health care across racial, ethnic, and socioeconomic groups”*
* cited in Wikipedia from the U.S. Department of Health & Human Services, Healthy People 2010: National Health Promotion & Disease Prevention Objectives, conference ed. (Washington, D.C., January 2000)
Health Disparities: Native Elders
HEALTH DISPARITIES AMONG NATIVE ELDERS Session 2.2
4
Two Ways to think about the term “health disparities”
1. Disease rates are high Can think that “more Indian people do get
sick” …
OR 2. Health risk factors can be controlled
Can think that “it is possible to reduce risk for disease” by reducing risk factors
Health Disparities: Native Elders
HEALTH DISPARITIES AMONG NATIVE ELDERS Session 2.2
5
Disparities in Chronic Diseases among Native Elders
Native elders are more likely to experience certain health conditions compared to the general population:
Health Disparities: Native Elders
HEALTH DISPARITIES AMONG NATIVE ELDERS Session 2.2
6
Examples* of Disparities in Chronic Diseases among Native Elders as compared to general population
Arthritis 19.5 % more likely CHF 48.7 % more likely Hypertension 17.7 % more likely
Health Disparities: Native Elders
HEALTH DISPARITIES AMONG NATIVE ELDERS Session 2.2
7
Examples* of Health Disparities (Continued)
Stroke: 17.5 % more likely Asthma: 4.3 % more likely Diabetes: 173.0 % more likely
*Cited in McDonald, Ludtke, & Allery (July 10, 2002) Testimony to Senate Committee on Indian Affairs
Health Disparities: Native Elders
HEALTH DISPARITIES AMONG NATIVE ELDERS Session 2.2
8
Rates of some diseases appear “lower” in different regional areas However… this may mean that people who
have certain health conditions do not survive the condition, and are not “counted” in the rates
This may mean that people have lower survival rates of these diseases than the general population, not that the prevalence is lower
Health Disparities: Native Elders
HEALTH DISPARITIES AMONG NATIVE ELDERS Session 2.2
9
Other disparities occur also… The following is just one example that really
demonstrates the seriousness of the situation:
From 1994-1996, I.H.S. estimated that the death rate from pneumonia & flu for American Indian people was 71 % higher than the entire general U.S. population*
*Office of the General Counsel, U.S. Commission on Civil Rights, (February, 2004)
Health Disparities: Native Elders
HEALTH DISPARITIES AMONG NATIVE ELDERS Session 2.2
10
A number of causes for Health Disparities* Discrimination related to generations of
injustices Limited access to appropriate health facilities Poor access to health insurance programs Insufficient federal funding Quality of care issues Disproportionate poverty Poor education
*Office of the General Counsel, U.S. Commission on Civil Rights (2004)
Health Disparities: Native Elders
HEALTH DISPARITIES AMONG NATIVE ELDERS Session 2.2
11
Social Determinants of Health*: contribute to Health Disparities among Native Elders Socioeconomic status transportation issues Housing issues Access to services Discrimination Social or environmental stressors
*CDC Social Determinants of Health Working Group www.cdc.gov/sdoh
Health Disparities: Native Elders
HEALTH DISPARITIES AMONG NATIVE ELDERS Session 2.2
12
Health Disparities: Native Elders
HEALTH DISPARITIES AMONG NATIVE ELDERS Session 2.2
13
Communities, Elders & Caregivers have definite challenges in providing care for their elders!
BUT…
Communities, Elders & Caregivers can decide which perspective to take in the care of their elders!
Health Disparities: Native Elders
HEALTH DISPARITIES AMONG NATIVE ELDERS Session 2.2
14
Community People can make a big difference working together !
Health Disparities: Native Elders
HEALTH DISPARITIES AMONG NATIVE ELDERS Session 2.2
15
Communities can create healthier communities
HEALTH DISPARITIES AMONG NATIVE ELDERS Session 2.2
16
•*
top related