Asunto(s)
Etnicidad , Accesibilidad a los Servicios de Salud/estadística & datos numéricos , Disparidades en Atención de Salud/etnología , Atención Primaria de Salud/estadística & datos numéricos , Grupos Raciales , Disparidades en Atención de Salud/estadística & datos numéricos , Humanos , Estados UnidosAsunto(s)
Formulación de Políticas , Salud Pública , Agencias Gubernamentales , Política de Salud , HumanosRESUMEN
This article stemmed from an acceptance speech for the Global Alliances' 2022 Presidential Award made by Dr. Gail Christopher and her daughter, Heather McGhee. Heather McGhee is a New York Times best-selling author of the book The Sum of Us: What Racism Costs Everyone and How We Can Prosper Together. The history, transformative impact, and importance of the truth, racial healing, and transformation movement in exposing and eradicating the fallacy of a hierarchy of human value are outlined. Dr. Christopher shares insights into the past and provides hope for the future through her Rx Racial Healing model for authentic storytelling and changes in perspective. The article also discusses the momentum of public health jurisdictions declaring racism as a public health crisis and presents a resource, Healing Through Policy: Creating Pathways to Racial Justice, that has been developed to assist jurisdictions in related work. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
RESUMEN
BACKGROUND: Interest in disease self-management has increased as the US population ages, as health care costs skyrocket, and as more evidence is gathered on the etiologic basis of most chronic diseases. This study uses National Health Interview Survey (NHIS) data to analyze the association between asthma episode during the past 12 months and patterns of complementary and alternative medicine (CAM) use within the same period among adults, controlling for comorbid conditions. METHODS: Using questions taken from the adult sample questionnaire and the Alternative Supplement of the 2002 NHIS, responses of those ever having asthma (N=3327) were analyzed in this cross-sectional, correlational study. The chi2 test of independence was used to examine the relationships between experiencing an asthma episode in the past year, coexisting comorbidity, and the use of self-care based CAM compared to practitioner-based CAM. RESULTS: Overall CAM use differed significantly by asthma status, with 49% of those with asthma episodes using CAM compared with 42% of those who did not have an episode in the past year. Self-care based therapies were more likely to be used than practitioner-based therapies by individuals with single comorbid condition compared to those with 2 or more comorbidities. CONCLUSION: Although this study supports previous work indicating that disease severity--in this instance, asthma within the past year--is significantly associated with CAM use, it did not support studies showing greater CAM use in the presence of a greater number of comorbidities, suggesting that disease burden is a limiting factor when it comes to self-care based CAM use.
Asunto(s)
Asma/terapia , Terapias Complementarias/estadística & datos numéricos , Prioridad del Paciente , Autocuidado , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Estudios Transversales , Femenino , Encuestas Epidemiológicas , Humanos , Masculino , Persona de Mediana Edad , Estados Unidos , Adulto JovenRESUMEN
With each passing decade, the United States has become a more racially and ethnically diverse nation. Many consider children our world's greatest resource. Addressing unequal health outcomes and educational achievement in children of different races and economic backgrounds is paramount. Dismal projections on the increased rates of obesity chronic disease and HIV/AIDS among adults may become a reality if more actions are not taken to help curb their current growing trends among youth, particularly youth of color. Health, education, and supportive and safe living environments are necessary to appropriately develop the world's future adults and leaders. Greater efforts must be made to ensure that the world's future leaders are a true racial and ethnic representation of the world they serve.