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Health Disparities (SOC)

by Tarry Ahuja, MD
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    00:00 Alright, let’s talk about our healthcare system and maybe some of the disparities that we have to embrace and address.

    00:08 So, desired system are perfectly and is everybody getting equal access to care.

    00:14 And the answer is no. So healthcare disparity includes population specific differences in the presence of disease, health outcomes and quality of healthcare across different social groups.

    00:25 So in English, we’re basically saying within our population, we have certain subgroups that don’t have the same equal access to healthcare.

    00:34 Why is that and how do we pull as apart? So, this disparity is seen across the following social factors.

    00:39 I think the most obvious and clear is the SES. The socioeconomic status of individuals clearly impacts quality in access to care.

    00:48 So as socioeconomic status increases, access and quality of healthcare increases as well.

    00:55 So if you live in affluent area, you going to have a nicer hospital.

    00:59 You’re going to have a better doctors. You’re going to have a better equipment’s.

    01:01 You’re going to have more medicine available too.

    01:04 So all of these things obviously going to improve your health outcomes.

    01:09 Now, when you look at some of the – not as affluent areas, and some of the suburbs or gatos.

    01:20 You might not have the same access to healthcare.

    01:23 You won’t have the same quality of doctors. And so that this proportionate density of healthcare resources will directly impact health.

    01:32 You also see that individuals who live in the lower socioeconomic status areas have differences in terms of diet.

    01:43 Okay, so we know that poor in living conditions, poor diet are also direct factors impacting overall health.

    01:50 So when you look at some of the lower SES areas, we have things called food desserts.

    01:56 And these refers to the fact that you find almost exclusively fast food, pre-package food and you have very few markets and grocery stores wherein get frost produce fresh meats.

    02:08 You can actually cook your food.

    02:10 The end result is you’re getting lower quality food lace with fatty acids, laced with cholesterol, salt, all these things that directly impact your health.

    02:20 Leading the things like cardiovascular issues, strokes, so many other problems.

    02:25 Now, let’s take a looks of some other jobs. Individuals who work, who live in the SES areas have to on. So those that are lower on that social scale, it take on more dangerous jobs or jobs that put their health at risk.

    02:39 So their working in some of the factories, coalmines, lot of area risk of injury or death.

    02:45 Especially if they’re working in these areas long term. You see long-term chronic disease.

    02:51 You also can see those individuals who are low in SES scale cannot afford aesthetic healthcare programs and plans.

    03:00 So if you work at a factory or a shift job or a fast-food restaurant, they are not necessarily offering you extended healthcare benefits that you see in some other professional jobs that you would have if you’re hire in the SES scale.

    03:11 And so they can’t afford that extended treatment.

    03:14 If some things offered by the city or the state, that’s great.

    03:17 But if it requires some additional medicine or addition equipment, a procedure that you have to pay out of the pocket. They can afford it.

    03:25 That obviously again will have an impact overall health outcomes.

    03:28 Now, we also understand that race place a role. That visible minorities like African Americans, Hispanics and Natives so obviously we’re taking sort of a US perspective here.

    03:37 It tend to have higher morbidity, mortality and illness rates. So morbidity refers to occurrence of different diseases and mortality is the actual death.

    03:48 So these same individuals have poor access to care and lower quality to care.

    03:52 So we mention all these already. So, the they kind to go hand in hand.

    03:56 A lot of these individuals that are visual minorities tend to be lower on the SES scale.

    04:01 and therefore all the points that we just made apply.

    04:04 So less access to care, poor quality of care which then again equals less positive health outcomes.

    04:14 Gender.

    04:15 Gender plays a role. Men seem to have a lower self-report of illness and are less app to use the health resources. So it’s not that they’re not getting us sick.

    04:26 They just tend to not report their illness.

    04:29 We think of the modular factor guys tend to not want to run to the doctor every 20 minutes.

    04:35 I am not saying that women are complainers. But women are more They are actaully brighter than we are. And they say, “you know if there is something wrong, I’m going to check this out if there’s pain, if there is an issue, I am going to use the health resources. In men, there’s this gender role of trying to be macho and just saying not just a big deal or I’ll deal with it.

    04:52 So there’s a disproportionate use of these resources towards dealing with some of these disorders.

    04:58 Now, if you look at the medical research we also understand there is some of disproportion allocation of resources as well.

    05:04 A lot of a resources in terms of a research and guidance around an illness and the treatments are around men. So an example, are looking at things like cancer.

    05:16 And lot of research and lot of the media and educational resources revolve around men in cancer.

    05:24 And we’re now understanding that cancer rates are just as high and sometimes even in higher in women.

    05:31 Things like cardiac issues, again, we automatically assume we have this sort of stereotype of a cardiac patient in being a big overweight guy eating hamburgers and hotdogs.

    05:42 and that’s why they have the issue.

    05:44 One reality we actually understanding that a lot of women have extremely high rates that match resonance surpass that were saying in men.

    05:51 And right now these two of cancer and cardiac events are the number one killers in women.

    05:58 So gender then also creates this polarity in terms of actual access to care and health outcomes.


    About the Lecture

    The lecture Health Disparities (SOC) by Tarry Ahuja, MD is from the course Social Inequality.


    Author of lecture Health Disparities (SOC)

     Tarry Ahuja, MD

    Tarry Ahuja, MD


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