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15 Cards in this Set
- Front
- Back
what is acculturation
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an individual assumes the customs of another culture
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key assumption of most acculturation models
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-assume that its a static process
-no clear definition of acculturation -assumes that individuals are free to become American |
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what is SEP and what are its measurements
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measure of social stratification; takes class, SES and social status into account
measured: education income occupation |
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Zambrana Carter article
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-acculturation models contribute to latin health disparities because they ignore social issues (such as low resources)
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cultural competency + difficulties in effective implentation
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teaching doctors to work adapt to working with those of different cultures
DIFFICULTIES: - variation in curriculum - emphasizes culture over social status -acculturation model hindering implementation |
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foreign born advantage
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those who are not born in the US are healthier than their US born counterparts
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Eto article
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-foreign born blacks engaged less in negative behaviors while pregnant such as substance abuse
-self reported health of foreign blacks higher, although they reported lower material and social support -foreign African blacks had higher health than Caribbean blacks--can be attributed to immigrant selectivity(africans come to US on employment visas while Caribbeans come to the US on family visas) |
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selective migration
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those who want to come to the US may have a stronger work ethic, etc
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the Hispanic paradox
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although immigrants are from lower SES backgrounds they often have better health than US born latinos
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healthy immigrant effect
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better health outcomes for immigrants because the healthier ones tend to migrate more
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Kimbro et. al
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-those with the highest level of education were healthiest in each ethnicity studied
-magnitude of the gradient was much smaller for hispanics born abroad |
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Residential segregation quantified
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-index of dissimilarity: % of individuals of same race in neighborhood
-isolation index: % of a racial group in census tract |
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residential segregation in relation to health outcomes
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-limits employment opportunities (service sector jobs dont provide health care)
-limits educational opportunties -limites access to healthy foods and veggies - isolates youth from role models -decrease in urban infrastructure |
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CBO report for Medicare/SS and longevity
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-increasing longevity of those with higher incomes will make the SS system less sustainable bc higher benefits for more time
-less clear for Medicare bc not sure whether high SES or low SES people will use Medicare more |
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evidence of race over SES
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-low SES immigrants still have high level of health, sometimes more often than US born individuals of the same race/ethnicity
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