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15 Cards in this Set

  • Front
  • Back
what is acculturation
an individual assumes the customs of another culture
key assumption of most acculturation models
-assume that its a static process
-no clear definition of acculturation
-assumes that individuals are free to become American
what is SEP and what are its measurements
measure of social stratification; takes class, SES and social status into account
measured:
education
income
occupation
Zambrana Carter article
-acculturation models contribute to latin health disparities because they ignore social issues (such as low resources)
cultural competency + difficulties in effective implentation
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
foreign born advantage
those who are not born in the US are healthier than their US born counterparts
Eto article
-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)
selective migration
those who want to come to the US may have a stronger work ethic, etc
the Hispanic paradox
although immigrants are from lower SES backgrounds they often have better health than US born latinos
healthy immigrant effect
better health outcomes for immigrants because the healthier ones tend to migrate more
Kimbro et. al
-those with the highest level of education were healthiest in each ethnicity studied
-magnitude of the gradient was much smaller for hispanics born abroad
Residential segregation quantified
-index of dissimilarity: % of individuals of same race in neighborhood
-isolation index: % of a racial group in census tract
residential segregation in relation to health outcomes
-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
CBO report for Medicare/SS and longevity
-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
evidence of race over SES
-low SES immigrants still have high level of health, sometimes more often than US born individuals of the same race/ethnicity