Please write aparagraph with your opinion based on the text bellow. Please include citationsand references in case you need to used for the question.

Diabetes is a chronic disease that has been a problem in thiscountry for quite sometime. Mainly because the course of the disease changeswith each passing day. Although it affects individuals of many types ofeconomic and cultural backgrounds; it tends to be more prevalent in theHispanic population (American Diabetes Association, 2014). In the Article,"Health Disparity and Structural Violence: How Fear Undermines HealthAmong Immigrants at Risk for Diabetes", three main dimensions offear were identified: cost, language discrimination and immigration status, andcultural disconnect (Page-Reeves et al., 2013, p.36). From a health providersperspective, the understanding is that prevention and treatment is important.From the perspective of the consumer, other priorities are to be considered.This article identified that the immigrants involved had more importantobligations such as paying basic utilities, food, shelter and their ownchildren's healthcare over theirs. Adding their own healthcare needs adds tothe financial stress of these already low income families. "Peopleare afraid to go to the doctor…they can’t afford the bills, can’t make thepayment…they are scared, afraid and people are afraid of debt"(Page-Reeves et al., 2013, p. 36). These individuals essentially figure thatthe effects are long term anyway, so they put it off and in the long run end upwith more costly consequences. Then there is the language discrimination andimmigration status issue where in healthcare institutions were found to have employeesthat were making the immigrants feel guilty or less because of their illegalstatus or lack of english speaking skills. This included issues with lack ofinterpretation services or just having mediocre translation services overall.This made immigrants feel as though citizens were more deserving of healthcareservices than them. Due to these dynamics, immigrants can feel a sense ofintimidation and fear in institutional health contexts that can lead them toadopt strategies downplaying their real health-related needs and concerns in anattempt to make themselves seem more “deserving” of assistance (Page-Reeves etal., 2013, p. 38). This also caused the ripple effect of cultural disconnect;where immigrants felt disconnected from staff members and other patients. Thisin turn caused a gap in communication and participants did not feel comfortableenough confiding their healthcare needs in fear that their customs would not beunderstood or undermined.

I do agree that structural violence does create healthdisparities. Unfortunately, this is unlikely to change soon. Society as a wholewould have to truly change the way they treat the diverse populations thatexist in this country. As it is, this country struggles with providinghealthcare to their own citizens. Providing healthcare to its incomingimmigrants will be a struggle as well. This is where all healthcareprofessionals and government officials should unite and work togetherextensively to address these health disparities until we no longer inadvertentlycause harm to our population.

References

American Diabetes Association. (2014). Prevalence of DiabetesAmong Hispanics/Latinos From Diverse Backgrounds: The Hispanic CommunityHealthstudy. Retrieved on June 18, 2018 from http://care.diabetesjournals.org/content/37/8/2233

Page-Reeves, J., Niforatos, J., Mishra, S., Regino, L.,Gingrich, A., & Bulten, J. (2013). Health Disparity and StructuralViolence: How Fear Undermines Health Among Immigrants at Risk forDiabetes. JournalOf Health Disparities Research & Practice, 6 (2), 30-47.