Yu tink se at sik difrɛn bay dɛn kɔlɔ ɛn trayb? (Heart Disease & Ethnicity) Lɛ wi tɔk bɔt dis!

At sik na prɔblɛm wae bɔrku pipul na di wɔl de gɛt rayt naw. Bɔt yu no se sɔm trayb dɛn kin gɛt dis at sik pas ɔda wan dɛn? Wetin na di rial rizin fɔ dis? Na jin dɛn? Ɔ na di sosayti we wi de liv insay? Lɛ wi tɔk bɔt dis smɔl mɔ .

Wetin na at sik? Wetin mek i kin afɛkt sɔm pipul dɛn mɔ?

Di sik we de ambɔg di at ɛn di blɔd nɔto jɔs wan sik. Na wɔd we dɛn kin yuz fɔ tɔk bɔt wan grup pan sik dɛn we kin afɛkt di at ɛn di blɔd vesel dɛn. Na di men tin we kin mek big pipul dɛn day. Bɔt sɔm pipul dɛn, mɔ di wan dɛn we nɔ bɔku, kin gɛt am mɔ. Fɔ ɛgzampul, 47% pan blak big pipul dɛn dɔn gɛt at sik, we yu kɔmpia am wit 36% pan wayt big pipul dɛn.

We i kam pan tin dɛn we kin mek pɔsin gɛt at sik, sɔm grup dɛn kin gɛt mɔ prɔblɛm. Fɔ ɛgzampul, dayabitis na big tin we kin mek pɔsin gɛt at sik. Hispanik uman dɛn kin gɛt dayabitis tu tɛm pas wayt uman dɛn. Di Amɛrikin Indian dɛn kin gɛt dayabitis tri tɛm pas wayt pipul dɛn.

Wetin na "Health Disparities"? Yu tink se tin dɛn we pɔsin kin gɛt we i kam pan in jɛnɛtiks ɔ we pɔsin kin gɛt wit ɔda pipul dɛn impɔtant?

Dis na aw wi de difayn wɛlbɔdi difrɛns (`) fɔ di difrɛns pan wɛlbɔdi biznɛs bitwin difrɛn rays ɛn etnik grup dɛm. Dɛn kɔl dis Wɛlbɔdi Dispariti . Dis na rili kɔmpleks prɔblɛm we de ɔlsay na di wɔl.

Risach pipul dεm kin agyu bכku tεm se rεs εn etnik na ``sכshial kכnstrכkt`` pas ``bayolojikal`` trayt. Dat min se, di men tin we kin mek dɛn difrɛns ya pan wɛlbɔdi biznɛs nɔto di jin, bɔt na difrɛn tin dɛn na di sosayti we wi de liv insay.

Wetin na dɛn soshal tin ya? Bɔku soshal tin dɛn de we kin afɛkt pɔsin in wɛlbɔdi. Wi kin kɔl dɛn tin ya bak ``Social Determinants of Health`` . Sɔm pan di men wan dɛn na:

• Mɔni ɛn prɔpati fɔ mit di men tin dɛn we pɔsin nid fɔ liv.
• Di chans fɔ gɛt gud edyukeshɔn.
• Di ebul fɔ gɛt kwaliti wɛlbɔdi kia.
• Sef ples fɔ liv wit klin briz ɛn klin wata.
• Risos fɔ gɛt it we gɛt fayn fayn tin dɛn, fresh frut, ɛn vɛjitebul.
• Sɔpɔt mɔtalman rilayshɔnship, we nɔ gɛt diskrimineshɔn ɛn vaylɛns.

Dɛn tin ya gɛt sɔntin fɔ du wit dɛnsɛf. Fɔ ɛgzampul, po kin mek pɔsin nɔ it tin dɛn we go ɛp in at. If da pɔsin de liv na "fud dɛzat" we nɔ gɛt gud rɛstɔrant ɔ grosa, di tin dɛn we dɛn kin pik kin ivin smɔl.

Dɛn soshal tin ya kin mek blak, Hispanik, ɛn Amɛrikan Indian pipul dɛn nɔ gɛt bɛtɛ tin fɔ du. Bɔku tɛm, dɛn kin kɛr big lod pan mɔni biznɛs ɛn soshal biznɛs. Dis kin mek dɛn wɛlbɔdi prɔblɛm. Ɔda etnik grup dɛn kin gɛt difrɛn prɔblɛm dɛn bak we kin afɛkt dɛn risk fɔ gɛt at sik.

Haypatɛnshɔn ɛn at sik - aw i kin afɛkt difrɛn pipul dɛm

Sɔm rays ɛn etnik grup dɛn na Amɛrika kin gɛt ay blɔd prɛshɔn ɛn tayp 2 dayabitis, ɛn dɛn ɔl tu na di men tin dɛn we kin mek pɔsin gɛt at sik.

Lɛ wi luk pan ay blɔd prɛshɔn (Hypertension).

• 59% pan blak big pipul dɛn gɛt ay blɔd prɛshɔn , we na di ay rit pas ɛni etnik grup.
• Fo pan ɔl fayv big pipul dɛn na Eshia we de go fɔ tritmɛnt stil gɛt ay blɔd prɛshɔn we dɛn nɔ ebul fɔ kɔntrol. Dis nɔmba smɔl smɔl pan Hispanik ɛn blak big pipul dɛn (tri pan 4).
• Blak uman dɛn kin gɛt tu tɛm pas wayt uman dɛn fɔ gɛt chrɔnik ay blɔd prɛshɔn (`chronic hypertension` ) we dɛn gɛt bɛlɛ. Dis sik kin mek yu gɛt at sik leta na yu layf.
• Blak big pipul dɛn kin gɛt intanɛnt ɔgan damej pas wayt big pipul dɛn bikɔs ɔf ay blɔd prɛshɔn. dis kin mek dεn gεt fכ tεm mכr chans fכ gεt di εnd stej kidni sik.
• Blak big pipul dɛn bak kin day pan ay blɔd prɛshɔn ɛn sik dɛn we gɛt fɔ du wit am pas wayt big pipul dɛn.

Dɛn statystik ya kin afɛkt bak bay sɔshal tin dɛn. Fɔ ɛgzampul, di wan dɛn we nɔ gɛt inshɔrans kin gɛt ay blɔd prɛshɔn we dɛn nɔ ebul fɔ kɔntrol. Ɛn di wan dɛn we dɛn de trit difrɛns kin gɛt ay blɔd prɛshɔn .

Di ay blɔd prɛshɔn kin mek yu gɛt prɔblɛm dɛn lɛk:

• Koronari at sik
• At we nɔ de wok fayn
• Strok
• Di sik we de na di periferik at
• Abdominal aorta anɛrizm we de na di bɛlɛ
• Krכnik εn εnd-stεj kidni (rεnal) sik
• Dimɛnshɔnal sik

Aw Tayp 2 Dayabitis kin mek pɔsin gɛt at sik - Aw i kin afɛkt difrɛn pipul dɛn

Tayp 2 dayabitis kin pwɛl di blɔd vesel dɛm na yu at, bren, ɛn kidni dɛm. Dis kכndyushכn kin mek yu triglisεrayd εn LDL kכlestכl lεvεl go כp. Pipul wae gɛt shuga kin gɛt at atak ɔr strok tu tɛm pas pipul dɛm wae nɔr gɛt shuga.

Na lɛk wan pan ɔl tɛn pipul dɛm na Amɛrika gɛt sɔm kayn dayabitis, bɔrku (90% - 95%) pan dɛm gɛt tayp 2 dayabitis. Dayabitis na big big wɛl bɔdi prɔblɛm wae kin afɛkt ɔlman. Bɔt i kin afɛkt sɔm trayb ɛn trayb pas ɔda wan dɛn.

Sɔm pipul dɛm wae de stɔdi bɔt dis sik kin kɔl dayabitis "exemplar health disparity disease." Dat min se di data sho klia wan difrɛns bitwin difrɛn trayb ɛn etnik grup dɛn. Dis na bikɔs ɔf sɔshal tin dɛn. Na sɔm difrɛns na di kɔntri ɛn etnik grup dɛn we de mek pipul dɛn gɛt dayabitis:

• Pan di pipul dɛn na Amɛrika, wan pan ɛvri 4 big pipul dɛn gɛt dayabitis, bɔt na wan pan ɛvri twɛlv pipul dɛn nɔmɔ gɛt wayt pipul dɛn.
• Hispanik/Latinx, blak, ɛn Eshian Amɛrikin big pipul dɛn kin gɛt dayabitis pas wayt big pipul dɛn.
• Dɛn kin no se blak pipul dɛn gɛt dayabitis we dɛn yɔŋ pas wayt pipul dɛn, we min se dɛn layf kin smɔl.
• Hispanik/Latino pipul dɛn kin gɛt shuga we dɛn nɔ no bɔt tu tɛm pas wayt pipul dɛn. Dis na bikɔs nɔto ɔltɛm dɛn kin gɛt wɛlbɔdi inshɔrans ɛn wɛlbɔdi biznɛs ɔltɛm.
• Hispanik uman dɛn kin gɛt dayabitis tu tɛm pas wayt uman dɛn.
• Pan ɔl we tayp 2 dayabitis kin ambɔg pipul dɛn we dɔn pas 45 ia, risach dɔn sho se naw i dɔn bɔku pan yɔŋ pipul dɛn ɛn pikin dɛn .
• Di sik we dɛn kin no bɔt dis sik dɔn bɔku kwik kwik wan pan Hispanik/Latino ɛn blak pikin dɛn frɔm 2002 to 2015.
• If pɔsin fat, dat kin mek i gɛt tayp 2 dayabitis. Dayabitis kin bɔrku pan Eshian Amɛrikin dɛm, blak pipul dɛm, ɛn Hispanik/Latino dɛm. Fɔ fat pasmak (BMI we na 40 ɔ pas dat) kin apin mɔ pan blak big pipul dɛn.

Us etnik grup gɛt di at sik pas ɔlman?

Di rεt fכ hat sik de dipכnt pan de diagnosis. Na sɔm impɔtant tin dɛn we dɛn dɔn fɛn frɔm risach na Amɛrika:

At we nɔ de wok fayn

• Blak man kin gɛt 70% chans fɔ gɛt at pwɛl pas wayt man.
• Blak uman dɛn kin gɛt dis sik 50% pas wayt uman dɛn.
• Blak big pipul dɛn kin go na ɔspitul fɔ gɛt at atak tu tɛm pas wayt big pipul dɛn. Dɛn kin spɛn mɔ tɛm na ɔspitul ɛn i kin izi fɔ mek dɛn admit dɛn bak insay 90 dez.
• Hispanik big pipul dɛm bak kin gɛt at sik pas wayt big pipul dɛm.

Korona Atri Disease ɛn At Atak

• Blak uman dɛn kin gɛt at atak pas wayt uman dɛn.
• Blak big pipul dɛn kin day pan at sik pas wayt big pipul dɛn.
• Di big pipul dɛm na Eshia nɔ kin gɛt korona at sik pas ɔda etnik grup dɛm. Bɔt sɔm difrɛns dɛn de we dɛn kɔmɔt frɔm dɛn trayb. Eshian Indian man dɛm, Filipino man dɛm, ɛn Filipino uman dɛm de pan ay risk pas wayt pipul dɛm.
• Yɔŋ Hispanik uman dɛm we gɛt at atak kin gɛt ay risk fɔ day pas yɔŋ Hispanik man dɛm, ɛn dɛn kin gɛt ay risk fɔ day bak pas yɔŋ blak ɛn wayt big pipul dɛm.

Strok

• We yu kɔmpia am to ɔda trayb ɛn etnik grup , blak big pipul dɛn kin gɛt strok. Dɛn kin lɛk fɔ yɔŋ bak we dɛn gɛt am.
• Blak big pipul dɛn kin day bikɔs dɛn gɛt strok pas wayt big pipul dɛn.
• Di big pipul dɛm na Mɛksiko Amɛrikin kin gɛt paralayz pas wayt big pipul dɛm.
• Wan stɔdi sho se Filipino uman dɛn kin gɛt strok tu tɛm pas wayt uman dɛn.
• Vietnamese man ɛn Koria uman dɛn kin gɛt ɛmoraji strok pas wayt pipul dɛn.
• Filipino big pipul dɛm, Japan man dɛm, ɛn Vietnamese man dɛm kin day pan strok pas wayt big pipul dɛm.

I rili sɔri fɔ no se dɛn kayn difrɛns dɛn de, nɔto so? Bɔt i rili impɔtant fɔ no bɔt dɛn tin ya.

Wetin yu go du bɔt dis? (Mɛsej we dɛn kin tek go na os)

At sik na di big tin we kin mek pipul dɛn day na Amɛrika. Bɔt sɔm pipul dɛn kin gɛt bɔku prɔblɛm pas ɔda wan dɛn. If yu de pan grup wae de gɛt difrɛns pan aw fɔ gɛt wɛl bɔdi ɛn kwaliti kia, tɔk to yu dɔktɔ bɔt di prɔblɛm dɛm wae yu kin gɛt. If yu nɔ gɛt dɔktɔ ɔltɛm, luk fɔ kɔmyuniti ɔganayzeshɔn ɛn lokal tin dɛn we go ebul fɔ kɔnɛkt yu wit wan.

I impɔtant fɔ bigin fɔ gɛt wɛlbɔdi chɛk-ap we yu yɔŋ. Mek dɛn chɛk yu blɔd prɛshɔn, kɔlɔstrel, ɛn shuga na yu blɔd. Tɔk to yu dɔktɔ bɔt wetin dɛn valyu ya min. Dɔn bak, tɛl yu dɔktɔ if ɛnibɔdi na yu famili gɛt tin dɛn we kin mek i gɛt at sik ɔ dɛn dɔn no se i gɛt at sik. Dis infɔmeshɔn kin ɛp yu ɛn yu dɔktɔ fɔ ridyus di prɔblɛm we yu gɛt.

Di wan dɛn we nɔ de gɛt prɔblɛm fɔ gɛt wɛlbɔdi biznɛs kin ɛp fɔ mek di tin bɛtɛ fɔ di wan dɛn we de gɛt am. Luk fɔ lokal ɔganayzeshɔn dɛn we de ɛp fɔ mek shɔ se ɔlman gɛt di sem chans fɔ gɛt wɛlbɔdi savis. Dɔn bak, woke wit yu dɔktɔ fɔ no di prɔblɛm dɛn we yu kin gɛt ɛn fɛn we fɔ ridyus dɛn.Di tin we impɔtant pas ɔl na fɔ kia fɔ wi yon wɛlbɔdi.

` At sik, rays, etnik grup, wɛlbɔdi difrɛns, ay blɔd prɛshɔn, dayabitis, sɔshal tin dɛm