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Geriatrics

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Ethnogeriatrics

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    • Ethnogeriatrics Overview
      • Introduction
      • Patterns of Health Risk
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    • Background
    • African American
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Tuskegee Study

The Tuskegee Experiment and African American Attitudes toward the Health Care System

Studies claiming a negative effect

Eiser, A. R., & Ellis, G. (2007). Viewpoint: Cultural competence and the African American experience with health care: The case for specific content in cross-cultural education. Acad Med, 82(2), 176-183. ABSTRACT

Kennedy, B. R., Mathis, C. C., & Woods, A. K. (2007). African Americans and their distrust of the health care system: healthcare for diverse populations. J Cult Divers, 14(2), 56-60. ABSTRACT

Tullmann, D. F., & Flaskerud, J. H. (2009). Aftershocks of Tuskegee? Issues in Mental Health Nursing, 30(2), 131-132. ABSTRACT

Studies showing equivocal effects

Brandon, D. T., Isaac, L. A., & LaVeist, T. A. (2005). The legacy of Tuskegee and trust in medical care: is Tuskegee responsible for race differences in mistrust of medical care? J Natl Med Assoc, 97(7), 951-956. ABSTRACT

McCallum, J. M., Arekere, D. M., Green, B. L., Katz, R. V., & Rivers, B. M. (2006). Awareness and knowledge of the U.S. Public Health Service syphilis study at Tuskegee: implications for biomedical research. J Health Care Poor Underserved, 17(4), 716-733. ABSTRACT

White, R. M. (2005). Misinformation and misbeliefs in the Tuskegee Study of Untreated Syphilis fuel mistrust in the healthcare system. J Natl Med Assoc, 97(11), 1566-1573. ABSTRACT

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African American

  • Description
  • Learning Objectives
  • Introduction & Overview
    • Population Growth and Distribution
    • Characteristics
  • Patterns of Health Risk
    • Life Expectancy
    • Mortality
    • Morbidity
    • Self-Rated Health and Functional Status

CULTURALLY APPROPRIATE CARE

  • Fund of Knowledge
    • Health History
      • Up from slavery
      • Health and Longevity Since the Mid-19th Century
      • Significant Dates and Periods
      • Cohort Experiences
    • Health Beliefs
    • Illness Causes & Interventions
  • Assesment
    • Cultural Biases and Misdiagnoses
    • Showing Respect
    • Use of Assesment Instruments
  • Delivery of Care
    • Cardiovascular Disease
    • Stroke
    • Breast Cancer
    • Mental Health
    • End-of-life Care
  • Cancer Care

Access and Utilization

  • Disparities
    • 1. Patient-Based Factors
    • 2. Physician-Based Factors
      • Maltreatment and Segregated Training
      • Discriminatory Patterns
      • Social and Kinship Networks
      • Informal Caregiving
      • Caregiver Burden
      • Long-Term Care
    • 3. End-of-Life Care Issues
      • Palliative and Hospice Care
      • Advance Directives
      • Role of Church and Religion
  • Health Promotion
    • Improving Health Care

Learning Resources

  • Instructional Strategies
    • Projects and Assignments
    • Case Study 1: Mr. S
      • Overview and History
      • Course and Outcome
      • Cultural Issues
    • Case Study 2: Mrs. P
  • Student Evaluation
  • List of References
    • General
    • Fictive Kin
    • Breast Cancer
    • Tuskegee Study
  • Searchable Reference Database
  • Links
  • Important Cultural Terminology
  • Glossary
  • Interview Strategies
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