NRS 429VN Health Promotion in Minority Populations Paper

NRS 429VN Health Promotion in Minority Populations Paper

NRS 429VN Health Promotion in Minority Populations Paper

NRS 429VN Health Promotion in Minority Populations Sample

            Ethnic minorities form a crucial proportion of Americas population. They include individuals from backgrounds such as African Americans, Asian Americans, Hispanic/Latino, Pacific Islander, or Native Hawaiians. The existing evidence demonstrates the existence of significant health disparities between ethnic majorities and minorities in the USA. For example, ethnic minority groups have elevated predisposition to adverse health problems such as cancer compared to American Whites (Wang et al.,2019) . Therefore, this paper explores the health status of Asian Americans and an appropriate cultural theory that can be adopted to promote their health.

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Selected Ethnic Minority Group

            The selected ethnic minority group for this assignment is Asian Americans. Asian Americans are individuals with origins of the Southeast Asia, Far East, or the Indian subcontinent. Census estimates show that the population of Asian Americans living in the USA in 2013 were 19.4 million. This represented a rise from 6.9 million in 1990. Most of the Asian Americans reside in states that include New York, California, Texas, Hawaii, and New Jersey. Up to three-quarters of the Asian Americans speak a different language besides English at their homes (Gebeloff et al., 2021). The statistics of the 2020 census show that America has 20.6 million people who identify as Asian Americans (Bureau, 2022).

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Current Health Status

            Asian Americans have an estimated life expectancy of 80.7 years with 78.4 years for men and 82.7 years for women. Asian Americans experience issues such as cultural and language barriers in healthcare, which lower their healthcare service utilization. Asian Americans are increasingly at a risk of health problems such as stroke, unintentional injuries, stoke, heart disease, cancer, and diabetes. They also have a high prevalence of hepatitis B, smoking, HIV/AIDs, liver disease, tuberculosis, and pulmonary disease. An example is the fact that tuberculosis was 33 times more common among Asian Americans in 2019 as compared to non-Hispanic whites. Health insurance coverage varies in this population. For example, the rate of non-insurance among them in 2019 was 6.6% compared to 6.3% in non-Hispanic white Americans (, n.d.).

Effect of Race and Ethnicity

            Race and ethnicity affect the health of Asian Americans. Race acts as an influential factor determining the life circumstances of Asian Americans through pathways such as determining their economic opportunities, residence, and experiences with healthcare. Opinion polls support Asian Americans’ experiences with discrimination due to their race and ethnicity. For example, Americans express mixed feelings towards individuals of Asian American backgrounds. They have positive feelings towards them as compared to African Americans. However, these feelings are not similar to those that Americans have towards the whites. Most (74%) of Asian Americans have reported unfair treatments from others due to their ethnic and racial backgrounds. They also experience discrimination in utilizing healthcare services due to culture-related issues (McMurtry et al., 2019). As a result, they have an increased risk of poor health outcomes as compared to American whites.

Health Disparities

            Asian Americans experience significant health disparities. For example, they are least likely to have a personal physician as compared to American whites. Statistics show that 19.4% of Asian Americans do not have a usual health care source as compared to 12.9% in the whites. Asian Americans are also less likely to undergo pap smears and have blood pressure monitoring as compared to American whites. Asian American women have the lowest rate of cervical cancer screening compared to the general population in some states such as California. Asian Americans also have a high incidence of chronic diseases. For example, breast cancer incidence rose from 87.0 to 97.8 per 100000 women between 1990 and 2001 among Asian Americans, a rate that is highest than any other ethnic or racial group in the USA (Pfizer, 2022). Asian Americans struggle with nutrition-related issues such as obesity, overweight, diabetes, and limited access to nutritious diets due to cost.

Barriers to Health

            Asian Americans experience several barriers to health. One of the barriers is culture. Asian Americans experience issues in accessing and utilizing healthcare services due to the lack of cultural competence among healthcare providers. Most healthcare providers do not understand the cultural values, beliefs, and practices of the Asian Americans. As a result, they provide suboptimal care that does not address their care needs, hence, acting as a barrier to healthcare (Jang & Kim, 2019). The other barrier relates to their socioeconomic status. Socioeconomic factors such as employment status and income influence the affordability of healthcare services. Asian Americans are of low to medium socioeconomic status, which affect their ability to afford high-quality care they need. The other barrier is education. Asian Americans with limited English fluency experience challenges in communicating with their healthcare providers. As a result, they are highly likely not to utilize healthcare services because of their believe that healthcare systems do not address their needs (Wang et al., 2019). Some of the health promotion activities that Asian Americans engage in include the utilization of screening services for hypertension, diabetes, obesity and overweight, and cancers.

Approach and Cultural Model/Theory

            An approach that is likely to be most effective in a care plan for the Asian Americans is screening. Asian Americans are increasingly predisposed to health problems such as cancer, heart disease, and diabetes. As a result, the provision of screening services would facilitate early diagnosis, treatment, and prevention of chronic illnesses in this population (Fang et al., 2019). Asian Americans have unique cultural beliefs that influence their utilization of healthcare services. They include the involvement of family system in disease management, consideration of a disease as God’s will, and the use of alternative medicines in disease treatment. An effective cultural theory that can be used to support culturally competent health promotion for Asian Americans is Leininger’s theory. Leininger’s transcultural nursing theory asserts that different cultures have unique and varying caring behaviors, values, beliefs, and practices. Nursing care should adapt with the diverse cultural needs of the patients (Sagar & Sagar, 2018). Therefore, the application of this theory in the patient care process would contribute to the delivery of culturally-appropriate and competent care that address the prioritized patient needs.


            Overall, Asian Americans are part of the ethnic minorities in the USA. They experience significant barriers in healthcare. Asian Americans are also disproportionately affected by chronic health problems. Asian Americans have unique cultural values, beliefs, and practices. Therefore, theories such as Leininger’s theory of transcultural nursing should be applied to offer appropriate patient care.


Bureau, U. C. (2022). 20.6 Million People in the U.S. Identify as Asian, Native Hawaiian or Pacific Islander. Census.Gov.

Fang, J., Zhang, Z., Ayala, C., Thompson‐Paul, A. M., & Loustalot, F. (2019). Cardiovascular Health Among Non‐Hispanic Asian Americans: NHANES, 2011–2016. Journal of the American Heart Association, 8(13), e011324.

Gebeloff, R., Lu, D., & Jordan, M. (2021, August 21). Inside the Diverse and Growing Asian Population in the U.S. The New York Times.

Jang, Y., & Kim, M. T. (2019). Limited English Proficiency and Health Service Use in Asian Americans. Journal of Immigrant and Minority Health, 21(2), 264–270.

McMurtry, C. L., Findling, M. G., Casey, L. S., Blendon, R. J., Benson, J. M., Sayde, J. M., & Miller, C. (2019). Discrimination in the United States: Experiences of Asian Americans. Health Services Research, 54(S2), 1419–1430. (n.d.). Asian American—The Office of Minority Health. Retrieved October 21, 2022, from

Pfizer. (2022). Health Disparities Among Asian Americans and Pacific Islanders | Pfizer.

Sagar, P. L., & Sagar, D. Y. (2018). Current State of Transcultural Nursing Theories, Models, and Approaches. Annual Review of Nursing Research, 37(1), 25–41.

Wang, C., Do, K. A., Frese, K., & Zheng, L. (2019). Asian Immigrant Parents’ Perception of Barriers Preventing Adolescents from Seeking School-Based Mental Health Services. School Mental Health, 11(2), 364–377.

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Assessment Description
Select an ethnic minority group that is represented in the United States (American Indian/Alaskan Native, Asian American, Black/African American, Hispanic/Latino, Native Hawaiian, or Pacific Islander). Using health information available from Healthy People, the CDC, and other relevant government websites, analyze the health status for this group.

In a paper of 1,000-1,250 words, compare and contrast the health status of your selected minority group to the national average. Include the following:

Describe the ethnic minority group selected. Describe the current health status of this group. How do race and ethnicity influence health for this group?
What are the health disparities that exist for this group? What are the nutritional challenges for this group?
Discuss the barriers to health for this group resulting from culture, socioeconomics, education, and sociopolitical factors.
What health promotion activities are often practiced by this group?
Describe at least one approach using the three levels of health promotion prevention (primary, secondary, and tertiary) that is likely to be the most effective in a care plan given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice.
What cultural beliefs or practices must be considered when creating a care plan? What cultural theory or model would be best to support culturally competent health promotion for this population? Why?
Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria and public health content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Course Resources if you need assistance.

Rubric Criteria

Identification and Description of Selected Minority Group
20 points

Health Disparities and Nutritional Challenges for Minority Group
30 points

Barriers to Health for Minority Group
30 points

Health Promotion Activities Practiced by Minority Group
20 points

Three Levels of Health Promotion Prevention
30 points

Cultural Competent Health Promotion for Ethnic Minority Population
30 points

Thesis, Position, or Purpose
10 points

Development, Structure, and Conclusion
10 points

10 points

Mechanics of Writing
4 points

6 points

200 points

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