The participants who are Spanish speakers and cannot speak English fluently, association of their neighborhood with negative economic/social conditions which accompany stereotypical unpleasant discourses, as well as, attitudes (discrimination), and immigration status makes them fear that they may not be welcomed in healthcare settings. The participants’ felt they were discriminated against in hospitals, clinics and hospital’s settings for these reasons. This is affirmed by experiences, such as receptionists refusing to speak to them in Spanish and emphasizing that they (participants) speak in English as required in America. They also feel discriminated because of the social practices, political and psychological influences making them feel that they are unwanted as immigrants and hence should not seek help when confronted with health issues. More saw, culture disconnect is also contributes to fear affecting how individuals deal with their health. Participants noted the dear of discussing that they use traditional approaches to treat their health issues because providers may not understand them, as most they are less receptive to alternative medicine (Page-Reeves, Niforatos, Mishra, Regino, Gingrich & Bulten, 2013).
For the reasons above, I believe that structural violence perpetuates health disparity by primarily contributing to processes that instill fear and encourage disparity. The participants fear of seeking health care services stem largely from institutionalized inequality. The social, economic and political inequalities instill fear limiting their agency or pro-activeness towards seeking the required help from health institutions to enable them live healthy lives. This can be seen in the community being economically disadvantaged, as aspect related to poor wealth distribution from the government, politics targeting immigrants as aliens and healthcare institutions failing to acknowledge the unique health needs/challenges, such as language barriers Page-Reeves, Niforatos, Mishra, Regino, Gingrich & Bulten, 2013).
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