1. Cultural diversity in health care settings: Answer encompasses a wide range of situations, and each situation requires a high degree of cultural competence on the partof the health care provider. 2. Health disparities: Answer significant differences with regard to the rates of disease incidence, prevalence, morbidity, mortality, or life expectancy between one populationand another. 3. Health disparities: Answer For example, despite improvements in the overall health of the U.S. population, older adults in a racial or ethnic minority, older adults living in rural areas, and those with low socioeconomic status experience a disproportionateburden of illness and premature death 4. Health literacy: Answer a major determinant of health outcomes and a measure of qualityof care. 5. Low health literacy is associated with: Answer Increased hospitalizations, visits toemergency rooms, and readmissions within 30 days of discharge Decreased use of preventive services, such as immunizations and cancer screenings Shorter life expectancy Increased prevalence of multiple chronic diseases Poor access to health care Decreased adherence to prescribed medication regimen Lower levels of self-reported functional status and physical and mental health Decreased ability to self-manage chronic conditions

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