While Hispanic refers to language and those whose ancestry comes from a country where Spanish is spoken, Latino refers to geography. Instituting more culturally competent care is likely to improve treatment adherence and health outcomes. Trauma-Focused CBT for Effective PTSD & Trauma Treatment Background Patients who are members of minority groups may be more likely than others to consult physicians of the same race or ethnic group, but little is known about the relation between. In some studies, the rate of non-adherence ranges between 31% and 44% among Latinos (Lanouette et al., 2009). High cholesterol or dyslipidemia (unhealthy blood fat levels) . Additionally, within this family-centric decision making structure, there may be particular gender-based roles. What to Know About the Origins of Mexican Folk Healing - Culture Trip Medical practices and hospitals should strive to create an environment that is warm and welcoming to Latino patients. Some trials examined overall CAM use, whereas others looked at. Roughly half of Hispanics have experienced discrimination The largest and fastest growing minority population in the United States today is commonly referred to as "Hispanic" or "Latino." Latino millennials were also more likely to have already had a conversation about end-of-life care with a family member, a finding that aligns with the norms of outward expression of death and . Become an expert on our coaching methods, internal systems, processes, and technology. The value of familismo perhaps deserves to be emphasized for the important role it plays for many Latino patients. National Prevention Week is a SAMHSA-supported annual health observance dedicated to increasing public awareness of, and action around, substance use and mental health issues. Vari Hall, Santa Clara University500 El Camino RealSanta Clara, CA 95053408-554-5319, Ethical Considerations for COVID-19 Vaccination, Hackworth Fellowships Project Showcase 2021, The Ethics of Going Back to School in a Pandemic, Systemic Racism, Police Brutality, and the Killing of George Floyd, COVID-19: Ethics, Health and Moving Forward, The Ethical Implications of Mass Shootings, Political Speech in the Age of Social Media, Point/Counterpoint: Democratic Legitimacy, Brett Kavanaugh and the Ethics of the Supreme Court Confirmation Process, https://depts.washington.edu/pfes/PDFs/LatinoCultureClue.pdf, Culturally Competent Care for Latino Patients. ", In 2007, the total U.S. Hispanic or Latino population surpassed 45 million, or 15 percent of the total U.S. population. Racial and Ethnic Health Inequities and Medicare | KFF Addressing patients properly can be another challenge. Herbs often have hot or cold properties; hot herbs are used to treat cold conditions, and vice versa. Still, at the risk of oversimplifying, several trends emerge: -simpatia-politeness and the avoidance of hostile confrontation -personalismo-the value of warm personal interaction -respeto-the importance of showing respect to authority figures, usually including health care providers -familismo-collective loyalty to extended family and commitment to family obligation; -fatalismo-the belief that individuals cannot do much to alter fate15. 11Jennifer Aguayo et. US Hispanics, currently the largest minority group in the country, face disparities in the recognition and treatment of major depression. The National Standards for Culturally and Linguistically Appropriate Services address these concerns with recommendations for culturally competent care, language services, and organizational support. She says that since her husband died, she has lost interest in what might happen to her in the future. Hispanic people are the youngest population, with 33% below age 18, and 57% below age 34 (Figure 4). Latinos are far more likely than the overall population to live in poverty; the poverty rate in 2006 was 20.8 percent, compared to 12.3 percent for the overall U.S. population. Hispanics progress against racism but have long way to go - UNM Newsroom Prevalence, Awareness, and Treatment of Hypertension in Hispanics Animal-based medicines are also used, including snake oil, which is obtained from the fat of snake skins, and bufo toad medicine, which contains a powerful psychedelic. , may be one strategy to increase treatment . Chapter 6 Mental Health Care for Hispanic Americans Using don or doa with the given or full name indicates even greater respect for older patients. Three types of medications include: (1) agonists, which activate opioid receptors; (2) partial agonists, which also activate opioid receptors but produce a smaller response; and (3) antagonists, which block the receptor and interfere with the rewarding effects of opioids. Importantly, many Latinos themselves prefer the latter term, since it avoids reference to the more recent European colonial powers (from "Hispania," or the Iberian Peninsula) that laid claim to Latin America in the fifteenth and sixteenth centuries. Her face lights up when you share this. Recent immigrants may face additional obstacles to care, including illegal immigration status (fears of deportation), illiteracy, and a radically different set of health beliefs. New Drugs For Treating Fatty Liver Disease And Cirrhosis Data Synthesis: Hispanics were identified homogenously in some studies and more correctly as a heterogeneous population in others. Maria needs to eat fruit; she should also consume more fiber to counteract her high-carbohydrate diet. al., "Important Health Care Issues for California Latinos: Health Insurance and Health Status," UCLA Center for Health Policy Research, January 2003. It was developed specially to treat people between the ages of 3 and 18. Double or hyphenated Latino surnames may seem complicated, with the father's name preceding the mother's. Indeed, such a patient's silence might best be interpreted as an indirect and nonverbal form of disagreement. Because of less access to health care, Latinos with diabetes are often diagnosed later and have a greater risk of complications.15,16 Despite these unfavorable health and socioeconomic statistics, overall mortality is lower than would be expectedan anomaly termed the Hispanic paradox.17 Latinos live an average of 2.5 years longer than non-Latino whites (to 80 years, seven months of age) and 7.7 years longer than non-Latino blacks.1 It is not known what protective factors exist, but immigrant hardiness, social integration, and diet may have a role.1 Raising awareness about the consequences of obesity is necessary in Latino communities, especially because being somewhat overweight (gordito) can be considered healthy. Approximately half (49.6%) of the patients were aged at least 65 years. The point deserves emphasis: Health care providers must be cautious not to oversimplify the values, customs, and beliefs that characterize any ethnic group-especially one as heterogeneous as Latinos. Hispanics generally use multiple methods to treat themselves which involve prayer, folk medicine, prescription medications left over from friends as well as new medications prescribed by physicians. Our Health. Still, being aware of these larger values may help health care providers to understand a particular patient's behaviors and actions in the context of larger cultural inclinations. dissertation, University of Southern Cali-fornia, 1973. How traditional medicine can play a key role in Latino health care These may include antioxidants, probiotics, or a combination of medications to target any of the contributing factors. Home remedies, along with "lay healers" are also an integral part of the healthcare regimen for families in this culture. A chaperone is often appreciated if a same-sex physician is not available. Latinos are a multiracial, multicultural group." Some Mexican Americans have been in the US for many generations. Contact USA.gov. Working With Hispanic and Latino Families - Child Welfare Spanish language handouts are available from several Internet sources.33 Recruiting Latino physicians and staff, and recognizing Latino holidays at the office (e.g., Cinco de Mayo), will open many doors to the Latino community.34 Office staff, as well as physicians, should be instructed in basic cultural sensitivity (Table 5).34,35 Hospitals can include culturally appropriate foods in their menus. Talk. For instance, Latino mothers may determine when medical care is warranted for a family member, though a male head of household may formally make the decision to send the family member to a medical center.16. These instructions can be studied by the patient or translated when time permits. 5600 Fishers Lane, Rockville, MD 20857 While this has been a challenge across patient populations, it has been especially pronounced among the U.S. Latino population, which shows a rate of non-adherence almost 40% higher than the rate seen in the U.S. Caucasian population. 13 Kaiser, "A Provider's Handbook," 6-7. While not considering Hispanics as a distinct race, the U.S. Census (utilizing federally delineated categories) defines someone "Hispanic" or "Latino" as "a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race. A total of 31.2% received care from health care professionals assigned to ETC participation, and 33.6% had Medicare fee-for-service . America is rapidly changing as a cultural collision between Latino and white culture transforms lives on both sides of the border. JCM | Free Full-Text | Systemic Disease Associations in a Cohort of "7 In the context of a hospital or medical clinic, where medical terminology can be complicated and communication often takes place quickly and amidst elevated emotions, this language barrier can be especially problematic. Personalismo, a personal connection, can be achieved by asking about the patient and his or her family.
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