In an NIMHD-funded study, Hirsh and a graduate student, Nicole Hollingshead, are testing whether a computer-simulated intervention can change doctors' attitudes and lead to better treatment for African Americans. The cultural value of modestia (modesty), which is related to respect, is often neglected.27 Latinos may be conservative in this area, and physical exposure should be negotiated as the examination warrants. 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. Materials are available in English and Spanish.
PDF Hispanic Culture and Healthcare in the United States You call the dietitian to alert him to this patient's cultural concerns. Recent immigration trends have contributed heavily to the increases in the U.S. Latino population. Similarly, in a national epidemiological survey of Latino households in the U.S., of those who reported awareness of a problem with at least one symptoms (overweight, binge eating, or weight control), only one fifth to one third of Latinos in this sample reported ever receiving treatment for an eating disorder (Alegria et al., 2007). It was developed specially to treat people between the ages of 3 and 18. They are also far more likely than whites to feel that they are treated unfairly by providers or by the medical system.8, These gaps and dissatisfactions become even more troubling in the context of significant disparities in access to health insurance and to the health care system in general. | Mar 1, 2011. For those who have a serious mental health disorder, around 44 percent did not receive treatment. These factors have not been studied in Hispanics/Latinos with chronic kidney disease (CKD).
PDF Folk Medicine and Traditional Healing Basics - NATIONAL CENTER FOR Yet the call for cultural competence can-at its best-urge practitioners to adopt instead a stance of cultural "humility": one which encourages an open mind, and a recognition that each one of us sees the world through our own very distinctive cultural lenses. Plants are used on their own, or mixed together to form herbal remedies. Among Hispanics ages 18 to 29, 65% say they have experienced discrimination or unfair treatment because of their race or ethnicity. SAMHSA will be highlighting the important role each of us has in maintaining a healthy life and ensuring a productive future. It took extra time in relationship-building (personalismo), a team approach, an interpreter, negotiation, and a bit of research to make it all happen. Treatment innovations are described that address the combination of intergenerational and cultural differences that occur among youths and their Hispanic parents. The progress made in expanding health insurance coverage for Latinos is now at risk, because of the COVID-19 economic recession's disproportionate impact on Latino workers.
PDF Culturally Sensitive and Creative Therapy With Latino Clients We sought to compare the treatment outcomes of undocumented and documented patients 12-months after entering HIV care.
Cultural Humility and Counseling Hispanic and Latino Populations - NAADAC First among these, of course, is a language barrier. US Hispanics, currently the largest minority group in the country, face disparities in the recognition and treatment of major depression. Respondents using these herbs reported never replacing their medical regimens with herbs. Treatment referral and information, 24/7, Visit the SAMHSA Facebook page
Identifying Eating Disorders in Latinas - The Society for the The same is also applies to the substance abuse treatment. While Hispanic refers to language and those whose ancestry comes from a country where Spanish is spoken, Latino refers to geography. Adding to the language barrier is the pitfall of false fluency, when physicians mistake the meaning of a Spanish word because of unfamiliarity with cultural or linguistic subtleties. Interferon gammarelease assays are preferred to tuberculin skin testing in immigrants with a history of BCG vaccination.
Hispanics and Health Care in the United States | Pew Research Center Publicaciones de SAMHSA disponibles en espaol (Additional SAMHSA Spanish-language publications). This content is owned by the AAFP. Moreover, 32.7 percent (nearly one-third) of all U.S. Latinos completely lacked health insurance that year, compared with 15.3 percent in the general population; and nearly half of Latinos reported being uninsured at some point during the previous year.9 Latinos are nearly two and a half times more likely than whites to report that they have no regular doctor.10 Even among many insured Latinos, coverage and care are far from adequate. 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. Data Synthesis: Hispanics were identified homogenously in some studies and more correctly as a heterogeneous population in others. Thus, when working with diverse populations in the United States . There is ample evidence that Latinos, especially those of Mexican and Central American origin, face significant obstacles to obtaining health care, especially language barriers.4 Many hospitals and offices lack trained interpreters and rely on ad hoc interpretation by bilingual staff or even the children of patients. 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. Asian or Hispanic ancestry. high speed chase sumter sc 2021 marine city high school staff marine city high school staff Maria is a 54-year-old Mexican immigrant with type 2 diabetes mellitus, hypertension, and obesity. Other healing specialties include yerberas (herbalists), hueseros (bone setters), parteras (midwives), and sobradores (similar to physical therapists).21, Symptoms are often interpreted differently based on cultural presuppositions. Such patient activation or motivation for change is more challenging in foreign-born Latinos, but may be achieved through active dialogue and discussion.32 Hopeful involvement in the care plan should replace fatalism or resignation.
Objective Little is known about the treatment outcomes of undocumented Hispanic immigrants with HIV infection. The commentaries provide perspective and insight on what went right, what went wrong, and how things might have gone differently in these culturally challenging situations. 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. Hispanic refers to people who speak Spanish and/or are descended from Spanish-speaking populations, while Latino refers to people who are from or descended from people from Latin America. . She asks about your family, and hesitantly, through the interpreter, you share a bit about your own children. Some cultural barriers may be overcome by using the teach back technique to ensure that directions are correctly understood and by creating a welcoming health care environment for Latino patients. Recent immigrants may face additional obstacles to care, including illegal immigration status (fears of deportation), illiteracy, and a radically different set of health beliefs. 58, Journal of . Older patients should be addressed as seor or seora rather than by their first names. There are likely many possible reasons for this, including poverty and lack of health insurance, and thus at best irregular access to health care; cultural factors that might cause patients to delay seeing a doctor, for example, the expectation that one should tolerate pain without complaint; and a belief that certain conditions (such as pregnancy) are natural and do not require medical attention. Poor communication with health care providers is often an issue. Despite a lack of U.S. studies, a Norwegian study found that although immigrants from tuberculosis-endemic regions did bring more strains of tuberculosis with them, they did not significantly contribute to the spread of tuberculosis within the resident population.18, Non-Latino physicians may be perplexed by references to folk healing and illness in Latino patients. In some studies, the rate of non-adherence ranges between 31% and 44% among Latinos (Lanouette et al., 2009).
Hispanic/Latino Resources, Reports, Initiatives & More | SAMHSA Modern Mexicans turn to old ways of childbirth Pharmacologic therapies for hypertension have been highly effective in Hispanic subjects participating in clinical trials. Yet Latinos are at particular risk for diabetes mellitus, tuberculosis, hypertension, HIV/AIDS, alcoholism, cirrhosis, and death from violence.4 There is also a disproportionately high prevalence of acute care in the treatment of Latinos; that is, too often patients delay medical care until their conditions worsen and necessitate immediate attention. One way of describing the distinction is that modern Western doctors are primarily trained to diagnose and treat diseases (in a purely biomedical sense), while traditional healers approach the patient as one suffering from an illness-that is, a culturally located experience of sickness.12 Among some Latino subcultures, folk illnesses such as empacho (a digestive ailment), mal de ojo (the "evil eye"), mollera caida (fallen fontanelle), susto (fright illness), and nervios (vulnerability to stressful experiences) are commonly described; and traditional healers range from curanderos (Mexican healers) and sobadores (traditional masseuses and bone setters) to yerberos (herbalists) and espiritistas (spiritual healers).13 Reliance on folk medicine certainly is not to be found in every, or even most, Latino communities; but it does exist as part of the health care landscape and is found among many patients from Mexico, as well as from various other regions within Latin America. This is especially (though far from uniquely) true in the agricultural sector of the U.S. economy. al., "Important Health Care Issues for California Latinos: Health Insurance and Health Status," UCLA Center for Health Policy Research, January 2003.
Caring for Latino Patients | AAFP Active Journals Find a Journal Proceedings Series. By 1852, over 25,000 Chinese immigrants had arrived, and by 1880, over . 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. Latino healing traditions include curanderismo in Mexico and much of Latin America, Santeria in Brazil and Cuba, and espiritismo in Puerto Rico.19 Curanderos, traditional healers, distinguish between hot and cold illnesses (Table 220 ) and occasionally between natural and unnatural (sorcery-related) diseases.19,20 Patients may seek out the care of brujos or brujas (wizards or witches) for the latter conditions. The cases and reflections illustrate the kinds of challenges patients and health care professionals face when they come from different cultures and speak different languages. Stigma of psychological treatment, belief that problems should be addressed at the family level (familismo), a misunderstanding or belief that treatment will not help with a child's behaviors, a .
Hispanic Pain Experience - NIMHD 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. The cultural value of familism has important implications for the successful treatment of a child with AD/HD. Cultural Barriers to Treatment and Compliance. She has three grown children: two still live in Mexico, and the third lives in a distant U.S. city. Bilingual posters and medical literature are an important starting point. Adding to the language barrier is the pitfall of false fluency, when physicians mistake the meaning of a Spanish word because of unfamiliarity with cultural or linguistic subtleties.4 Another barrier is inability to afford health insurance; nearly one-third of Latinos (30.7 percent) lack coverage.5 Yet another barrier stems from cultural mistrust coupled with a predisposition to seek alternative care first, thus delaying conventional treatment. Traditionally, conditions may be referred to as either "hot" or "cold". Results: Teas were most commonly used for colic, upper respiratory tract symptoms, and abdominal pain.
Cultural Health Beliefs and Practices Among Hispanic Parents A few candles were lit in the dark, curtained bedroom.