Natural laxatives such as oil with orange juice (or just oil in some cases). Among U.S. states, New Mexico has the highest percentage of Hispanic ancestry, at 47 percent (as of July 1, 2012). A large selection of herbal teas are available from botanicas or yerberas in most Latino neighborhoods. For Latino/Hispanic adults suffering from any type of mental health disorder, roughly 67 percent did not receive treatment. Specifically, to Latin America, to people from the Caribbean, South America, and Central America. Cysticercosis is caused by consumption of contaminated with pork tapeworm. Abdominal pain may be attributed to empacho, or food stuck in the intestine. US Hispanics, currently the largest minority group in the country, face disparities in the recognition and treatment of major depression. The largest and fastest growing minority population in the United States today is commonly referred to as "Hispanic" or "Latino." Religion can be a protective factor for mental health in Latinx/Hispanic communities (faith, prayer) but can also contribute to the stigma against mental illness and treatment (demons, lack of faith, sinful behavior), so targeting religious institutions to help encourage good mental health and treatment-seeking is important. . Compared to White people, Hispanic/Latino people are less likely to receive treatment for depression, anxiety, and other behavioral problems. For instance, 2002 estimates of life expectancy for Latinos was 77.2/83.7 years (male/female) compared to 68.4/75.1 for African-Americans and 74.7/80.1 for non-Hispanic whites.3 Latinos are less likely than non-Hispanic whites and African-Americans to suffer from heart disease (which is nevertheless the leading cause of death in all three groups). They are a starting point, not an ending point; in other words, they call practitioners to look more deeply into the particular cultural, linguistic, and socioeconomic contours of their patients' backgrounds and to open themselves to alternative ways of understanding and interpreting their patients' actions and requests. High level of belly fat or metabolic syndrome. Herbs often have hot or cold properties; hot herbs are used to treat cold conditions, and vice versa. Hayes-Bautista relayed that one important theme presented in the collaborative workshops is how . Guide to Statistics and Methods; Guidelines; Hair Disorders; Health Care Delivery Models; . When in doubt, the best policy is to ask the patient how he or she would like to be addressed.26. 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. Latinos have disproportionately higher rates of obesity and diabetes mellitus (Table 1).914 Approximately 43 percent of Mexican Americans older than 20 years are obese, compared with 33 percent of the non-Latino white population.12 Diabetes and hypertension are closely linked with obesity; 11.8 percent of Latinos older than 20 years have type 2 diabetes (13.3 percent of Mexican Americans), making it the foremost health issue in this population.14 A higher-calorie diet, a more sedentary lifestyle, and genetic factors contribute to this problem. Switch to Chrome, Edge, Firefox or Safari. 1 The term does not refer only to Spanish speakers, however; many people usually thought of as "Hispanic"-the people of Brazil, for instance, or those from indigenous Mexican communities-often do not speak Spanish at all, or at least not as their primary language. National Network to Eliminate Disparities in Behavioral Health, SAMHSA National Survey on Drug Use and Health (NSDUH), AHRQ National Healthcare Quality and Disparities Reports, OMH National Standards on Culturally and Linguistically Appropriate Services in Health and Health Care (National CLAS Standards), 988 Suicide & Crisis Lifeline 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. Garlic and onion are used extensively, as is aloe vera. First-generation immigrants are likely to seek out curanderos, whereas their children may scoff at the idea. 1-877-SAMHSA-7 (1-877-726-4727), SAMHSA.gov, Substance Abuse and Mental Health Services Administration, Buprenorphine Physician & Treatment Program Locator, Early Serious Mental Illness Treatment Locator, View All Helplines and Treatment Locators, Implementing Behavioral Health Crisis Care, Mental Health and Substance Use Disorders, Substance Abuse and Mental Health Prevention, Technology Transfer Centers (TTC) Program, State Targeted Response Technical Assistance (STR-TA), Clinical Support System for Serious Mental Illness (CSS-SMI), Suicide Prevention Resource Center (SPRC), African American Behavioral Health Center of Excellence, Asian American, Native Hawaiian, and Pacific Islander Behavioral Health Center of Excellence (AANHPI-CoE), Center of Excellence for Building Capacity in Nursing Facilities to Care for Residents with Behavioral Health Conditions, Center of Excellence 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Jeopardy: COVID-19 and Behavioral Health Disparities for Black and Latino Communities in the U.S. (PDF | 426 KB), The Opioid Crisis and the Hispanic/Latino Population: An Urgent Issue, El alcohol y la depresin: El camino de Jorge hacia una vida mejor, Prevencin de la Sobredosis de Opioides Manual de Instruccin, Publicaciones de SAMHSA disponibles en espaol, quality practice and workforce development, Alcohol and the Hispanic Community from the National Institutes of Health National Institute on Alcohol Abuse and Alcoholism, Chartbook for Hispanic Health Care (Agency for Healthcare Research and Quality), Hispanic-Latino Mental Health (American Psychiatric Association), Latino Mental Health Facts (National Alliance on Mental Illness), Mental Health: A Guide for Latinos and Their Families (American Psychiatric Association) (22 minutes, 13 seconds), National Latino Behavioral Health Association (NLBHA), Behavioral Health Treatment Services Locator, Addiction Technology Transfer Center 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Materials are available in English and Spanish. There are also differences in drug use within the Hispanic population as shown in Figure 1. Talk. This is because of barriers to accessing care and stigma surrounding behavioral health problems (Hostetter & Klein, 2018). al., "Important Health Care Issues for California Latinos: Health Insurance and Health Status," UCLA Center for Health Policy Research, January 2003. Your efforts pay off at the next visit, when Maria expresses much more interest in controlling her diabetes and shows personal warmth that was missing from earlier encounters. A chaperone is often appreciated if a same-sex physician is not available. Census Bureau News, "U.S. Hispanic Population Surpasses 45 Million," Press Release, Thursday, May 1, 2008; U.S. Census Bureau, "Hispanic Americans By the Numbers," accessed at www.infoplease.com/spot/hhmcensus1.html; and U.S. Census Bureau, "State and County QuickFacts: Santa Clara County, California," 2006, accessed at http://quickfacts.census.gov. Under-recognition of depression in adult Hispanic Americans may be related to language . Find treatment facilities confidentially and anonymously, 24/7, National Helpline1-800-662-HELP (4357) Rather than operating on the ideal of an informed, active individual who makes decisions based on his or her own personal good, many Latino cultures consider as paramount the individual's obligation to the family and broader community. Latino culture has several normative values that must be recognized in clinical settings. Patients should be asked if they use alternative therapies, because it is not likely that such information will be volunteered. 1 (Sept. 2007). Significantly, some patients appear to experience greater improvement after meeting with folk practitioners than with Western doctors.14. Research is reviewed demonstrating that BSFT is a promising family-based approach to treating Hispanic youth behavior problems and drug abuse. Among Hispanics ages 18 to 29, 65% say they have experienced discrimination or unfair treatment because of their race or ethnicity. al., "Racial and Ethnic Disparities," Chart 5-2. Thematic analysis was used to identify common patterns and form recommendations for future research and programs. 17Delese Wear, "Insurgent Multiculturalism: Rethinking How and Why We Teach Culture in Medical Education," Academic Medicine 78/6 (June 2003): 549-554. Journals. Fluegelman, Andrew, ed. The LEARN technique can facilitate cross-cultural interviews. Double or hyphenated Latino surnames may seem complicated, with the father's name preceding the mother's. An intention-to-treat approach using a last-observation-carried-forward method was used to analyze outcome data whereby the last available measurement for all participants was then used for all time points through the 12-month final follow-up. In this article I will make use of both terms, relying more heavily, however, on "Latino. However, it may be more likely to mistakenly suspect child abuse than to actually encounter it in patients who use traditional treatments.23. 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. In one survey of Mexican American nurses, family support was identified as one of the most important areas to which health care providers should attend while caring for Latino patients. 3 Essentially, a curandero or curandera removes mental, emotional, physical and spiritual illnesses or imbalances. This free webinar will discuss a guide for service providers, which includes aspects such as how culture change affects Hispanics and Latinos. As with any patient, Latinos should be treated as individuals first, while exploring possible cultural distinctions. Keeping these cautionary notes in mind, the cases and commentaries in this section seek to address numerous issues that arise in the course of providing clinical health care for Latino patients of various backgrounds. Latinos are a multiracial, multicultural group." Some Mexican Americans have been in the US for many generations. Objective Breast cancer is the leading cause of cancer death among Hispanic women. 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. al., "Racial and Ethnic Disparities," Chart 4-1. Methods Hispanic . Media Contact . 15Glenn Flores, "Culture and the Patient-Physician Relationship: Achieving Cultural Competency in Health Care," Journal of Pediatrics 136 (January 2000): 14-23; see also Maria R. Warda, "Mexican Americans' Perceptions of Culturally Competent Care," Western Journal of Nursing Research 22/2 (2000): 203-224. 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 . A child's failure to thrive may be attributed to mal de ojo (evil eye), a hex conveyed by an envious glance. Web-based resources are available to assist physicians in understanding Latino health beliefs (Table 4). Neurocysticercosis, a leading cause of seizures in Mexico, and pulmonary tuberculosis are more common in Latino immigrants.10 Interferon gammarelease assay blood testing for tuberculosis is now preferred over tuberculin skin testing in immigrants with a history of bacille Calmette-Gurin vaccination because of a high rate of false-positive results with skin testing (although skin testing is still recommended for children younger than five years).13 Publicized fears of contagion from illegal immigration may be overblown. 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. However, as gold rush fever swept the country, Chinese immigrants, too, were attracted to the notion of quick fortunes. The term "Latino" has become more commonly used in recent years to describe those whose primary ethnic heritage stems from Latin America. SAMHSA Blog. Alonso, M., Val, E., & Rapaport, M. M. An open-label study of SSRI treatment in depressed Hispanic and non-Hispanic women. Pharmacologic therapies for hypertension have been highly effective in Hispanic subjects participating in clinical trials. Hispanics have different degrees of illness or health risks than whites. 58, Journal of . Herbal therapies play a major role in Latino folk medicine, so knowing the Spanish names of common herbs can be helpful (eTable A). Publicaciones de SAMHSA disponibles en espaol (Additional SAMHSA Spanish-language publications). She agrees to start taking medications, but does not refill her prescriptions or lose weight. Call or text 988 or chat 988lifeline.org. The cultural value of familism has important implications for the successful treatment of a child with AD/HD. Interferon gammarelease assays are preferred to tuberculin skin testing in immigrants with a history of BCG vaccination. SAMHSA's mission is to lead public health and service delivery efforts that promote mental health, prevent substance misuse, and provide treatments and supports to foster recovery while ensuring equitable access and better outcomes. Mexican Americans are much less likely to be treated for hypertension than non-Latino whites (35 versus 49 percent).11 Targeted public health campaigns are needed for hypertension, diabetes prevention, and weight control. 6Kaiser Permanente National Diversity Council, "A Provider's Handbook on Culturally Competent Care: Latino Population," 2nd ed. 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 . The aim of this study is to examine surgical management and overall mortality among different subgroups of women who self-identify as Hispanic. Increasing Cultural Sensitivity in Existing Treatment Approaches For Latinos, interpersonal warmth is very important, and when a therapist is experienced as "cold" or These terms are often used interchangeably, including by the U.S. Census Bureau, although "Hispanic" is more often utilized in governmental and market research and statistical record keeping, while "Latino" perhaps enjoys more popular usage today. Recent immigrants often feel lonely and can have culture shock, fears of deportation, and financial problems; depressed mood may manifest as headaches and somatic symptoms. Each person is unique and simultaneously formed by a variety of cultures and subcultures, not to mention personal choices and socioeconomic circumstances. Visit SAMHSA on Twitter Rue for earache. Although patients of all cultural backgrounds warrant kindness, a personal connection, and respect, the consequences of omitting these traditional values may be more problematic with Latinos. 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. You explain why these interventions are necessary, but acknowledge her frustration and agree to revise her diet. For instance, a doctor could perceive as evasive a patient who declines to make direct eye contact, when in fact,that patient may be demonstrating respect for the doctor's position and authority.
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