hispanic methods of treatment

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. Traditionally, conditions may be referred to as either "hot" or "cold". As with any patient, Latinos should be treated as individuals first, while exploring possible cultural distinctions. Although this review summarizes findings for U.S. Hispanics, it is important to note that the panethnic term "Hispanics" describes a large, heterogeneous group originating from multiple Spanish-speaking nations and that evidences substantial variability in socio-cultural characteristics, beliefs, behaviors, and attitudes toward health and health 6Kaiser Permanente National Diversity Council, "A Provider's Handbook on Culturally Competent Care: Latino Population," 2nd ed. Call or text 988 or chat 988lifeline.org. The Immigration Reform and Control Act of 1986 granted amnesty to immigrants who came to the U.S. before 1982; but the northward trend from Mexico and other parts of Latin America has continued since then, and many who have crossed the U.S.-Mexican border now live in the United States illegally. By comparison, only 35% of Hispanics 50 and older say the same - a 30-percentage-point gap. Trauma-Focused CBT is one of the most effective types of treatment for a trauma-based disorder, particularly in adolescents and children. needs and experience of less acculturated Latino clients who are mostly from Mexico and Central America, and represent a large segment of the Latino community in Southern California. Delayed immigration protocols and anti-immigration legislation may contribute to stress. Switch to Chrome, Edge, Firefox or Safari. Addiction is a chronic, yet treatable brain condition similar to other chronic illnesses like diabetes. 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. Data Synthesis: Hispanics were identified homogenously in some studies and more correctly as a heterogeneous population in others. 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. The National Standards for Culturally and Linguistically Appropriate Services address these concerns with recommendations for culturally competent care, language services, and organizational support. 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For Latino/Hispanic adults suffering from any type of mental health disorder, roughly 67 percent did not receive treatment. Increasing Cultural Sensitivity in Existing Treatment Approaches For Latinos, interpersonal warmth is very important, and when a therapist is experienced as "cold" or They are written by health care providers and others who work with the relevant Latino sub-community. A little more than 45 percent of all births in Mexico are Cesarean sections, which makes it one of the world's leaders in the practice. Thematic analysis was used to identify common patterns and form recommendations for future research and programs. By 1852, over 25,000 Chinese immigrants had arrived, and by 1880, over . According to Pew Research, a law passed by Congress in 1976 defined Hispanics as . Asian or Hispanic ancestry. Indeed, such a patient's silence might best be interpreted as an indirect and nonverbal form of disagreement. Latinos are a multiracial, multicultural group." Some Mexican Americans have been in the US for many generations. Hayes-Bautista relayed that one important theme presented in the collaborative workshops is how . America is rapidly changing as a cultural collision between Latino and white culture transforms lives on both sides of the border. The value of familismo perhaps deserves to be emphasized for the important role it plays for many Latino patients. Combination therapy generally uses multiple treatment methods at once. Older patients should be addressed as seor or seora rather than by their first names. Demographics and Addiction. Hence, the individual's good cannot be neatly separated from his or her community. Cultural Barriers to Treatment and Compliance. These terms are derived from the Spanish verb curar, which means to heal. 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. 9Carmen DeNavas-Walt, Bernadette D. Proctor, and Jessica Smith, "Income, Poverty, and Health Insurance Coverage in the United States: 2006," Current Population Reports, U.S. Census Bureau, August 2007; and Mead et. 2U.S. 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. Manybut not allfolk and herbal treatments can be safely accommodated with conventional therapy. The aim of this study is to examine surgical management and overall mortality among different subgroups of women who self-identify as Hispanic. Davis Company, 1998): 397-421. Addressing patients properly can be another challenge. Obesity and genetic factors increase risk. It was developed specially to treat people between the ages of 3 and 18. Plants are used on their own, or mixed together to form herbal remedies. 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. Recent immigration trends have contributed heavily to the increases in the U.S. Latino population. 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. She has lost 10 lb (4.5 kg), and for the first time has acceptable blood pressure and fasting glucose levels. This consortium study defined distinct somatic cancer gene mutation patterns by race/ethnicity and sex among patients with early-onset colorectal cancer (CRC), yielding novel biological clues into early-onset CRC disparities. This resulted in a rich compilation of remedies that Hispanics use in home treatments, with the emergence of a pattern comparable to the nursing process. Significantly, some patients appear to experience greater improvement after meeting with folk practitioners than with Western doctors.14. Visit the SAMHSA YouTube channel, Visit SAMHSA on LinkedIn Double or hyphenated Latino surnames may seem complicated, with the father's name preceding the mother's. This is lower than the average of 43 percent for adults in the U.S. overall. Contact USA.gov. Respondents using these herbs reported never replacing their medical regimens with herbs. Approximately 11.8 percent of Latinos older than 20 years and 13.3 percent of Mexican Americans have diabetes. 4Center for Disease Control and Prevention, "Leading Causes of Death," accessed at www.cdc.gov/men/lcod/index.htm; and Richard Allen Williams, "Cultural Diversity, Health Care Disparities, and Cultural Competency in American Medicine," Journal of the American Academy of Orthopedic Surgeons, Vol. Conveying medical instructions to patients with limited English skills can be frustrating. (Kaiser Foundation Health Plan, 2001): 4. Additionally, within this family-centric decision making structure, there may be particular gender-based roles. 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. Media Contact . Respeto implies attentive concern for the patient and respect of his or her personhood and age, especially if the patient is older. A total of 31.2% received care from health care professionals assigned to ETC participation, and 33.6% had Medicare fee-for-service . Our Future. About 23 percent of Latinos in the United States live in poverty.2. Most, although not all, alternative therapies in the Latino community are not harmful and may be combined with conventional care. Addiction can affect a person's impulse control, ability to stop using a substance, using despite risks, and physical and mental changes. . 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 . Other health problems include stress, neurocysticercosis, and tuberculosis. 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. Courtney Parker, CC BY. These materials focus on the challenges that can confront Hispanics in American health care settings. Cross-cultural interviewing can be facilitated by following specific guidelines, and several mnemonics have been developed for use by physicians. Approximately half (49.6%) of the patients were aged at least 65 years. Alonso, M., Val, E., & Rapaport, M. M. An open-label study of SSRI treatment in depressed Hispanic and non-Hispanic women. 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. Instituting more culturally competent care is likely to improve treatment adherence and health outcomes. 12Arthur Kleinman, Leon Eisenberg, and Byron Good, "Culture, Illness, and Care: Clinical Lessons from Anthropologic and Cross-Cultural Research," Annals of Internal Medicine 88: 251-258 (1978). A chaperone is often appreciated if a same-sex physician is not available. 3Pan American Health Organization, "For U.S. Latinos, Shared Heritage Has an Impact on Health," June 9, 2004 (www.paho.org). Author disclosure: No relevant financial affiliations to disclose. During Maria's next visit, you arrange for a telephone interpreter, which enables you to take a brief social history. Maria needs to eat fruit; she should also consume more fiber to counteract her high-carbohydrate diet. Interferon gammarelease screening tests are preferable to tuberculin skin testing in immigrants who have received the bacille Calmette-Gurin vaccine. 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. Latino/Hispanic families can provide much support to a child with the disorder and protect him or her from the development of conduct problems (Bauermeister et al., 2005). 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. Missing data was handled using this carry-forward method. Master the basics of the Virta Treatment and understand the full patient experience. Chagas Disease Is a Consideration in Latino Patients, http://www.stanford.edu/group/ethnoger/hispaniclatino.html, http://www.rice.edu/projects/HispanicHealth, http://www.hogarhispano.homestead.com/HispanicHealth.html, http://minorityhealth.hhs.gov/templates/browse.aspx?lvl=1&lvlID=3, http://www.ohsu.edu/xd/education/library/research-assistance/patient-education-handouts.cfm/, https://www.aamc.org/download/54328/data/tacctresourceguide.pdf.pdf, http://depts.washington.edu/pfes/CultureClues.htm. 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. You use teach back to ensure that Maria understands your directions, and you provide her with Spanish-language handouts about the benefits of controlling her diabetes and hypertension. Treatment innovations are described that address the combination of intergenerational and cultural differences that occur among youths and their Hispanic parents. The extra time necessary for this technique is justified by the prospect of much better understanding and adherence.31. | Mar 1, 2011. Latinos' belief in alternative treatment is affected by many factors, including education, socioeconomic class, and time spent in the United States (acculturation). Thus, when working with diverse populations in the United States . In Santa Clara County the figure is 25.7 percent-over a quarter of the total population. Among U.S. states, New Mexico has the highest percentage of Hispanic ancestry, at 47 percent (as of July 1, 2012). According to a study done at UCLA, 15.7 percent of non-elderly Latinos in either fair or poor health, who are covered under MediCal or Healthy Families (both California low-income health insurance programs), report having no usual source of care but rather obtain their clinical health care on an ad-hoc basis, if at all.11, Some Latinos find their health care in non-clinical places, relying on folk medicine and traditional healers. Notably, studies that disaggregate Hispanics by their ancestral origin may provide greater insight into the sources of ethnic disparities. In addition, diet and exercise do not have a prominent place in the daily activities of the Hispanic family. She asks about your family, and hesitantly, through the interpreter, you share a bit about your own children. 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. Results: Teas were most commonly used for colic, upper respiratory tract symptoms, and abdominal pain. 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. By the year 2050 that figure is expected to rise to 24 percent of the total U.S. population. Latino culture has several normative values that must be recognized in clinical settings. al., "Culture, Illness, and Care," 252. al., "Racial and Ethnic Disparities," Chart 5-2. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. The initial arrival of Chinese immigrants to the United States began as a slow trickle in the 1820s, with barely 650 living in the U.S. by the end of 1849. Remedies used for common pediatric illnesses and for the traditional folk illnesses: mal ojo(evil eye), empacho(blocked intestine), mollera caida(fallen fontanelle), and susto(fright). Although most Latinos living in the U.S. do speak at least some English, 60 percent of Latino adults speak primarily Spanish at home.6 According to the U.S. Census, more than half of U.S. Latino residents age 5 and older speak English "very well," but a nevertheless significant number of Latino adults speak English "not well" or "not at all. The specific herbs mentioned in this study for use of treatment of diabetes included: nopal (cactus), aloe vera, nispero (loquat leaves), garlic, and diabetina. The agency is contracted with the leading insurance carriers and works diligently to secure contracts with additional funding sources on an on-going basis. 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 Concurrent Integration of Treatment Modali-ties in Social Work Practice." D.S.W. , may be one strategy to increase treatment . Developing cultural sensitivity to Latino patients entails recognizing and appreciating their diversity. 108 17-00084 at Western Philippines University . Prayer was reported as helping to reduce stress and anxiety. First among these, of course, is a language barrier. Find treatment facilities confidentially and anonymously, 24/7, National Helpline1-800-662-HELP (4357) These may include antioxidants, probiotics, or a combination of medications to target any of the contributing factors.

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