hispanic methods of treatment
Active Journals Find a Journal Proceedings Series. Home remedies, along with "lay healers" are also an integral part of the healthcare regimen for families in this culture. 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. Allow extra visit time for patients with limited English proficiency, Hire bilingual staff and physicians, and encourage existing staff to learn Spanish, Make printed and Web-based cultural information available to staff, Offer flexible scheduling: patients may be seen in sign-in order rather than fixed appointments, Post bilingual or Spanish-language signage, Provide cultural sensitivity training for staff (e.g., monthly lunchtime discussions, in-service training, a bulletin board devoted to cultural issues, ethnic food potlucks), Provide culture-specific interventions in nursing care plans, Provide interpretation services for patients with limited English, proficiency (required under Title VI of the 1964 Civil Rights Act); whenever possible, try to avoid using patient's family or friends as interpreters, Provide Spanish-language medical handouts and patient forms, Recognize Latino holidays (e.g., Cinco de Mayo [May 5], Day of the Three Kings [January 6]). 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. Similarly, a patient's silence when presented with a difficult treatment plan, rather than conveying agreement, may in fact indicate that patient's desire to maintain a polite relationship with the health care provider and avoid difficult or conflictual situations. For literate patients, it may be helpful to write things down, even if this must be done in English rather than Spanish. A 2020 review study found that those in the Hispanic community may face several barriers that affect access to treatment, including: higher rates of unemployment less likelihood of having. Behavior Frontiers Announces Data-Driven Treatment Outcomes The Role of Black and Hispanic Physicians in Providing Health Care for 14 Kleinman et. Innovative Diabetes Interventions in the U.S. Hispanic Population 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. To sign up for updates or to access your subscriber preferences, please enter your contact information. High cholesterol or dyslipidemia (unhealthy blood fat levels) . Guide to Statistics and Methods; Guidelines; Hair Disorders; Health Care Delivery Models; . Additionally, within this family-centric decision making structure, there may be particular gender-based roles. The toolkit includes tips and techniques to overcome challenges and increase effectiveness when working with Latino populations. Partner with other Coach Managers to build relationships, share learnings and provide consistency for all of our . Cold linseed tea and hibiscus flower tea for diabetes. Maria needs to eat fruit; she should also consume more fiber to counteract her high-carbohydrate diet. They Hear You is SAMHSA's underage drinking prevention campaign that helps parents and caregivers start talking to their children early about the dangers of alcohol. SAMHSA Blog. We sought to describe the prevalence, awareness, treatment, and control of hypertension in Hispanic/Latino adults with CKD. savoie's real cajun dressing mix; PURPOSE Though patient variables are likely to play an important role in the undertreatment of depression, little is known of patients' perceptions of standard depression treatments. Latinx/Hispanic Communities and Mental Health 15 supp. Table 3 lists some common Latino folk illnesses, their symptoms, and treatment.19 Therapies for these conditions may seem odd, but most are harmless, with a few exceptions. 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. Hayes-Bautista relayed that one important theme presented in the collaborative workshops is how . (Kaiser Foundation Health Plan, 2001): 4. 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. The Impact of Expansion on Chinese Immigrants and Hispanic Citizens 108 17-00084 at Western Philippines University . Our Health. A total of 31.2% received care from health care professionals assigned to ETC participation, and 33.6% had Medicare fee-for-service . Manybut not allfolk and herbal treatments can be safely accommodated with conventional therapy. Trauma-Focused CBT for Effective PTSD & Trauma Treatment These terms are derived from the Spanish verb curar, which means to heal. 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. In the LEARN model, which is illustrated in the Case Study below,28,29 the physician should first sympathetically listen to the patient's perception of the problem, explain his or her perception of the problem to the patient, acknowledge and discuss any differences and similarities between the two views, recommend a treatment plan, and negotiate agreement.30 Use of the LEARN technique identifies and helps resolve any cultural differences that may arise. All Rights Reserved. Methods Hispanic . Maria is a 54-year-old Mexican immigrant with type 2 diabetes mellitus, hypertension, and obesity. 1 (Sept. 2007). Latino culture has several normative values that must be recognized in clinical settings. Studies show that Hispanics and Latinos seeking substance use disorders and mental health treatment confront many barriers to accessing culturally and linguistically competent care. In some studies, the rate of non-adherence ranges between 31% and 44% among Latinos (Lanouette et al., 2009). . Methods: Data from the National Mental Health Services Survey conducted in 2014 (N=13,015 facilities) and 2019 (N=12,345 facilities) were used to measure changes in the proportions of facilities that offered treatment in Spanish overall and by year, state, and proportion of Hispanic residents. They also must beware of the tendency toward "othering"; that is, the penchant to understand non-dominant groups as inferior, exotic, or deviant.17 Some efforts at cultural competence may incline toward these unhelpful postures. Moreover, the family itself can play an enormously important role in supporting and empowering the patient within the medical setting. 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. Roughly half of Black (49%), AIAN (49%), and NHOPI (51%) people are below age 34, compared to . Missing data was handled using this carry-forward method. Downward National Trends in Mental Health Treatment Offered in Spanish 6Kaiser Permanente National Diversity Council, "A Provider's Handbook on Culturally Competent Care: Latino Population," 2nd ed. Psychiatry.org - Working with Latino Patients Web-based resources are available to assist physicians in understanding Latino health beliefs (Table 4). Racial/Ethnic and Sex Differences in Somatic Cancer Gene Mutations among Patients with Early-Onset Colorectal Cancer. 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. 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. Her husband died in an industrial accident four years ago, and she is still grieving. However, as gold rush fever swept the country, Chinese immigrants, too, were attracted to the notion of quick fortunes. You recommend a compromise treatment plan for her diabetes and grief. Many Latinos are accustomed to self-treating because most pharmaceuticals are available without prescription in their home countries. The Bracero program, a guest worker program started in 1942, was designed to bring experienced agricultural laborers to the U.S. from Mexico and led to a huge influx of Mexican immigrants. , may be one strategy to increase treatment . 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. Compared with non-Latino whites, Mexican Americans have up to a three times higher incidence of diabetes mellitus and a three times higher prevalence of obesity, but hypertension-related mortality is only 4 percent higher (not a significant difference). 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. Prayer was reported as helping to reduce stress and anxiety. Herbs often have hot or cold properties; hot herbs are used to treat cold conditions, and vice versa. As with any patient, Latinos should be treated as individuals first, while exploring possible cultural distinctions. 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. Cultural Humility and Counseling Hispanic and Latino Populations - NAADAC The aim of this study is to examine surgical management and overall mortality among different subgroups of women who self-identify as Hispanic. However, it may be more likely to mistakenly suspect child abuse than to actually encounter it in patients who use traditional treatments.23. 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. Latinos comprise nearly 16 percent of the U.S. population, and this proportion is anticipated to increase to 30 percent by 2050. Indeed, such a patient's silence might best be interpreted as an indirect and nonverbal form of disagreement. 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. Latinos are a multiracial, multicultural group." Some Mexican Americans have been in the US for many generations. How traditional medicine can play a key role in Latino health care Because people stand closer to each other in most Latino cultures, physical proximity is also perceived as being more personable. Copyright 2023 American Academy of Family Physicians. These may include antioxidants, probiotics, or a combination of medications to target any of the contributing factors. They are written by health care providers and others who work with the relevant Latino sub-community. Spanish language handouts are a better option. 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. 3 Essentially, a curandero or curandera removes mental, emotional, physical and spiritual illnesses or imbalances. You call the dietitian to alert him to this patient's cultural concerns. For at least the past century, a relative lack of jobs in Mexico has been driving many Mexicans north in search of work. Addressing patients properly can be another challenge. 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. Patient activation will help motivate the patient to become involved in his or her own care. Obesity and genetic factors increase risk. When in doubt, the best policy is to ask the patient how he or she would like to be addressed.26. 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. Volume 13 Issue 3 | Cancer Discovery | American Association for Cancer For those who have a serious mental health disorder, around 44 percent did not receive treatment. 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. 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. The agency is contracted with the leading insurance carriers and works diligently to secure contracts with additional funding sources on an on-going basis. First-generation immigrants are likely to seek out curanderos, whereas their children may scoff at the idea. 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. 37% of Latinos have. Delgado Melvin Activities and Hispanic Groups Issues and Suggestions Social from FIL. Depression education fotonovela for engagement of Hispanic patients in After some negotiation, she agrees to see a dietitian and a bilingual counselor, and agrees to take just two medications, metformin (Glucophage) and lisinopril (Zestril), although she understands that they will not make her feel better right away. Medical practices and hospitals should strive to create an environment that is warm and welcoming to Latino patients. Information. The Hispanic culture differs from that of America despite the ever-growing integration of both populations. Among Hispanics who needed but did not receive treatment in the past year, 95.8% did not feel the need for it, 2.2% felt the need for treatment but did not make an effort to get it, and 2.0% felt the need for treatment and did make an effort to get it. Have a question about government service? Her face lights up when you share this. Low levels of hypertension awareness are a major problem in the Latino community. 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. This free webinar will discuss a guide for service providers, which includes aspects such as how culture change affects Hispanics and Latinos. Compared to White people, Hispanic/Latino people are less likely to receive treatment for depression, anxiety, and other behavioral problems. Other health problems include stress, neurocysticercosis, and tuberculosis. Cysticercosis is caused by consumption of contaminated with pork tapeworm. Hispanic Pain Experience - NIMHD 11Jennifer Aguayo et. Notably, studies that disaggregate Hispanics by their ancestral origin may provide greater insight into the sources of ethnic disparities. Patients should be asked if they use alternative therapies, because it is not likely that such information will be volunteered. First among these, of course, is a language barrier. Recent immigrants may face additional obstacles to care, including illegal immigration status (fears of deportation), illiteracy, and a radically different set of health beliefs. Hispanics' experience with discrimination or being treated unfairly varies greatly by age. These materials focus on the challenges that can confront Hispanics in American health care settings. She might also stop giving her infant vitamins, because they are a hot therapy.24 It is often possible to safely accommodate conventional and alternative treatments (in reasonable doses) if potential conflicts or interactions are identified in advance. 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 Some trials examined overall CAM use, whereas others looked at. Combination therapy generally uses multiple treatment methods at once. She has three grown children: two still live in Mexico, and the third lives in a distant U.S. city. Oregano tea for coughs. Hispanic Health | VitalSigns | CDC Visit the SAMHSA YouTube channel, Visit SAMHSA on LinkedIn (PDF) Grieving and death rituals of Latinos - ResearchGate Our Future. 17.4% were Hispanic, and 49.1% were White. One exception is the Methods for the Epidemiology of Child and Adolescent . Visit SAMHSA on Twitter More than half of Hispanic young adults ages 18-25 with serious mental illness may not receive treatment. Treatment innovations are described that address the combination of intergenerational and cultural differences that occur among youths and their Hispanic parents. In some cases, discussing personal family issues might feel like a form of disloyalty to a Hispanic recovering addict in a group therapy . 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. Talk. Cultural Barriers to Treatment and Compliance - Dimensions of Culture 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). Modern Mexicans turn to old ways of childbirth. | Mar 1, 2011. 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. 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. 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. The American Psychological Association (APA) found that only one percent of psychologists identified themselves as Hispanic even though Hispanics represent 20 percent of the U.S. population as a whole. 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. 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). 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. These instructions can be studied by the patient or translated when time permits. Working With Hispanic and Latino Families - Child Welfare Very often they have faced extremely hazardous conditions crossing the border-enduring hunger, dehydration, violence from vigilantes, rape, abuse, severe weather conditions and harsh treatment by border agents. 13 Kaiser, "A Provider's Handbook," 6-7. Publicaciones de SAMHSA disponibles en espaol (Additional SAMHSA Spanish-language publications). www.behaviorfrontiers.com. The APA additionally reported that both language barriers and values created barriers to treatment for Hispanics experiencing mental health issues. Delayed immigration protocols and anti-immigration legislation may contribute to stress. "The Egg" in the Twenty-First Century: A Family's Holistic Healing and Physicians must be sensitive to Latino cultural values of simpatia (kindness), personalismo (relationship), respeto (respect), and modestia (modesty). 4 Another. Interferon gammarelease assays are preferred to tuberculin skin testing in immigrants with a history of BCG vaccination. Opioid and Illicit Drug Use Among the Hispanic/Latino Populations Mexico's rate of C-sections is 30 percent above the rate recommended by the World Health Organization. 2 Although the new guidelines comprehensively address how to define, measure, and treat high blood pressure . 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.
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hispanic methods of treatment