hispanic methods of treatment

Roughly half of Black (49%), AIAN (49%), and NHOPI (51%) people are below age 34, compared to . 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. Complementary and Alternative Medicine Use Among Hispanics - Medscape This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. 4 Another. Modern Mexicans turn to old ways of childbirth. 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. 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. 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. Cultural Humility and Counseling Hispanic and Latino Populations - NAADAC Significantly, some patients appear to experience greater improvement after meeting with folk practitioners than with Western doctors.14. Interferon gammarelease assays are preferred to tuberculin skin testing in immigrants with a history of BCG vaccination. Natural laxatives such as oil with orange juice (or just oil in some cases). Compared to White people, Hispanic/Latino people are less likely to receive treatment for depression, anxiety, and other behavioral problems. 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. Hispanic/Latinx | NAMI: National Alliance on Mental Illness Margaret E. "Group Methods and . After immigration, some Latios adopt American naming conventions, but others do not. It is important to explore the use of alternative therapies and belief in traditional folk illnesses, recognizing that health beliefs are dependent on education, socioeconomic status, and degree of acculturation. 17.4% were Hispanic, and 49.1% were White. Latinos are a diverse ethnic group that includes many different cultures, races, and nationalities. 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. al., "Racial and Ethnic Disparities," Chart 4-1. Davis Company, 1998): 397-421. Patients should be asked if they use alternative therapies, because it is not likely that such information will be volunteered. Cultural Barriers to Treatment and Compliance - Dimensions of Culture Substance Abuse Treatment for Latino and Hispanic Adults Genetics, environment, and life experiences can all have an impact on . Fluegelman, Andrew, ed. 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. 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. Studies show that Hispanics and Latinos seeking substance use disorders and mental health treatment confront many barriers to accessing culturally and linguistically competent care. 1. JCM | Free Full-Text | Systemic Disease Associations in a Cohort of Latino Culture: Natural Medicines & Alternative Treatments 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. Herbs often have hot or cold properties; hot herbs are used to treat cold conditions, and vice versa. 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. Unfortunately, few studies disaggregate Hispanic patients by race to understand its implications on treatment and clinical outcomes such as mortality. Trauma-Focused CBT for Effective PTSD & Trauma Treatment 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. (Kaiser Foundation Health Plan, 2001): 4. Alonso, M., Val, E., & Rapaport, M. M. An open-label study of SSRI treatment in depressed Hispanic and non-Hispanic women. Addiction is a chronic, yet treatable brain condition similar to other chronic illnesses like diabetes. 6Kaiser Permanente National Diversity Council, "A Provider's Handbook on Culturally Competent Care: Latino Population," 2nd ed. Bridging such cultural gaps, wide or narrow, will result in better physician-patient relationships and more effective care. By the year 2050 that figure is expected to rise to 24 percent of the total U.S. population. Visit behavioral health equity resources for select SAMHSA in-language resources and quality practice and workforce development for select SAMHSA OBHE webinars and blog posts. In terms of health, on some measures Latinos are better off than other ethnic groups. Caring for Latino Patients | AAFP al., "Racial and Ethnic Disparities," Chart 5-2. Talk. 14 Kleinman et. Barriers to care have resulted in striking disparities in quality of health care for these patients. Hispanic people are the youngest population, with 33% below age 18, and 57% below age 34 (Figure 4). Themes common to Latino participants were: "We are put off to one side"; "If I can't work, I can't survive"; and "Without documents, you are no one." Objective Breast cancer is the leading cause of cancer death among Hispanic women. 5Larry D. Purnell and Betty J. Paulanka, "Mexican-Americans," chapter in Transcultural Health Care: A Culturally Competent Approach (Philadelphia: F.A. 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. Rue for earache. 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. By 1852, over 25,000 Chinese immigrants had arrived, and by 1880, over . Working With Hispanic and Latino Families - Child Welfare Her face lights up when you share this. The Impact of Expansion on Chinese Immigrants and Hispanic Citizens Patient activation will help motivate the patient to become involved in his or her own care. Become an expert on our coaching methods, internal systems, processes, and technology. In fact, the number of Latino physicians dramatically lags behind Latino population growth; and, according to cross-cultural health care expert Larry Purnell, Latinos are the most underrepresented major minority group in the entire U.S. health care workforce.5 This discrepancy contributes to many different linguistic and cultural hurdles for Latino patients, as well as for their health care providers. These numbers include Mexican-Americans, Puerto Ricans, Central and South Americans, Cubans, and many other communities although, throughout California, the vast majority of Latinos identify themselves as of Mexican background. Cultural Health Beliefs and Practices Among Hispanic Parents Using the LEARN model, you listen to her story about her poor control of diabetes and frustration with her diet. 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. We sought to compare the treatment outcomes of undocumented and documented patients 12-months after entering HIV care. In this article I will make use of both terms, relying more heavily, however, on "Latino. 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. Today, one in three farm workers are newcomers to the United States, with most of these coming from Mexico. Emotional distress often presents with headaches (dolor de cabeza) or other physical symptoms instead of depressed mood.9 Consequently, a high index of suspicion is needed to recognize adjustment reactions or depression. She has lost 10 lb (4.5 kg), and for the first time has acceptable blood pressure and fasting glucose levels. 50 percent of those with no usual health care provider are at least high school graduates. All Rights Reserved. 17Delese Wear, "Insurgent Multiculturalism: Rethinking How and Why We Teach Culture in Medical Education," Academic Medicine 78/6 (June 2003): 549-554. 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). High level of belly fat or metabolic syndrome. 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. Lower rates of hypertension awareness, treatment, and control have been observed in Hispanics/Latinos compared with non-Hispanic whites. Treatment Outcomes in Undocumented Hispanic Immigrants with HIV - PLOS Other health problems include stress, neurocysticercosis, and tuberculosis. US Hispanics, currently the largest minority group in the country, face disparities in the recognition and treatment of major depression. Visit SAMHSA on Instagram Some states have extremely large Latino populations; for instance, as of 2006, 36 percent of Californians (13.2 million people) identified themselves as Hispanic or Latino, as did 36 percent of Texans (8.6 million people). Instituting more culturally competent care is likely to improve treatment adherence and health outcomes. Innovative Diabetes Interventions in the U.S. Hispanic Population Although the program ended in 1964, the immigration trend has continued to the present day, and many of these immigrants work as migrant laborers in the U.S. agricultural system. Garlic and onion are used extensively, as is aloe vera. Treatment referral and information, 24/7, Visit the SAMHSA Facebook page Apart from these language and socioeconomic disparities and variation in the way health care is envisioned and sought out, differences in the way values are ordered and articulated can also strain the clinical health care encounter for Latino patients. 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 . Her husband died in an industrial accident four years ago, and she is still grieving. Call or text 988 or chat 988lifeline.org. Because many health beliefs and behaviors are culturally-based, it follows that when two different cultures come together in a health care setting, a collision of expectations often occurs. Manybut not allfolk and herbal treatments can be safely accommodated with conventional therapy. 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. 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. Substance Use and the Hispanic/Latino Population: What to Do? Latino/Hispanic cultural influences on assessing and - Parenting Visit SAMHSA on Twitter Free and confidential support for people in distress, 24/7, Behavioral Health Treatment Services Locator The Hispanic culture differs from that of America despite the ever-growing integration of both populations. The LEARN technique can facilitate cross-cultural interviews. | Mar 1, 2011. Pharmacologic therapies for hypertension have been highly effective in Hispanic subjects participating in clinical trials. Research is reviewed demonstrating that BSFT is a promising family-based approach to treating Hispanic youth behavior problems and drug abuse. A total of 31.2% received care from health care professionals assigned to ETC participation, and 33.6% had Medicare fee-for-service . Obesity and genetic factors increase risk. 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. "The Egg" in the Twenty-First Century: A Family's Holistic Healing and Modern Mexicans turn to old ways of childbirth As with any patient, Latinos should be treated as individuals first, while exploring possible cultural distinctions. For Authors For Reviewers For Editors For Librarians For Publishers For Societies For Conference Organizers. Treatment of Various Ocular Manifestation of Systemic Lupus Erythematosus with Therapeutic Plasma Exchange. This is especially (though far from uniquely) true in the agricultural sector of the U.S. economy. Healing Methods - Exploring Hispanic Culture (PDF) Counseling the Hispanic Client: Cuban Americans, Mexican Publicaciones de SAMHSA disponibles en espaol (Additional SAMHSA Spanish-language publications). When in doubt, the best policy is to ask the patient how he or she would like to be addressed.26. Case 1: Delinquency or a Mental Health Problem: The Case of Pablo Sanchez, Case 3: From Chronic to Critical: End-of-Life Decisions. Increasing Cultural Sensitivity in Existing Treatment Approaches For Latinos, interpersonal warmth is very important, and when a therapist is experienced as "cold" or This free webinar will discuss a guide for service providers, which includes aspects such as how culture change affects Hispanics and Latinos. The APA additionally reported that both language barriers and values created barriers to treatment for Hispanics experiencing mental health issues. 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. 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. She asks about your family, and hesitantly, through the interpreter, you share a bit about your own children. It was developed specially to treat people between the ages of 3 and 18. Additionally, when a woman gets married, her husband's name may be appended to her father's name. Underwriting for these materials was provided by a generous anonymous donor. Conveying medical instructions to patients with limited English skills can be frustrating. In today's United States, these terms are often thought . 1 (Sept. 2007). First-generation immigrants are likely to seek out curanderos, whereas their children may scoff at the idea. One suggestion she readily agrees to is to include nopales (prickly pear cactus pads), a favorite from her childhood in Mexico. Intense but brief release of emotion thought to be caused by family conflict or anger, No immediate treatment other than calming the patient, Childhood condition characterized by irritability and diarrhea thought to be caused by abrupt withdrawal from the mother's breast, Holding the child upside down or applying gentle pressure to the hard palate, Constipation, cramps, or vomiting thought to be caused by overeating, Abdominal massage and herbal purgative teas; an egg passed over the abdomen supposedly sticks to the affected area, Steam inhalation and herbal treatments, including eucalyptus and mullein (gordolobo), Pelvic congestion and decreased libido thought to be caused by insufficient rest after childbirth, Cold air that is thought to cause respiratory infections and earaches, Steam baths, hot compresses, stimulating herbal teas, A hex cast on children, sometimes unconsciously, that is thought to be caused by the admiring gaze of someone more powerful, The hex can be broken if the person responsible for the hex touches the child, or if a healer passes an egg over the child's body; the egg is then broken into a bowl of water and placed under the child's bed; child may wear charms for protection, Unnatural illness that is not easily explained, Temporary paralysis of the face or limbs, often thought to be caused by a sudden hot-cold imbalance, Posttraumatic illness (e.g., shock, insomnia, depression, anxiety), Barrida ritual purification ceremony (herbs used to sweep patient's body) repeated until the patient improves, Eaten to alleviate hypertension and prevent arteriosclerosis; garlic juice is applied to stings and spider bites, Anticoagulant effect at high doses; avoid high doses in patients taking coumadin (Warfarin); high doses can cause heartburn and bad breath; reduces effectiveness of saquinavir (Invirase), Boiled flowers are used externally on bruises, For topical and homeopathic use only; avoid internal use (except for homeopathic preparations, which are considered safe); increased gastroenteritis and dyspnea risk with ingestion, Hepatotoxicity risk from pyrrolizidine alkaloids (in leaves) with high or prolonged doses, Spice used as antispasmodic and for upper respiratory infections; although promoted as a hypoglycemic agent, recent research is conflicting, Use with caution in patients taking hepatotoxic drugs; safe in usual food quantities, Cilantro (cilantro [leaf] or coriander [seed]), Tea used for anxiety, stomach cramps, and inflamed gums; more recently popularized for increasing the urinary excretion of heavy metals, No safety concerns, although there have been recalls because of salmonella and pesticide contamination, Oil used topically for toothache and bad breath, Eugenol in clove oil may affect blood clotting; toxic if ingested, especially in children, Tea or syrup used as an expectorant, a diuretic, and for constipation, liver problems, and gall stones; also used to induce menstruation, High doses may cause vomiting; avoid in pregnancy; no known interactions, Leaf tea used for anxiety and lethargy, most popular as an aphrodisiac, Theoretical concern of cyanogenic glycoside toxicity with higher doses, Tea used for intestinal parasites; herb is added to beans to prevent flatulence, Chenopodium oil is also used as an antihelmintic but may be toxic (ascaridole content), Tea used for upset stomach and menstrual cramps, and to prevent diarrhea, Long-term ingestion causes absinthism (trembling, vertigo, thirst, delirium); thujone in the essential oil is neurotoxic and may cause seizures, Boiled leaves used for asthma in vaporizers; popular in lozenges for sore throat; also sometimes used as topical disinfectant, Ingesting eucalyptus oil may cause vomiting, diarrhea, delirium, and convulsions; avoid using in vaporizers for children younger than six years, Tea used to treat cough and sore throat; one study reports use for otitis, No known safety concerns (insufficient data) or drug interactions, High doses may cause anticoagulant effects and excess gas or bloating, Fruit juice used for fever, upper respiratory infection (classic cooling herb), and hypertension, Weed leaf used externally for burns, bruises, mouth sores, and hemorrhoids; tea taken orally for respiratory infections, Eaten as part of diet; has antidiabetic, anti-inflammatory, and laxative properties; also used as hangover treatment and for hyperlipidemia, May inhibit drug absorption; excess consumption may cause diarrhea and nausea, Leaf tea used to treat cough, indigestion, and, Safe in small quantities in food, but contains monoterpene ketones, which can cause toxicity (intestinal irritation, kidney damage, abortion, seizures), Toxic herb used to induce menstruation and abort fetuses, Toxic; avoid oral use; may cause renal and hepatic damage; furocoumarins can cause skin photosensitivity, Tea from dried flowers used to relieve cough, Yerba buena (mints, including spearmint and, Mint tea relieves upset stomach and headaches, Safe in usual quantities, but spearmint oil is a mucous membrane irritant and potentially toxic when ingested, Topical use for burns; occasionally ingested, Safe for topical use; juice is relatively safe; ingestion of aloe resin (a purgative) may cause diarrhea, hypoglycemia, hypokalemia, and prolonged bleeding; potential interactions with hypoglycemics and cardiac glycosides, Safe as a food seasoning, toxic alveolitis reported from inhaling lemongrass oil, A Physician's Practical Guide to Culturally Competent Care, Hispanic Center of Excellence (Baylor College of Medicine and University of Texas-Pan American), Language Line Services (interpreter services), Office of Minority Health: Cultural Competency, Office of Minority Health: National Standards for Culturally and Linguistically Appropriate Services (CLAS), Oregon Health & Science University: Spanish education handouts for clinicians, Tool for Assessing Cultural Competence Training (TACCT) Resource Guide, Transcultural Nursing: Diversity in Health and Illness, University of Washington Medical Center: Culture Clues tip sheets. 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