Herbal Remedy Use by Latino Immigrant to the United States
John Williams
April 23, 2016
Cultural Competence in Healthcare
Erin Stegall
Introduction The members of the largest ethnic group being granted legal permanent residence in the United States are from Mexico. According the 2010 census 16.3% of the population of the United States is Latino (Spector, 2013). The Latino population will increase to 30 % of the total population by the year 2050 based on current projections (Juckett, 2013). There are several barriers to health care faced by many in the Latino population. They include: language barriers, lack of health insurance, mistrust, not have a legal status and a different culture of health care (Juckett, 2013, p. 48). Juckett also points out that most medications that require a prescription in the US are obtained without prescriptions in immigrants’ home countries (2013).
It is estimated that 20% of the U. S. population use herbal medicine. “The prevalence of herbal medicine use by some ethnic and cultural groups in the US may be even higher; one meta-analysis found that 4% to 40% (mean 30%) of Latinos living in the United States regularly used herbal medicine” (Kiefer, Tellez-Giron, & Bradbury, 2014, p. 64). The growing number of Latinos in the US and their reliance on herbal remedies is something that healthcare providers are going to have to address to be able to provide culturally competent care to this population.
Methods
Two Latino individuals were
It is well known that the United States is made up of several different cultures and the health care system delivers care to a very diverse population. However, depending on ones culture-receiving care may be a challenge at times. In this paper we are going to take a closer look at the culture of Hispanic Americans. The Hispanic population has grown to over 55 million residents with in the United States in 2015, with an estimated growth rate of 2.1% per year (Krogstad & Lopez, 2015). Making this minority group on of the fastest growing populations within the United States (DeNisco & Barker, 2016).
In this discussion, a Hispanic or Latino group is considered. While the statistic is not available for the city of Cleveland, in Ohio this group represents a 3.7% of the total population as of July 1, 2016 (USCB, 2018). The Hispanic/Latino group represents people from Cuba, Latin America, Mexico, Puerto Rico, Caribbean and other Spanish cultures, regardless of race (Juckett, 2013). While a treatment plan in hospitals is the same for all the patients, the perception varies in different ethnic groups or races. Thus, a health care provider need to be aware of Hispanic/Latino cultural beliefs and implement this knowledge into a daily routine.
Limited access to health care for Spanish Speaking populations is due to inability to afford services, difficulty with transportation, dissatisfaction with services, language barriers and inability to understand treatment plans. Health indicators of Spanish Speaking populations suggests that health outcomes continue to be behind other population groups, they also remain below goals established by Healthy People 2010 (Butler, Kim-Godwwin, & Fox, 2008). The US Spanish Speaking population represents a particular vulnerable subset of US Hispanics that have lower-income, less education, poor perceived health status and poor access to the health care System (Dubar & Gizlice, 2008).
I agree with you, Hispanics do have an endless list of home remedies. I too make use of many Hispanic herbal remedies that were passed on from my mother. Some of the remedies, I believe work, while others I use for the placebo effect, nevertheless, I believe it is important to keep some of these practices alive and pass them on to our children.
Financial barriers to access health care are common in a low-income family when they are uninsured or underinsured. Many uninsured and undocumented immigrant received federal and state health care coverage. Latinos and African American are the ethnicities that are disproportionally get affected. Limited access to a doctor when they are sick, taking non-prescribed medication and holding off recommended treatment is only some of the problems they encountered (Carrillo et al., 2011).
The findings of this survey showed that 73.6% agreed with the use of traditional medicines for health maintenance, 79.2% agreed for benign illness, such as colds or sprained ankles, and 90.3% agreed for palliative care (Zubek, 1994, p. 1926). Where they disagreed the most was with the use of traditional healing in the intensive care units, only 16.9% agreed with the use of this treatment for serious illness, such as cardiac or respiratory compromise, whether in the hospital (21.2% agreed) or as outpatients (26.4% agreed). Nearly half (48.6%) agreed with using traditional medicines for chronic illnesses, such as non-insulin dependent diabetes or Parkinson's disease (Zubek, 1994, p. 1926). One instance where physicians were unwilling to allow their patients to use Native medicine was while the patient is in the hospital, because the physician could be held legally responsible for any treatment administered while admitted under their care. There is also the problem of differentiating between legitimate Native healing practitioners and those who would take advantage of anyone not aware of the proper rituals and techniques that need to be performed (Zubek, 1994, p. 1929). This could be overcome by having a formalized licensing organization such as is used by Western practitioners (i.e. American Society of Clinical Pathology [ASCP]). That poses another problem though, as to whether traditionalists would be willing to have such an organization.
With the economy of the United States in shambles, illegal immigration and the effects it has on health care can no longer be ignored. America has a whole needs to be concerned and well informed of the issues rather than collecting information piecemeal by way of media or other biased groups. If illegal immigration stays its present course the American tax-payer will continue to fund the well being of individuals who have broken federal rules and regulations and are being supported by law abiding citizens. This argument is not about individual rights to live and prosper. It is not about race or discrimination of any sort. It is only about the effects on health care that I am addressing.
Latinos and Hispanics have a long history here in the United States of America. The term “Hispanic” is most often used by the government, which is what will be used through the rest of this document. Hispanics are the fastest growing group in the United States and their numbers will continue to increase as years go by. Mexicans are the largest subgroup of Hispanics making up 66% of the population while the other 34% includes Central and South Americans, Puerto Ricans, Cubans, and other Hispanic origins. California, Texas, and Florida have the highest populations of Hispanics. In regards to health insurance, Hispanics have the highest rates of uninsured in the United States.
The Hispanic community in the largest minority in the USA and the fastest growing, it is also one with a high incidence of preventable diseases such as Diabetes, periodontitis, colorectal cancer and HIV. Obesity and teen age pregnancy are significantly more prevalent in Hispanic/Latino population as well. Rate of vaccination is also below that of the majority of the population. Addressing their health care makes good public health and economic sense.
For many Latinos, they like a more to feel a more personal, welcoming doctor-patient relationship, they want to feel that the provider truly concerned for them as a whole. Since we all know how health care professionals are often rushing can makes the American healthcare system,look untrustworthy, in which doctors often rush visits and lack time to establish relationships with patients. Latino apprehension about healthcare goes deeper than issues of access. It also partially derives from a long history of preferring non-Western medicine, a cultural uneasiness with the American style of healthcare, and a tradition of privacy and individual pride that makes many Latinos believe we have no need to ask for help, and they don’t believe in being
In modern medicine, alternative therapies are poorly understood and studied. The preference for alternative therapies, and herbal medicine were indicated, and the fear of relinquishing information regarding these practices were almost paralyzing. It seemed as though they were ashamed to admit to cultural healing practices, and did not divulge information to practitioners regarding their usage. The cultural disconnect was present as alternative/complimentary medicines are valued as a culture, and “modern” practitioners cast judgment on their usage. This perceived stigma additionally limited the information shared by the cultural participants with modern medical treatments, potentially causing additional harm, as some herbals are potentially toxic.
In response to Sabrina Geneus I am in agreement with her comments regarding one subpopulation in the U.S which has currently has access to primary care are Hispanics. She also made interesting points regarding them which are true that Hispanics do not receive health care services of high quality because of their low socioeconomic status which includes low income, assets accumulation, low wage occupations and occupational characteristic. In addition, they also endure education attainment which is an obstacle to receive health care in a timely manner. Individuals who are face with low education may ruin their ability to understand clearly the health care delivery system, such as communicate with health care providers, and understand provider’s
But for the rest of the population substantial disparities still exist. This problem not only affects the uninsured population and the communities they live in, but the entire nation's economy. Dozens of hospitals in Texas, New Mexico Arizona, and California, have been forced to close or face bankruptcy because of federally mandated programs requiring hospitals to provide free emergency room services to illegal aliens. Safety net hospitals continue to operate under a heavy burden of providing care to this largely uninsured population (Torres, Steven, & Wallace, 2013). Having access to healthcare is a necessity in maintaining the good health of these undocumented immigrants. Several solutions have been proposed to overcome the barriers affecting undocumented immigrants. One solution would be to expand the coverage of the Affordable Health Care Act for this population. Another solution would be to approve an amnesty bill to alleviate the undocumented immigrants' situation in the United Sates, which would allow them to access public health
The United States is a melting pot of ethnicity, in which, the healthcare system and its benefits vary widely. Those who are able to obtain primary care insurance via a full time employer, typically have the benefits of full coverage care. However, for many minority groups, full time work alone is hard to acquire, along with the health benefits full time employment provides. Culturally competent care among the diverse populations helps increase health promotion and gain a cultural perspective. One of these mentioned groups is the Hispanic population which is steadily increasing within the United States.
The 13 million people who live along the United States - Mexican border1 face unique health issues and disparities than their northern and southern residing counterparts. Access to health care is a great health determiner for the many foreign-born residents living in the United States, especially for undocumented immigrants2. The topic to be addressed in this review will include current health issues and accessibility of care for the people living along the US – Mexico border. This study will include infectious diseases, substance abuse as well as issues facing women and children. The combination of many social factors including increased poverty and drug use, limited healthcare and low self-efficacy are all impacting the rates of