Latino Population Literature Review

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).

Throughout this first chapter of Latino Americans the key points in my opinion were the following. Starting with the origin story of the Americas, the book mentions there might not be a definitive starting point because there “500 nations in North America before a European ship ever dropped anchor off the Eastern Seaboard” (Suarez 3). The book from this point on chronologically starts narrating, first about 55 years before Protestant refugees from Mayflower ever stepped on American soil, a Spanish sailor Pedro Menendez de Aviles forced French protestants from their Florida coast settlement to then stablish St. Augustine. From this point the book continues to tell the stories of Juan de Oñate, from witnessing the founding of Santa Fe, the oldest capital of North America, to exploring more than half a dozen of American states, he is one of the most fundamental conquistadors who is the least

With the increasing immigrant population a third barrier affecting access to health care is a cultural barrier. Culture barriers can include values and beliefs, language and race and ethnicity. Health beliefs and behavior can become a barrier when patients decide not to seek medical treatment and instead turn to home remedies and healers when treating illnesses. Approximately 10% of Americans speak a language other than English and can be classified ad being limited in their proficiency. For these patients language becomes a barrier and they are less likely to receive optimal medical treatment (Flores, 2006). Horton and Johnson (2010) stress the importance of communication in reducing disparities and increasing the trust of patients in the health care system. As reported by the American College of Physicians, evidence reveals that racial and ethnic minorities are more likely to receive inferior care when compared with non-minorities. This occurs even when minorities have access to insurance and adequate income (Racial and ethnic disparities in health care, 2010).

The factors that put Latinos and Hispanics at a higher risk for HIV and treatment plans because they are limited to health care that could give them opportunities to engage in education and prevention plans. Health insurance greatly improves access to a person wellbeing, but the lack of access to health care in these communities is a serious issue with Latinos and Hispanic. According to the HIV cost and services utilization study, 24% of Latinos with HIV are uninsured, compared to 17% of those who identify as white. By implementing an affordable or free health care could help reduce health disparities in the disproportionate impact of HIV in the Latino communities. Still, expanding access to a better of health coverage can give over 9 million Latinos and Hispanics a better opportunity towards HIV prevention strategies, and even treatments that could prolong life. In fact, Latinos are often diagnosed too late. Statistics shows that between 2007 and 2010, a third of all Latinos (36 present) were diagnosed with ADS within one year of testing positive for HIV, putting Latinos at a greater risk for poorer health outcome, associated with late diagnoses. By increasing the number of community health centers and increasing racial and ethnic diversity in the health care system will help meet the key needs of Latino

The following discussion and statements are done so such that they incorporate the ideas and struggles of the Latino races regarding certain subjects down upon chapter 3 “Latinos in the united states” and chapter 4 “borders, immigration and citizenship”. This discussion is about the oppression that people Latinos and Native Americans and other ethnic groups have gone through. Some points in the discussion are oppression towards Mexican American and Native Americans, how they were treated and the impact they had.

Currently within the United States one of the fastest growing minority population (Schwartz & Scott, 2012) is the Latinos. In 2010 Census Bureau Brief ( Ennis, Rois-Vargas, & Albert, 2011) it stated how an estimated 15 million Latino individuals were living within the United States, which is approximately about 16% of the entire U.S. population. There is one big problem with addressing the Latino population, and that is the family patterns are either misrepresented or not properly understood, due to the label of Hispanic and Latinos being placed together. These two groups may share the same spoken language of Spanish and have similar cultural ancestry but the diversity among Hispanic and Latinos (Schwartz & Scott, 2012) make generalizations about their lifestyles difficult. The term Hispanic came to be used in the 1970’s by government officials (cdc.gov, 2011) in trying to provide a diverse label on this population that had connections to speaking Spanish and the Spanish culture. Latino became more of a termed to be used when distinguishing between Mexican (Hispanics) and Latinos who descendants from Latin America such as Cuba and Puerto Rico.

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).

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.

Although the United States is a leader in healthcare innovation and spends more money on health care than any other industrialized nation, not all people in the United State benefit equally from this progress as a health care disparity exists between racial and ethnic minorities and white Americans. Health care disparity is defined as “a particular type of health difference that is closely linked with social or economic disadvantage…adversely affecting groups of people who have systematically experienced greater social and/or economic obstacles to health and/or clean environment based on their racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory or physical disability; sexual orientation or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion” (National Partnership for Action to End Health Disparities [NPAEHD], 2011, p. 3). Overwhelming evidence shows that racial and ethnic minorities receive inferior quality health care compared to white Americans, and multiple factors contribute to these disparities, including geography, lack of access to adequate health coverage, communication difficulties between patients and providers, cultural barriers, and lack of access to providers (American College of Physicians,

Socioeconomic factors, social environment, lifestyle behaviors and access to preventive health-care services contribute to health disparities in the Hispanic community (CDC.gov, 2004). Lack fluency with the English language and differences in cultural attitudes between the U.S. health-care system and Hispanic patients also contribute to health disparities.

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.

The language barrier is a glaring problem for Hispanics in terms of accessing health care coverage for several reasons. Hispanics have far fewer Spanish speaking support systems to navigate them through the complex system that will provide them access to health care. In addition, demographically speaking, it is going to be harder for the Hispanic population to access a provider that is fluent in their language. While interpreters are sometimes available for the Spanish speaking population, they may be reluctant to use them. Primarily they may be worried that the translation will not be accurately reported to the health care provider as they don’t know what is being said in the English portion of the translation. Another possible barrier to translation is that perhaps the individual has a medical issue they do not want shared with a stranger who is not the medical provider specifically (Maxwell et al., 2011). Therefore, these issues could possibly create more barriers to quality care. Although the Affordable Care Act has increased health care coverage for low-income, uninsured Hispanics with the expansions of Medicaid, as a result of the Supreme Court ruling, this remains to be a state option. Studies show an estimated 95% of uninsured Latinos would qualify for Medicaid

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 government funds healthcare for many demographics in the U.S . . the access to healthcare ranges in care from racial background and ethnics. Hispanics are less likely to receive healthcare coverage because of the demographics. Hispanics may not be able to afford healthcare as to why they do not receive it. Language barriers between Caucasian’s and physicians may hinder diagnosis of conditions. Caucasians are less likely to get checked for colon cancer or high blood pressure from a healthcare provider. African American is usually checked for this disease. African Americans are more likely to have one of these diseases so being checked by a phycians is common. Individuals that live in neighborhoods that are less fortunate do not know information

One of the greatest things about nursing is that we have the opportunity to share with different cultures and learn about them. Our patients are complex; they each have their religion, culture, and life choices. Delivering health advice and not knowing much about a patient’s cultural background will influence how the patient may perceive the nurses’ advice. The article that I did my research on was published in 2011, by Perez-Avila, Sobralske and Katz; the name of the article is “No Comprendo: Practice Considerations When Caring for Latinos With Limited English Proficiency in the United States Health Care System”. In the United States, Hispanics form the largest minority. Most of this community has limited English