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Amelie Ramirez

I am director of Salud America! at UT Health San Antonio. I have spent 30 years directing research on human and organizational communication to reduce chronic disease, cancer, and obesity health disparities affecting Latinos.

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Articles by Amelie Ramirez

Mil Gracias for Not Smoking Indoors!


mil gracias for not smoking indoors logo

By choosing to not smoke indoors, a smoker deserves a thank-you for protecting their family, friends, and neighbors from secondhand smoke. That’s why the new “Mil Gracias (A Thousands Thanks) for Not Smoking Indoors!” campaign from UT Health San Antonio is inviting people share gratitude for smokers who respect others’ air during the COVID-19 respiratory pandemic: Email a “thank you” to smokers who protect others by not smoking indoors. Sign a letter acknowledging secondhand smoke's danger to health. Download an Action Pack to promote smoke-free multifamily housing in your city. The Mil Gracias campaign features English and Spanish flyers with key messages to help people reduce their risk for smoking-related diseases and COVID-19. “Smokers have the power ...

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Achieving a Cohesive Culture for Health Equity in Latino and All Communities: A Research Review


Cohesive Culture for Health Equity Research Review Collage 2

Do you notice how much some of your neighbors are suffering? A widening socioeconomic gap, racism, and discrimination contribute to inequitable distribution of healthcare and mental and physical health disparities among Latinos and other people of color and those in poverty, especially amid COVID-19. But it doesn’t have to be this way. A cohesive culture for health equity is one where everyone works individually and as a group to ensure that each person has a fair, just opportunity for health and wealth, as well as equitable access to basic resources required for these goals. To achieve a more cohesive culture, we must help people understand and overcome the mechanisms─implicit bias, system justification, moral disengagement─they use to discriminate against people of ...

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Introduction & Methods: A Cohesive Culture for Health Equity in Latino and All Communities


diverse people together cohesive culture research review introduction

This is part of the Salud America! Achieving a Cohesive Culture for Health Equity in Latino and All Communities: A Research Review» Abstract Health inequities are persistent in the United States. A widening socioeconomic gap, extensive poverty, and multi-level racism, discrimination, and segregation contribute to inequitable distribution of healthcare, resources, and a significant disparity in mental and physical health outcomes among Latino and other population groups. In a society characterized by income segregation and information “bubbles,” it is easy for those who are more fortunate and/or whose hard work has been amply rewarded to fail to perceive the degree of suffering that is experienced by those who do not share their affluence. There is growing evidence that the ...

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Strategy for Equitable Change: Implicit Bias Training


equal justice trauma implicit bias training

This is part of the Salud America! Achieving a Cohesive Culture for Health Equity in Latino and All Communities: A Research Review» Implicit Bias Training Programs Mitigating implicit bias and promoting inclusivity “is a long-term goal requiring constant attention and repetition and a combination of general strategies that can have a positive influence across all groups of people affected by bias,” and can overlap between domains, according to Marcelin et al. and other researchers (see figure).43,74 Implicit bias training programs, such as those designed by the Kirwan Institute of Race and Ethnicity at Ohio State University, also aim to improve intergroup attitudes and relations, by “rewiring” subconscious associations. The Kirwan Institute has made the first set of ...

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Strategy for Equitable Change: Building Social Cohesion


Diverse neighbors social cohesion intergroup contact cohesive culture research review

This is part of the Salud America! Achieving a Cohesive Culture for Health Equity in Latino and All Communities: A Research Review» Why Social Cohesion is Important The far-reaching effects of poverty have been well documented; the material hardships associated with poverty, including food insecurity and difficulty meeting basic medical and housing needs, lead to worse health outcomes.86 An inability to provide for family members leads to parental stress, which compromises marital and parent-child relationships due to a reduced capacity for warm and responsive interactions. The chaotic home lives and the community conditions characteristic of low SES areas — such as community violence and substandard housing — are linked to worse socioemotional outcomes for children. Poorer ...

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Future Research: A Cohesive Culture for Health Equity in Latino and All Communities


george floyd black lives matter people standing in unity cohesive culture future research review

This is part of the Salud America! Achieving a Cohesive Culture for Health Equity in Latino and All Communities: A Research Review» More Research is Needed on a Cohesive Culture It is important to research the relationship between socioeconomic status and education to identify and reduce the risk factors through the improvement of school systems and the development of intervention programs.5,10 Additional studies are also needed to examine the relationships between implicit bias and health care outcomes. This will provide vital information for the development of interventions that target these implicit biases, which have been shown to contribute to disparities in health care between whites and minority groups such as Latinos. This implicit bias influences individuals’ behavior ...

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Research: In Rural Areas, Latinos Face Poverty and Other Inequities


Latino farmworkers cohesive culture research review

This is part of the Salud America! Achieving a Cohesive Culture for Health Equity in Latino and All Communities: A Research Review» Disparities in Poverty Exist across Geography Disparities in poverty rates also exist across geography: child poverty rates are highest in rural counties, at 23.2%, compared to large urban metro areas (21.2%), smaller metro areas (20.5%), and suburban counties (14.5%). Race/ethnicity and geography intersect as well. The poverty rate among black and Latino children in suburban counties is higher than it is for white children in rural counties.10 The Latino Poverty Rate in Rural Areas Most of the U.S. Latino population was concentrated in the Southwest until the 1990s, when Latino immigrants began to migrate to rural areas in the South and Midwestern ...

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Mechanism of Discrimination: The Problem of System Justification


Latino man and daughter system justification cohesive culture research review

This is part of the Salud America! Achieving a Cohesive Culture for Health Equity in Latino and All Communities: A Research Review» System Justification Is a Key Mechanism People Use to Excuse Discrimination among People of Color, Those in Poverty System justification is the label for a social psychology theory asserting that people will rationalize the status quo, as they believe that the social, economic, and political systems must be fair and advantageous, otherwise they would not be in place.55 In other words, the theory states that there is a general subjective motive justifying the existing socioeconomic order; that motive is partially responsible for creating and maintaining the inferiority of racial/ethnic and other minority groups and is largely implicit; and the motive may ...

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Strategy for Equitable Change: Intergroup Contact Theory


Diverse friends on bikes block party intergroup contact cohesive culture research review

This is part of the Salud America! Achieving a Cohesive Culture for Health Equity in Latino and All Communities: A Research Review» Intergroup Contact Theory At the individual level, the contact hypothesis of social psychology, also called the intergroup contact theory, proposes that members of one group, having incomplete or inaccurate ideas about members of another group, can positively change their beliefs and attitudes toward that group via contact, whether face-to-face or through other interactive methods such as computer-mediated communication.75 Using Intergroup Contact to Address Compassion for Immigrants Joyce and Harwood75 recruited students from communications classes at a large university in Arizona to participate in an intergroup contact study. Of the 147 participants, ...

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