Since childhood, Christina Duarte has wanted to help people. Helping people is why she became chief of health education and promotion for the Health Department of Laredo, Texas, a predominantly Latino city on the U.S.-Mexico border. When the coronavirus pandemic struck, Duarte immediately looked for ways to help her community, which struggled with disparities in COVID-19 case and death rates. So Duarte shifted the city’s in-person health classes to a virtual platform to help those at home during the height of the coronavirus quarantine. “Our participants continued to ask, ‘are you even going to have classes again? My mental health is at stake,’” she said. “Then the numbers increased. We started working on mental health preparedness here at the health department. ...
Almost 60% of Americans believe that racism can impact the health care an individual receives, according to the National Cancer Opinion Survey conducted by the American Society of Clinical Oncology (ASCO). The survey also found that about two-thirds of Americans have skipped or delayed scheduled cancer screenings due to the COVID-19 pandemic, which is disproportionately harming Latinos. These results have wide-ranging implications for preventative care and the perception of health care disparities in the United States.
About the Survey on Racism, Health Care
The National Cancer Opinion Survey is conducted annually. This year, ASCO surveyed over 4,000 U.S. adults older than 18, with over 1,000 of them former or current cancer patients. “This survey assesses Americans’ ...
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 ...
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 ...
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 ...
This is part of the Salud America! Achieving a Cohesive Culture for Health Equity in Latino and All Communities: A Research Review»
Impact of the Affordable Care Act
The Patient Accountability and Affordable Care Act, generally referred to as the Affordable Care Act, or ACA, was signed into law in March 2010. The ACA was designed to expand insurance coverage, improving access to health care. Key provisions were included to benefit those of lower SES, including Medicaid expansion and federal health subsidies for those living at 138% of the federal poverty level, and large subsidies for those at 100% to 400% of the federal poverty level who purchased insurance plans through ACA exchanges. In January 2014, the most impactful ACA provisions took effect, including the expansion of ...
This is part of the Salud America! Achieving a Cohesive Culture for Health Equity in Latino and All Communities: A Research Review»
Research Review: Conclusions Inequality, including but not limited to income and healthcare inequality, is perpetuated by implicit racial or ethnic bias. Implicit bias influences behavior regardless of intentions and can result in unintentional bolstering of inequity.
System justification is a way in which advantaged individuals justify the status quo to help buffer stress from negative events and cope with guilt and distress associated with the existing socioeconomic order. The disadvantaged also engage in system justification, though this may be detrimental to their psychological well-being.
People living in rural areas have less access to ...
We know that Latinos, by-in-large, face a host of health disparities. But we also know there is a historic lack of research about these inequities and how to address them. This is why the National Institute on Minority Health and Health Disparities' recent "Funding of Latino Health-Related Research," is so important. The study—published in Frontiers of Public Health—looked at the impact of interventions or policies premeditated to reduce health disparities. This information could advance research in Latino health and contribute to the achievement of better health outcomes in this diverse population, according to Dr. Larissa Avilés-Santa, who led the study. "Latinos are expected to constitute 25% of the U.S. population by 2060," the researchers write. "Differences in the ...
Nearly 1 in 4 Latinos reported that the Coronavirus pandemic was affecting their mental health, according to an April 2020 poll. Of those surveyed many reported high levels of psychological distress. Job loss, immigration status, returning to school or work, a lack of childcare, and even the health status of loved ones are all concerns for Latinos across the U.S. On Tuesday, Sept. 1, 2020, let’s use #SaludTues to chat about ways to help promote healthy minds for Latino youth and their families. WHAT: #SaludTues Tweetchat: Healthy Minds for Latinos Amid COVID-19
TIME/DATE: 1-2 p.m. ET (Noon-1 p.m. CT), Tuesday, Sept 1, 2020
WHERE: On Twitter with hashtag #SaludTues
HOST: @SaludAmerica
CO-HOSTS: Association for Behavior Health and Wellness (@ABHWorg); Stamp Out ...
