This document discusses various topics related to health and citizenship including definitions of personhood and citizenship, discourses around motherhood and gender, birthweight, American views of the US-Mexico border, resilience among local communities, and access to healthcare for Mexican immigrants and low-income Mexicans suffering from end-stage renal disease. It also lists locations and organizations in Mexico involved with cross-cultural medicine and global health research, including universities, hospitals, and research centers in Guadalajara and Monterrey.
This document discusses health disparities and resources for promoting health equity. It defines health disparities as significant disparities in disease rates or health outcomes between populations compared to the general population. It identifies four population groups that experience health disparities: African Americans, Hispanics/Latinos, immigrants/refugees, and American Indian/Alaskan Natives. The document outlines unique health issues that affect these and other groups. It also describes several resources for finding health information, including MedlinePlus, the CDC, and databases like PubMed.
Cultural barriers in chronic disease managmentcch-powerpoint
The document discusses culturally influenced barriers to chronic disease management in Ottawa, Canada's diverse population. It highlights how language barriers, financial constraints, cultural beliefs about diet and disease, and health literacy issues can negatively impact conditions like diabetes among immigrant groups. The document advocates for more culturally sensitive care, including using interpreters, addressing cost barriers, and designing community outreach programs that are relevant to different cultural practices and beliefs.
Binational patients and cross-border care seeking behavior, U.S.-Mexico Border Region
María Luisa Zúñiga, Ph.D.
September 8th, 2017
UCSD HIV & Global Health Rounds
This newsletter summarizes the work of GHUCCTS, a partnership between five organizations focused on clinical and translational research. It supports about 170 studies annually with nearly 2,000 research participants. The newsletter highlights a study called STRIDE that aims to help HIV+ heroin users maintain treatment to reduce virus transmission, and introduces Yanira Cruz who advocates for the needs of older Hispanic adults through her role on the Community Advisory Board.
Hispanic Women's Perceptions and Attitudes of Health Sandra Paredes
This document summarizes Sandra Paredes' proposed research study on Hispanic women's health perceptions and attitudes. The study would use focus groups to understand how acculturation affects Hispanic women's culturally-bound health beliefs and how they adopt biomedical views in the US. It reviews literature showing cultural influences on perceptions of diabetes, cancer causes, and preventative actions. The research aims to craft culturally resonant health messages. The proposed methodology would recruit Spanish- and English-speaking Hispanic and Hispanic-American women to participate in focus groups. A screening tool would assess demographics, acculturation, health behaviors, and beliefs. Focus groups would segment participants by acculturation level to explore differences in primary language, birthplace, arrival
This document summarizes Sandra Paredes' proposed research study on Hispanic women's health perceptions and attitudes. The study would use focus groups to examine how acculturation affects Hispanic women's culturally-bound health beliefs and how they adopt biomedical views in the U.S. It reviews literature showing cultural influences on perceptions of diabetes, cancer causes, and preventative actions. The research aims to understand these influences to craft culturally resonant health messages. The proposed methodology would recruit Hispanic and Hispanic-American women via businesses and social media for English and Spanish focus groups. A screening tool would assess demographics, acculturation, health behaviors, and familiarity with cultural beliefs. Focus groups would segment participants by acculturation level to
This article invites to a transdisciplinary refl ection, in which the policies should be part of the social benefi t in this health case, here are presented four elements of analysis, maternal mortality, homicide, chronic noncommunicable diseases and ecocide. ...
CULTURESPAN MULTICULTURAL CONF PRESENTATION FINAL V2 5 24 16Manny Rodriguez
This document summarizes key findings from research on Mexican-American consumer health behaviors and attitudes. It finds that alternative medicine and natural remedies are often preferred to Western treatments, and that younger Hispanic millennials are not getting screened for diabetes and other conditions at appropriate rates. Younger immigrants especially rely on home remedies instead of visiting doctors. The research also finds that email, doctors, and online sources are most trusted for health information. It recommends targeting Hispanic millennials in culturally sensitive messaging and accounting for cultural beliefs around fate, present-focus, and flexibility when designing health programs and communications.
This document discusses health disparities and resources for promoting health equity. It defines health disparities as significant disparities in disease rates or health outcomes between populations compared to the general population. It identifies four population groups that experience health disparities: African Americans, Hispanics/Latinos, immigrants/refugees, and American Indian/Alaskan Natives. The document outlines unique health issues that affect these and other groups. It also describes several resources for finding health information, including MedlinePlus, the CDC, and databases like PubMed.
Cultural barriers in chronic disease managmentcch-powerpoint
The document discusses culturally influenced barriers to chronic disease management in Ottawa, Canada's diverse population. It highlights how language barriers, financial constraints, cultural beliefs about diet and disease, and health literacy issues can negatively impact conditions like diabetes among immigrant groups. The document advocates for more culturally sensitive care, including using interpreters, addressing cost barriers, and designing community outreach programs that are relevant to different cultural practices and beliefs.
Binational patients and cross-border care seeking behavior, U.S.-Mexico Border Region
María Luisa Zúñiga, Ph.D.
September 8th, 2017
UCSD HIV & Global Health Rounds
This newsletter summarizes the work of GHUCCTS, a partnership between five organizations focused on clinical and translational research. It supports about 170 studies annually with nearly 2,000 research participants. The newsletter highlights a study called STRIDE that aims to help HIV+ heroin users maintain treatment to reduce virus transmission, and introduces Yanira Cruz who advocates for the needs of older Hispanic adults through her role on the Community Advisory Board.
Hispanic Women's Perceptions and Attitudes of Health Sandra Paredes
This document summarizes Sandra Paredes' proposed research study on Hispanic women's health perceptions and attitudes. The study would use focus groups to understand how acculturation affects Hispanic women's culturally-bound health beliefs and how they adopt biomedical views in the US. It reviews literature showing cultural influences on perceptions of diabetes, cancer causes, and preventative actions. The research aims to craft culturally resonant health messages. The proposed methodology would recruit Spanish- and English-speaking Hispanic and Hispanic-American women to participate in focus groups. A screening tool would assess demographics, acculturation, health behaviors, and beliefs. Focus groups would segment participants by acculturation level to explore differences in primary language, birthplace, arrival
This document summarizes Sandra Paredes' proposed research study on Hispanic women's health perceptions and attitudes. The study would use focus groups to examine how acculturation affects Hispanic women's culturally-bound health beliefs and how they adopt biomedical views in the U.S. It reviews literature showing cultural influences on perceptions of diabetes, cancer causes, and preventative actions. The research aims to understand these influences to craft culturally resonant health messages. The proposed methodology would recruit Hispanic and Hispanic-American women via businesses and social media for English and Spanish focus groups. A screening tool would assess demographics, acculturation, health behaviors, and familiarity with cultural beliefs. Focus groups would segment participants by acculturation level to
This article invites to a transdisciplinary refl ection, in which the policies should be part of the social benefi t in this health case, here are presented four elements of analysis, maternal mortality, homicide, chronic noncommunicable diseases and ecocide. ...
CULTURESPAN MULTICULTURAL CONF PRESENTATION FINAL V2 5 24 16Manny Rodriguez
This document summarizes key findings from research on Mexican-American consumer health behaviors and attitudes. It finds that alternative medicine and natural remedies are often preferred to Western treatments, and that younger Hispanic millennials are not getting screened for diabetes and other conditions at appropriate rates. Younger immigrants especially rely on home remedies instead of visiting doctors. The research also finds that email, doctors, and online sources are most trusted for health information. It recommends targeting Hispanic millennials in culturally sensitive messaging and accounting for cultural beliefs around fate, present-focus, and flexibility when designing health programs and communications.
This document discusses cultural factors that impact diabetes management among immigrant populations in Ottawa, Canada. It begins by providing demographic information on cultural communities in Ottawa and then reviews qualitative studies that identified key cultural barriers to diabetes care, including language barriers, financial constraints, differences in diet and food practices, and certain cultural beliefs. The document concludes by discussing strategies for providing more culturally sensitive care, such as using interpreters and developing culturally tailored education programs.
International Journal of Nursing Terminologies and Classificat.docxnormanibarber20063
International Journal of Nursing Terminologies and Classifications Volume 15, No. 1, January-March, 2004 17
Susan Walsh, MSN, RNC
PURPOSE. To formulate a plan of care for a
culturally diverse population and develop a
resource for the healthcare team in providing
culturally competent care.
DATA SOURCES. Books, journal articles.
DATA SYNTHESIS. Healthcare workers are
challenged to provide appropriate care for an
increasingly diverse population. A cluster of
nursing diagnoses were used to develop a plan of
care addressing the unique challenges of caring
for a diverse population served by a community
hospital.
CONCLUSION. A care plan was devised and
inserted into the nursing diagnosis�based
nursing documentation computer system for easy
access when needed.
PRACTICE IMPLICATIONS. A care plan for a
diverse population can promote respectful and
excellent care for every patient.
Search terms: Care plans, cultural competence,
diversity, nursing diagnosis
Elaboration d�un plan de soin pour des patients
de cultures différentes
BUT. Elaborer un plan de soin pour une
population de culture différente et développer une
ressource pour l�équipe de santé, qui doit
dispenser des soins culturels compétents.
SOURCES DE DONNÉES. Manuels, articles de
revues.
SYNTHÈSE DES DONNÉES. Dispenser des soins
appropriés à une population de cultures variées
représente un défi pour les soignants. Un groupe
de diagnostics infirmiers fut utilisé pour élaborer
un plan de soin destiné à une population
multiculturelle, fréquentant un hôpital
communautaire.
CONCLUSIONS. Un plan de soin fut élaboré et
inclus dans le système de soin informatisé, basé
sur les diagnostics infirmiers afin d�en faciliter
l�accès aux soignants.
IMPLICATIONS POUR LA PRATIQUE. Un plan de
soin destiné à une population multiculturelle
peut promouvoir des soins empreints de respect et
d�excellence pour tous les patients.
Mots-clés: Compétence culturelle, diversité
culturelle, diagnostics infirmiers, plan de soin
Formulation of a Plan of Care for Culturally Diverse
Patients
Translation by Cécile Boisvert, MSN, RN
18 International Journal of Nursing Terminologies and Classifications Volume 15, No. 1, January-March, 2004
Formulation of a Plan of Care for Culturally Diverse Patients
Elaboração de um plano de cuidados para
pacientes culturalmente diversos
OBJETIVO. Formular um plano de cuidados para
uma população culturalmente diversa e
desenvolver um recurso para a equipe de saúde
oferecer um cuidado culturalmente competente.
FONTE DE DADOS. Livros, artigos em periódicos.
SÍNTESE DOS DADOS. Trabalhadores da saúde
têm o desafio de oferecer uma assistência
apropriada para uma população cada vez mais
diversificada. Um agrupamento de diagnósticos
de enfermagem foi utilizado para desenvolver um
plano de cuidados abordando os desafios únicos
de assistir uma população diversificada, servida
por um hospital comunitário.
CONCLUSÃO. Um plano de cuidados foi criado
e i.
This document discusses mental health issues among Hispanic populations in the United States. It notes that while diversity in the US is increasing, the mental health field has struggled to keep up with multicultural needs. Specifically, it finds that Hispanics, now the largest ethnic minority, have low rates of utilizing mental health services and issues with access. The document provides an overview of major depressive disorder among the three largest Hispanic subgroups: Mexican, Puerto Rican, and Cuban Americans. It finds that while response to antidepressant treatment is comparable to non-Hispanic whites, treatment compliance appears to be a concern among Hispanics. The document calls for more research and efforts to improve mental health care and outcomes for Hispanic populations in the US.
The Ventanilla de Salud program provides health services to Mexican and Latino communities through mobile health clinics organized by Mexican consulates and local health organizations. In 2014, the Kansas City mobile clinic held 8 events screening over 3,750 individuals. Screenings found high rates of obesity, prediabetes, and hypertension. Younger participants had less access to healthcare and lower education. The program aims to improve health access, education, and prevention, especially for common issues found in screenings like diabetes and cardiovascular disease.
The document discusses strategies for improving diabetes management programs to better serve racially and ethnically diverse patient populations. It emphasizes the importance of cultural competence and addressing health beliefs, alternative treatments, language barriers, and family roles that are specific to different ethnic groups. Effective programs elicit patients' cultural health beliefs, educate practitioners, provide language assistance, and address social factors like racism that can influence health outcomes.
This document summarizes a presentation about health disparities and resources for addressing them. It discusses how racial, ethnic, sexual, and other minority groups experience health disparities, as well as those in rural areas, women, children, the elderly and disabled. It provides resources for health information in multiple languages, including MedlinePlus, RHIN, EthnoMed, DiversityRx and Healthy Roads Media. The presentation emphasizes understanding different cultural beliefs and practices and their impact on health and healthcare.
The document outlines Kent Wilkinson's lecture on diaspora, identity, ethnicity and health communication. It discusses key concepts like diaspora, cultural identity and ethnicity. It then describes a multi-method study conducted in West Texas to combat diabetes and obesity among rural Hispanics, using surveys, focus groups and psychophysiological testing. The study found diabetes and obesity are significant health threats, and health messages need to be tailored and family-oriented to be effective for this community.
The document discusses pulling yourself up by your bootstraps in the context of the COVID-19 pandemic. It summarizes that the saying means improving your situation through hard work rather than assistance. It then discusses how African Americans were disproportionately impacted by the 1918 flu pandemic due to issues with healthcare access and discrimination. The document outlines steps communities took in response, and how similar issues have led to health disparities during COVID-19. It promotes preventative measures like vaccination, masks, and distancing to overcome challenges in a self-reliant way.
Ethical consideration is important in nursing practice.docxwrite22
Ethical consideration is important in nursing practice, especially when providing care to patients from diverse sociocultural backgrounds. The document discusses caring for a Hispanic patient with type 2 diabetes who had different cultural beliefs about the causes and treatment of diabetes. These included beliefs that diabetes is temporary, not identifying some types as severe, and viewing their health condition as punishment from God. Considering a patient's sociocultural background and beliefs is important for providing culturally competent, holistic care.
This document provides biographical and professional information about Peter J. Guarnaccia. It includes his educational background, academic positions, consultant positions, advisory committees, funded grant proposals, and publications. Some key details:
- He received his Ph.D. in 1984 from the University of Connecticut, focusing on medical anthropology.
- He is currently a Professor in the Department of Human Ecology at Rutgers University and a core faculty member of the Institute for Health, Health Care Policy, and Aging Research.
- His research focuses on cultural issues in mental health services, including studies of Latino populations.
- He has held numerous consulting positions on projects related to Latino mental health and has served on
This document describes a research project that aims to understand health care experiences of immigrant patients and providers in Barcelona, Spain. It involves interviews with government officials, health care workers, community groups, and patients. The methodology includes interviews, observations of clinical settings, and qualitative data analysis software. Key findings include that primary care allows easy neighborhood access, but language barriers and socioeconomic differences still present challenges. The conclusions suggest the importance of intercultural initiatives and mental health integration to improve immigrant health care.
Culture, Generational Differences and Spirituality in NursingElizabeth Novak
This document discusses culture, generational differences, and spirituality in nursing leadership and management. It defines culture and discusses the importance of cultural competence in healthcare. Generational differences among Traditionalists, Baby Boomers, Generation X, and Generation Y are reviewed. The document also discusses the importance of integrating patients' spiritual beliefs into culturally competent nursing care and being aware of potential spiritual distress.
Mexican immigrant women in New Brunswick face barriers to practicing traditional folk health methods since settling in the area. Three main types of barriers were identified: interpersonal barriers with healthcare providers who may not understand folk practices, environmental barriers due to the availability and cost of traditional ingredients, and systemic barriers such as documentation requirements to access services. The study aims to investigate the extent to which these women can continue traditional practices in New Brunswick, and whether those practices conflict with institutional healthcare programs. Focus group interviews have been conducted with 14 Mexican immigrant women so far to understand their health perspectives and experiences.
The Office of Research on Women's Health at the NIH works to ensure women's health issues are adequately studied and women are represented in clinical research. Cardiovascular disease is the leading cause of death among women in the United States, particularly for white, black, and Hispanic women. However, women often underestimate their risk and are less aware of heart disease compared to cancer. While all women face risks, minority women tend to have higher rates of risk factors like hypertension and diabetes. More research is still needed to improve prevention and treatment strategies for cardiovascular disease in all populations.
Health Seeking Behaviors following Diabetes Mellitus of Various Ethnic Groups...ijtsrd
The research on Health Seeking Behaviours following Diabetes Mellitus DM of various ethnic groups was conducted because different patients within a given ethnic group or cultural group have different options regarding actions to seek health care services. The purpose of this study was to determine the Health Seeking Behaviours HSB following DM patients from various ethnic groups and the roles of the Health Psychologists HP on the DM patients in Nkwen Health District of Bamenda III Subdivision within Mezam Division of the North West Region of Cameroon. A descriptive survey research design was conducted among 230 sampled DM patients from various ethnic groups in Nkwen Health District. A non probability purposive sampling technique was used to set the population under study. The data was collected using both Focus Groups Discussions FGDs and questionnaire for a period of two months during the period that the DM patients came to Nkwen Health District either to consult or to refill their drugs. The questionnaire were administered to 230 DM patients from the various ethnic groups which were Bali, Bafut, Banso, Bamendankwe, Babanki, Santa, Nkwen and Ndu during this period as well.. The data collected was analysed using both descriptive and inferential statistics with SPSS software tool version 20.0, following the objectives of the study. For HSB, 38.3 agreed that they sought health care from traditional medicine whereas 26.1 remained neutral on traditional medicine. On the other hand, 37.7 disagreed that they used traditional medicine. Cultural believes and distance deterred HSB which were statistically significant with P = 0.001 and P= 0.001 respectively. The options taken to seek health care from the hospital were influenced by family relatives with P=0.001. Therefore, HSB was found to be statistically significant for the first traditional medicine and second line hospital among the different ethnic groups with P = 0.001 and 0.001 respectively. These results showed that poor HSB following DM among the different ethnic groups was statistically significant in Nkwen Health District. Foncham Paul Babila "Health-Seeking Behaviors following Diabetes Mellitus of Various Ethnic Groups in Nkwen Health District of Bamenda III Subdivision, Mezam Division, North West Region of Cameroon" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-6 | Issue-5 , August 2022, URL: https://www.ijtsrd.com/papers/ijtsrd51783.pdf Paper URL: https://www.ijtsrd.com/humanities-and-the-arts/psychology/51783/healthseeking-behaviors-following-diabetes-mellitus-of-various-ethnic-groups-in-nkwen-health-district-of-bamenda-iii-subdivision-mezam-division-north-west-region-of-cameroon/foncham-paul-babila
This document provides biographical and professional information about Dr. Aristides S. Sandoval. It outlines his education including receiving a medical degree from the Autonomous University of Puebla in Mexico in 1986. It details his professional experience working as a physician and medical interpreter in the US since 2003, and prior experience in Panama and Mexico from the 1980s-early 2000s. It also lists his continuing medical education and professional membership.
Identify any genetic predisposition your chosen population ( Hispanifideladallimore
Identify any genetic predisposition your chosen population ( Hispanics) has to a particular disease ( Diabetes) and develop primary practice interventions that reflect the cultural considerations of the population.
Then, develop culturally appropriate, measurable interventions to help your population members maintain an optimal state of health, avoiding the problem that you identified them being at risk for developing.
Culturally aware nurses recognize that states of health are revealed differently across cultures and ethnicities. Culture and ethnic background will affect the way each individual responds to health, illness, and death (Stanhope & Lancaster, 2016). These nurses are also aware of their own biases, which may affect the care they provide to others (Stanhope & Lancaster, 2016). Because most nurses work in institutions with individual patients, they are accustomed to delivering culturally competent care on a one-on-one basis. When a public health nurse deals with a population, he or she must consider how the population culture affects the ways in which the community nurse may interact. This can be with regard to the provision of education or mass health care needs such as those required in a foodborne illness, if mass vaccinations are needed for a communicable disease outbreak, or if education is required to prevent heart disease. In addition to understanding the nuances of the culture of a population, community health nurses must understand the role genetics play in health. Some disorders, such as glaucoma and diabetes, have a genetic link, as do some cancers, such as breast and ovarian.
Please discuss the following questions in no less than 4-5 paragraphs
· Provide a few examples of community resources that should be put in place to assist your population in resolving their health care needs. What gaps in service do you see that affect your population?
· Are there any cultural considerations that might inform your approach to caring for this population?
· Does your population have a genetic predisposition to the health care problem you have identified?
· Identify at least one evidence-based, culturally competent behavior change that would promote health for your selected population and for the specific health care problem you are addressing?
...
The document summarizes a presentation on migrant health care in Europe given by Allan Krasnik from the University of Copenhagen. It discusses key issues in migration and migrant health research, including definitions of migration, health inequalities faced by migrants, and factors that affect migrant health. It also outlines challenges in migrant health research, such as the need for multidisciplinary and international collaboration, as well as large cohort studies of migrants. In conclusion, the presentation argues that migration is an inevitable part of human history and that Europe will always receive migrants, so public health policies and research must address migrant health issues.
This presentation discusses culturally competent care for diabetes. It begins with statistics showing the increasing diversity in the US and higher rates of diabetes in some racial/ethnic groups. The concept of cultural competence is defined as awareness of health beliefs, diseases, and treatment efficacy for different cultures. Providing culturally competent care can improve outcomes by enhancing communication and trust between providers and patients from diverse backgrounds. Strategies discussed include understanding how culture impacts behaviors and communicating in a respectful manner that considers different perspectives.
This document discusses cultural factors that impact diabetes management among immigrant populations in Ottawa, Canada. It begins by providing demographic information on cultural communities in Ottawa and then reviews qualitative studies that identified key cultural barriers to diabetes care, including language barriers, financial constraints, differences in diet and food practices, and certain cultural beliefs. The document concludes by discussing strategies for providing more culturally sensitive care, such as using interpreters and developing culturally tailored education programs.
International Journal of Nursing Terminologies and Classificat.docxnormanibarber20063
International Journal of Nursing Terminologies and Classifications Volume 15, No. 1, January-March, 2004 17
Susan Walsh, MSN, RNC
PURPOSE. To formulate a plan of care for a
culturally diverse population and develop a
resource for the healthcare team in providing
culturally competent care.
DATA SOURCES. Books, journal articles.
DATA SYNTHESIS. Healthcare workers are
challenged to provide appropriate care for an
increasingly diverse population. A cluster of
nursing diagnoses were used to develop a plan of
care addressing the unique challenges of caring
for a diverse population served by a community
hospital.
CONCLUSION. A care plan was devised and
inserted into the nursing diagnosis�based
nursing documentation computer system for easy
access when needed.
PRACTICE IMPLICATIONS. A care plan for a
diverse population can promote respectful and
excellent care for every patient.
Search terms: Care plans, cultural competence,
diversity, nursing diagnosis
Elaboration d�un plan de soin pour des patients
de cultures différentes
BUT. Elaborer un plan de soin pour une
population de culture différente et développer une
ressource pour l�équipe de santé, qui doit
dispenser des soins culturels compétents.
SOURCES DE DONNÉES. Manuels, articles de
revues.
SYNTHÈSE DES DONNÉES. Dispenser des soins
appropriés à une population de cultures variées
représente un défi pour les soignants. Un groupe
de diagnostics infirmiers fut utilisé pour élaborer
un plan de soin destiné à une population
multiculturelle, fréquentant un hôpital
communautaire.
CONCLUSIONS. Un plan de soin fut élaboré et
inclus dans le système de soin informatisé, basé
sur les diagnostics infirmiers afin d�en faciliter
l�accès aux soignants.
IMPLICATIONS POUR LA PRATIQUE. Un plan de
soin destiné à une population multiculturelle
peut promouvoir des soins empreints de respect et
d�excellence pour tous les patients.
Mots-clés: Compétence culturelle, diversité
culturelle, diagnostics infirmiers, plan de soin
Formulation of a Plan of Care for Culturally Diverse
Patients
Translation by Cécile Boisvert, MSN, RN
18 International Journal of Nursing Terminologies and Classifications Volume 15, No. 1, January-March, 2004
Formulation of a Plan of Care for Culturally Diverse Patients
Elaboração de um plano de cuidados para
pacientes culturalmente diversos
OBJETIVO. Formular um plano de cuidados para
uma população culturalmente diversa e
desenvolver um recurso para a equipe de saúde
oferecer um cuidado culturalmente competente.
FONTE DE DADOS. Livros, artigos em periódicos.
SÍNTESE DOS DADOS. Trabalhadores da saúde
têm o desafio de oferecer uma assistência
apropriada para uma população cada vez mais
diversificada. Um agrupamento de diagnósticos
de enfermagem foi utilizado para desenvolver um
plano de cuidados abordando os desafios únicos
de assistir uma população diversificada, servida
por um hospital comunitário.
CONCLUSÃO. Um plano de cuidados foi criado
e i.
This document discusses mental health issues among Hispanic populations in the United States. It notes that while diversity in the US is increasing, the mental health field has struggled to keep up with multicultural needs. Specifically, it finds that Hispanics, now the largest ethnic minority, have low rates of utilizing mental health services and issues with access. The document provides an overview of major depressive disorder among the three largest Hispanic subgroups: Mexican, Puerto Rican, and Cuban Americans. It finds that while response to antidepressant treatment is comparable to non-Hispanic whites, treatment compliance appears to be a concern among Hispanics. The document calls for more research and efforts to improve mental health care and outcomes for Hispanic populations in the US.
The Ventanilla de Salud program provides health services to Mexican and Latino communities through mobile health clinics organized by Mexican consulates and local health organizations. In 2014, the Kansas City mobile clinic held 8 events screening over 3,750 individuals. Screenings found high rates of obesity, prediabetes, and hypertension. Younger participants had less access to healthcare and lower education. The program aims to improve health access, education, and prevention, especially for common issues found in screenings like diabetes and cardiovascular disease.
The document discusses strategies for improving diabetes management programs to better serve racially and ethnically diverse patient populations. It emphasizes the importance of cultural competence and addressing health beliefs, alternative treatments, language barriers, and family roles that are specific to different ethnic groups. Effective programs elicit patients' cultural health beliefs, educate practitioners, provide language assistance, and address social factors like racism that can influence health outcomes.
This document summarizes a presentation about health disparities and resources for addressing them. It discusses how racial, ethnic, sexual, and other minority groups experience health disparities, as well as those in rural areas, women, children, the elderly and disabled. It provides resources for health information in multiple languages, including MedlinePlus, RHIN, EthnoMed, DiversityRx and Healthy Roads Media. The presentation emphasizes understanding different cultural beliefs and practices and their impact on health and healthcare.
The document outlines Kent Wilkinson's lecture on diaspora, identity, ethnicity and health communication. It discusses key concepts like diaspora, cultural identity and ethnicity. It then describes a multi-method study conducted in West Texas to combat diabetes and obesity among rural Hispanics, using surveys, focus groups and psychophysiological testing. The study found diabetes and obesity are significant health threats, and health messages need to be tailored and family-oriented to be effective for this community.
The document discusses pulling yourself up by your bootstraps in the context of the COVID-19 pandemic. It summarizes that the saying means improving your situation through hard work rather than assistance. It then discusses how African Americans were disproportionately impacted by the 1918 flu pandemic due to issues with healthcare access and discrimination. The document outlines steps communities took in response, and how similar issues have led to health disparities during COVID-19. It promotes preventative measures like vaccination, masks, and distancing to overcome challenges in a self-reliant way.
Ethical consideration is important in nursing practice.docxwrite22
Ethical consideration is important in nursing practice, especially when providing care to patients from diverse sociocultural backgrounds. The document discusses caring for a Hispanic patient with type 2 diabetes who had different cultural beliefs about the causes and treatment of diabetes. These included beliefs that diabetes is temporary, not identifying some types as severe, and viewing their health condition as punishment from God. Considering a patient's sociocultural background and beliefs is important for providing culturally competent, holistic care.
This document provides biographical and professional information about Peter J. Guarnaccia. It includes his educational background, academic positions, consultant positions, advisory committees, funded grant proposals, and publications. Some key details:
- He received his Ph.D. in 1984 from the University of Connecticut, focusing on medical anthropology.
- He is currently a Professor in the Department of Human Ecology at Rutgers University and a core faculty member of the Institute for Health, Health Care Policy, and Aging Research.
- His research focuses on cultural issues in mental health services, including studies of Latino populations.
- He has held numerous consulting positions on projects related to Latino mental health and has served on
This document describes a research project that aims to understand health care experiences of immigrant patients and providers in Barcelona, Spain. It involves interviews with government officials, health care workers, community groups, and patients. The methodology includes interviews, observations of clinical settings, and qualitative data analysis software. Key findings include that primary care allows easy neighborhood access, but language barriers and socioeconomic differences still present challenges. The conclusions suggest the importance of intercultural initiatives and mental health integration to improve immigrant health care.
Culture, Generational Differences and Spirituality in NursingElizabeth Novak
This document discusses culture, generational differences, and spirituality in nursing leadership and management. It defines culture and discusses the importance of cultural competence in healthcare. Generational differences among Traditionalists, Baby Boomers, Generation X, and Generation Y are reviewed. The document also discusses the importance of integrating patients' spiritual beliefs into culturally competent nursing care and being aware of potential spiritual distress.
Mexican immigrant women in New Brunswick face barriers to practicing traditional folk health methods since settling in the area. Three main types of barriers were identified: interpersonal barriers with healthcare providers who may not understand folk practices, environmental barriers due to the availability and cost of traditional ingredients, and systemic barriers such as documentation requirements to access services. The study aims to investigate the extent to which these women can continue traditional practices in New Brunswick, and whether those practices conflict with institutional healthcare programs. Focus group interviews have been conducted with 14 Mexican immigrant women so far to understand their health perspectives and experiences.
The Office of Research on Women's Health at the NIH works to ensure women's health issues are adequately studied and women are represented in clinical research. Cardiovascular disease is the leading cause of death among women in the United States, particularly for white, black, and Hispanic women. However, women often underestimate their risk and are less aware of heart disease compared to cancer. While all women face risks, minority women tend to have higher rates of risk factors like hypertension and diabetes. More research is still needed to improve prevention and treatment strategies for cardiovascular disease in all populations.
Health Seeking Behaviors following Diabetes Mellitus of Various Ethnic Groups...ijtsrd
The research on Health Seeking Behaviours following Diabetes Mellitus DM of various ethnic groups was conducted because different patients within a given ethnic group or cultural group have different options regarding actions to seek health care services. The purpose of this study was to determine the Health Seeking Behaviours HSB following DM patients from various ethnic groups and the roles of the Health Psychologists HP on the DM patients in Nkwen Health District of Bamenda III Subdivision within Mezam Division of the North West Region of Cameroon. A descriptive survey research design was conducted among 230 sampled DM patients from various ethnic groups in Nkwen Health District. A non probability purposive sampling technique was used to set the population under study. The data was collected using both Focus Groups Discussions FGDs and questionnaire for a period of two months during the period that the DM patients came to Nkwen Health District either to consult or to refill their drugs. The questionnaire were administered to 230 DM patients from the various ethnic groups which were Bali, Bafut, Banso, Bamendankwe, Babanki, Santa, Nkwen and Ndu during this period as well.. The data collected was analysed using both descriptive and inferential statistics with SPSS software tool version 20.0, following the objectives of the study. For HSB, 38.3 agreed that they sought health care from traditional medicine whereas 26.1 remained neutral on traditional medicine. On the other hand, 37.7 disagreed that they used traditional medicine. Cultural believes and distance deterred HSB which were statistically significant with P = 0.001 and P= 0.001 respectively. The options taken to seek health care from the hospital were influenced by family relatives with P=0.001. Therefore, HSB was found to be statistically significant for the first traditional medicine and second line hospital among the different ethnic groups with P = 0.001 and 0.001 respectively. These results showed that poor HSB following DM among the different ethnic groups was statistically significant in Nkwen Health District. Foncham Paul Babila "Health-Seeking Behaviors following Diabetes Mellitus of Various Ethnic Groups in Nkwen Health District of Bamenda III Subdivision, Mezam Division, North West Region of Cameroon" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-6 | Issue-5 , August 2022, URL: https://www.ijtsrd.com/papers/ijtsrd51783.pdf Paper URL: https://www.ijtsrd.com/humanities-and-the-arts/psychology/51783/healthseeking-behaviors-following-diabetes-mellitus-of-various-ethnic-groups-in-nkwen-health-district-of-bamenda-iii-subdivision-mezam-division-north-west-region-of-cameroon/foncham-paul-babila
This document provides biographical and professional information about Dr. Aristides S. Sandoval. It outlines his education including receiving a medical degree from the Autonomous University of Puebla in Mexico in 1986. It details his professional experience working as a physician and medical interpreter in the US since 2003, and prior experience in Panama and Mexico from the 1980s-early 2000s. It also lists his continuing medical education and professional membership.
Identify any genetic predisposition your chosen population ( Hispanifideladallimore
Identify any genetic predisposition your chosen population ( Hispanics) has to a particular disease ( Diabetes) and develop primary practice interventions that reflect the cultural considerations of the population.
Then, develop culturally appropriate, measurable interventions to help your population members maintain an optimal state of health, avoiding the problem that you identified them being at risk for developing.
Culturally aware nurses recognize that states of health are revealed differently across cultures and ethnicities. Culture and ethnic background will affect the way each individual responds to health, illness, and death (Stanhope & Lancaster, 2016). These nurses are also aware of their own biases, which may affect the care they provide to others (Stanhope & Lancaster, 2016). Because most nurses work in institutions with individual patients, they are accustomed to delivering culturally competent care on a one-on-one basis. When a public health nurse deals with a population, he or she must consider how the population culture affects the ways in which the community nurse may interact. This can be with regard to the provision of education or mass health care needs such as those required in a foodborne illness, if mass vaccinations are needed for a communicable disease outbreak, or if education is required to prevent heart disease. In addition to understanding the nuances of the culture of a population, community health nurses must understand the role genetics play in health. Some disorders, such as glaucoma and diabetes, have a genetic link, as do some cancers, such as breast and ovarian.
Please discuss the following questions in no less than 4-5 paragraphs
· Provide a few examples of community resources that should be put in place to assist your population in resolving their health care needs. What gaps in service do you see that affect your population?
· Are there any cultural considerations that might inform your approach to caring for this population?
· Does your population have a genetic predisposition to the health care problem you have identified?
· Identify at least one evidence-based, culturally competent behavior change that would promote health for your selected population and for the specific health care problem you are addressing?
...
The document summarizes a presentation on migrant health care in Europe given by Allan Krasnik from the University of Copenhagen. It discusses key issues in migration and migrant health research, including definitions of migration, health inequalities faced by migrants, and factors that affect migrant health. It also outlines challenges in migrant health research, such as the need for multidisciplinary and international collaboration, as well as large cohort studies of migrants. In conclusion, the presentation argues that migration is an inevitable part of human history and that Europe will always receive migrants, so public health policies and research must address migrant health issues.
This presentation discusses culturally competent care for diabetes. It begins with statistics showing the increasing diversity in the US and higher rates of diabetes in some racial/ethnic groups. The concept of cultural competence is defined as awareness of health beliefs, diseases, and treatment efficacy for different cultures. Providing culturally competent care can improve outcomes by enhancing communication and trust between providers and patients from diverse backgrounds. Strategies discussed include understanding how culture impacts behaviors and communicating in a respectful manner that considers different perspectives.
Similar to Borderland and Binational Health and Health Care, by Dr. Jill Fleuriet (20)
Think Earth: Water Pollution, by Saugata DattaNathan Cone
This is the PowerPoint prepared by Dr. Saugata Datta (UTSA) for Texas Public Radio's Think Earth event held on October 7, 2022. The slide presentation focuses on water pollution, and matches with the audio on this page: https://www.tpr.org/tpr-events-initiatives/2022-09-28/think-earth-pollution
This is the PowerPoint prepared by Dawn Davies (Hill Country Alliance) for Texas Public Radio's Think Earth event held on October 7, 2022. The slide presentation focuses on light pollution, and matches with the audio on this page: https://www.tpr.org/tpr-events-initiatives/2022-09-28/think-earth-pollution
This is the PowerPoint prepared by Diane Rath (AACOG) for Texas Public Radio's Think Earth event held on October 7, 2022. The slide presentation focuses on air pollution, and matches with the audio on this page: https://www.tpr.org/tpr-events-initiatives/2022-09-28/think-earth-pollution
The Green Spaces Alliance works to protect land and urban spaces in Texas through conservation, community engagement, and education. It conserves areas like the Edwards Aquifer, farmland, and wildlife habitat. The organization supports community gardens to build community and encourage healthy lifestyles. It also runs a youth photography program to get children outdoors and teach them photography and environmental advocacy skills. The Green Spaces Alliance is led by a CEO and directors overseeing conservation, urban programs, and environmental education.
Think Science: ACES, by Dr. Amelie RamirezNathan Cone
Salud America! is a program led by Dr. Amelie Ramirez that focuses on addressing adverse childhood experiences (ACEs) through health communication and advocacy. The document provides examples of programs and initiatives that help children who have experienced trauma, such as a school-based intervention providing mental health services, a district-wide trauma-informed task force, and the "Handle with Care" program which notifies schools when a student has experienced trauma. Salud America! has created action packs and advocacy efforts to help expand these types of trauma-sensitive programs and policies.
Think Science: ACES, by Dr. Colleen BridgerNathan Cone
The document discusses San Antonio's efforts to become a trauma-informed community through the South Texas Trauma-Informed Care Consortium. It describes the Consortium's initial priorities of gathering data, connecting with existing groups, and raising ACEs awareness. It then outlines the Consortium's vision of certifying Bexar County as trauma-informed and its workgroups across various sectors. Finally, it provides updates on the city's trauma-informed initiatives, including the creation of an Institute for Trauma-Informed Care and plans for a certifying entity to assess and certify organizations' trauma-informed practices.
I'm Getting Older! Is there a pill for that? By Dr. Dean KelloggNathan Cone
This document summarizes research on the potential anti-aging effects of the drug rapamycin. It describes a clinical trial that investigated the safety and impact of rapamycin supplementation in older adults. The trial found that rapamycin was generally safe and well-tolerated, with few adverse effects. It appeared to positively impact some measures of immune function and inflammation. However, the document notes that longer and larger studies are still needed to fully understand rapamycin's safety profile and ability to extend healthspan in humans.
How the Internet Is Changing Your BrainNathan Cone
The document discusses how the internet may be changing brain function through increased internet usage. It covers topics like how internet use can impact sleep, attention, memory, critical thinking, novelty/focus, reward seeking, and emotions. While internet access provides benefits like knowledge and social connection, overuse without balance can potentially lead to issues like addiction and weakened brain functions. Moderation and balance are recommended.
Sectional dentures for microstomia patients.pptxSatvikaPrasad
Microstomia, characterized by an abnormally small oral aperture, presents significant challenges in prosthodontic treatment, including limited access for examination, difficulties in impression making, and challenges with prosthesis insertion and removal. To manage these issues, customized impression techniques using sectional trays and elastomeric materials are employed. Prostheses may be designed in segments or with flexible materials to facilitate handling. Minimally invasive procedures and the use of digital technologies can enhance patient comfort. Education and training for patients on prosthesis care and maintenance are crucial for compliance. Regular follow-up and a multidisciplinary approach, involving collaboration with other specialists, ensure comprehensive care and improved quality of life for microstomia patients.
Mental Health and well-being Presentation. Exploring innovative approaches and strategies for enhancing mental well-being. Discover cutting-edge research, effective strategies, and practical methods for fostering mental well-being.
VEDANTA AIR AMBULANCE SERVICES IN REWA AT A COST-EFFECTIVE PRICE.pdfVedanta A
Air Ambulance Services In Rewa works in close coordination with ground-based emergency services, including local Emergency Medical Services, fire departments, and law enforcement agencies.
More@: https://tinyurl.com/2shrryhx
More@: https://tinyurl.com/5n8h3wp8
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India Medical Devices Market: Size, Share, and In-Depth Competitive Analysis ...Kumar Satyam
According to TechSci Research report, “India Medical Devices Market Industry Size, Share, Trends, Competition, Opportunity and Forecast, 2019-2029,” the India Medical Devices Market was valued at USD 15.35 billion in 2023 and is anticipated to witness impressive growth in the forecast period, with a Compound Annual Growth Rate (CAGR) of 5.35% through 2029. This growth is driven by various factors, including strategic collaborations and partnerships among leading companies, a growing population, and the increasing demand for advanced healthcare solutions.
Recent Trends
Strategic Collaborations and Partnerships
One of the most significant trends driving the India Medical Devices Market is the increasing number of collaborations and partnerships among leading companies. These alliances aim to merge the expertise of individual companies to strengthen their market position and enhance their product offerings. For instance, partnerships between local manufacturers and international companies bring advanced technologies and manufacturing techniques to the Indian market, fostering innovation and improving product quality.
Browse over XX market data Figures and spread through XX Pages and an in-depth TOC on " India Medical Devices Market.” - https://www.techsciresearch.com/report/india-medical-devices-market/8161.html
Test bank clinical nursing skills a concept based approach 4e pearson educati...rightmanforbloodline
Test bank clinical nursing skills a concept based approach 4e pearson education
Test bank clinical nursing skills a concept based approach 4e pearson education
Test bank clinical nursing skills a concept based approach 4e pearson education
The facial nerve, also known as cranial nerve VII, is one of the 12 cranial nerves originating from the brain. It's a mixed nerve, meaning it contains both sensory and motor fibres, and it plays a crucial role in controlling various facial muscles, as well as conveying sensory information from the taste buds on the anterior two-thirds of the tongue.
Research, Monitoring and Evaluation, in Public Healthaghedogodday
This is a presentation on the overview of the role of monitoring and evaluation in public health. It describes the various components and how a robust M&E system can possitively impact the results or effectiveness of a public health intervention.
Fit to Fly PCR Covid Testing at our Clinic Near YouNX Healthcare
A Fit-to-Fly PCR Test is a crucial service for travelers needing to meet the entry requirements of various countries or airlines. This test involves a polymerase chain reaction (PCR) test for COVID-19, which is considered the gold standard for detecting active infections. At our travel clinic in Leeds, we offer fast and reliable Fit to Fly PCR testing, providing you with an official certificate verifying your negative COVID-19 status. Our process is designed for convenience and accuracy, with quick turnaround times to ensure you receive your results and certificate in time for your departure. Trust our professional and experienced medical team to help you travel safely and compliantly, giving you peace of mind for your journey.www.nxhealthcare.co.uk
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Here are some key objectives of communication with children:
Build Trust and Security:
Establish a safe and supportive environment where children feel comfortable expressing themselves.
Encourage Expression:
Enable children to articulate their thoughts, feelings, and experiences.
Promote Emotional Understanding:
Help children identify and understand their own emotions and the emotions of others.
Enhance Listening Skills:
Develop children’s ability to listen attentively and respond appropriately.
Foster Positive Relationships:
Strengthen the bond between children and caregivers, peers, and other adults.
Support Learning and Development:
Aid cognitive and language development through engaging and meaningful conversations.
Teach Social Skills:
Encourage polite, respectful, and empathetic interactions with others.
Resolve Conflicts:
Provide tools and guidance for children to handle disagreements constructively.
Encourage Independence:
Support children in making decisions and solving problems on their own.
Provide Reassurance and Comfort:
Offer comfort and understanding during times of distress or uncertainty.
Reinforce Positive Behavior:
Acknowledge and encourage positive actions and behaviors.
Guide and Educate:
Offer clear instructions and explanations to help children understand expectations and learn new concepts.
By focusing on these objectives, communication with children can be both effective and nurturing, supporting their overall growth and well-being.
Health Tech Market Intelligence Prelim Questions -Gokul Rangarajan
The Ultimate Guide to Setting up Market Research in Health Tech part -1
How to effectively start market research in the health tech industry by defining objectives, crafting problem statements, selecting methods, identifying data collection sources, and setting clear timelines. This guide covers all the preliminary steps needed to lay a strong foundation for your research.
This lays foundation of scoping research project what are the
Before embarking on a research project, especially one aimed at scoping and defining parameters like the one described for health tech IT, several crucial considerations should be addressed. Here’s a comprehensive guide covering key aspects to ensure a well-structured and successful research initiative:
1. Define Research Objectives and Scope
Clear Objectives: Define specific goals such as understanding market needs, identifying new opportunities, assessing risks, or refining pricing strategies.
Scope Definition: Clearly outline the boundaries of the research in terms of geographical focus, target demographics (e.g., age, socio-economic status), and industry sectors (e.g., healthcare IT).
3. Review Existing Literature and Resources
Literature Review: Conduct a thorough review of existing research, market reports, and relevant literature to build foundational knowledge.
Gap Analysis: Identify gaps in existing knowledge or areas where further exploration is needed.
4. Select Research Methodology and Tools
Methodological Approach: Choose appropriate research methods such as surveys, interviews, focus groups, or data analytics.
Tools and Resources: Select tools like Google Forms for surveys, analytics platforms (e.g., SimilarWeb, Statista), and expert consultations.
5. Ethical Considerations and Compliance
Ethical Approval: Ensure compliance with ethical guidelines for research involving human subjects.
Data Privacy: Implement measures to protect participant confidentiality and adhere to data protection regulations (e.g., GDPR, HIPAA).
6. Budget and Resource Allocation
Resource Planning: Allocate resources including time, budget, and personnel required for each phase of the research.
Contingency Planning: Anticipate and plan for unforeseen challenges or adjustments to the research plan.
7. Develop Research Instruments
Survey Design: Create well-structured surveys using tools like Google Forms to gather quantitative data.
Interview and Focus Group Guides: Prepare detailed scripts and discussion points for qualitative data collection.
8. Sampling Strategy
Sampling Design: Define the sampling frame, size, and method (e.g., random sampling, stratified sampling) to ensure representation of target demographics.
Participant Recruitment: Plan recruitment strategies to reach and engage the intended participant groups effectively.
9. Data Collection and Analysis Plan
Data Collection: Implement methods for data gathering, ensuring consistency and validity.
Analysis Techniques: Decide on analytical approaches (e.g., statistical
Innovative Minds France's Most Impactful Healthcare Leaders.pdf
Borderland and Binational Health and Health Care, by Dr. Jill Fleuriet
1.
2.
3.
4. Who is a person?
Who is a citizen?
How do these
definitions
impact health?
5. Mexican and American Discourses of Motherhood and Gender
*
Social Status and Stress during Pregnancy
*
Birthweight
6. What are American
discourses about the
southTexas border?
*
What are local
discourses?
Resilience, expertise,
innovation
Binational potential
for transformation
10. Global Health and
the Environment
UTSA Study Abroad
in Guadalajara, 2017
*
UDG, Universidad
Cuauhtémoc, Centro
Para la Conservación e
Investigación de laVida
Silvestre
11. Access to Dialysis in the
U.S. for Mexican
Immigrants with End-Stage
Renal Disease
*
health, immigration, citizenship
First, I would like to express my appreciation for the hospitality of the Institute for Texan Cultures this evening. It is an honor and a pleasure to spend the evening with CIESAS faculty and UTSA administrators, faculty and students. In fact, our intellectual and cultural exchange tonight reminds me of the eleventh Binational Policy Forum on Migration and Global Health in 2011 that was the beginning of the book we discuss tonight. I would like to briefly present how our book contribution developed, highlighting the opportunities and experiences that emerged from our chapter. I speak on behalf of myself, and then I will also present on behalf of my co-author, Milena Melo.
During the Binational Policy Forum on Migration and Global Health, I presented on my work on birth outcomes among immigrant women from Mexico living in South Texas. I am a medical and cultural anthropologist. My research focuses on the ways in which health and health care inequalities are produced by political economic and social processes and the experiences of those who suffer those inequalities and those who fight against them. For my Forum talk, I spoke about the special case of prenatal care for undocumented immigrant women and the birth weight of their infants.
My work necessarily engages research from scholars on both sides of the border. When Dr. Harriett Romo asked me to contribute to a book that involved both Mexican and American scholars of social sciences, I was honored. It was a chance for me to delve more deeply into how and why migration processes impacted women’s understanding and experience of pregnancy and prenatal care and how and why migration processes may influence birth outcomes of these women. I also grew up on the US-Mexico border in the Rio Grande Valley of Texas. It is a transnational area, rich with histories of exchanges between Mexico and the United States. Dr. Romo’s book was a logical extension of my personal and professional commitments to binational dialogue, particularly during the tense political times in the United States.
That same Fall, a new doctoral student entered our Anthropology program at UTSA. Her name was Milena Melo. Milena is also from the Rio Grande Valley of South Texas, and she was born in Mexico. She arrived at UTSA with a commitment to studying inequalities in access to health care by low-income undocumented immigrants from Mexico. She herself is from this community. When Dr. Harriett Romo met Milena and learned about her research involving immigrants, she asked me if we would write a chapter together for the book.
Milena’s work and my work fit together so seamlessly that, honestly, I was a little concerned about how easily the chapter came together! It was as if the chapter was meant to be. Milena and I wrote about the ways in which constructions of personhood and citizenship directly influence immigrant health and health-care eligibility. We used contrasting case studies: mine of prenatal care for undocumented immigrant women and hers of dialysis for undocumented Mexican immigrants with advanced diabetes and hypertension in communities in South Texas. In the case of prenatal care in Texas, undocumented immigrant women have access to preferred medical care, which is correlated with improved birth and child and adult health. In the case of undocumented immigrants with advanced diabetes, hypertension, and related conditions in Texas, care is irregular and fragmented at best, which increases morbidity and mortality. Both case studies are complicated by state definitions of deservingness-of-care criteria for publicly funded health care. State criteria for who receives health care, in turn, are shaped by understandings of what constitutes a person and a citizen. For analysis, we drew from our respective ethnographic work in Hidalgo and Cameron Counties of the lower Rio Grande Valley of Texas. We illustrated how access to health care at the beginnings and endings of life fundamentally shape the well-being of immigrant communities. We concluded with a brief discussion as to how differential access to health care can shape immigrant experiences of incorporation, using Portes and Böröcz’s (1989) typology of modes of incorporation, and how these analyses could inform policy.
From this collaboration, Milena and I both began to think more strategically about how to incorporate binational perspectives into our research and teaching. Participation in the conference also strengthened my commitment to interdisciplinary collaboration. For my research, writing our book chapter reinforced the cultural diversity of immigrants coming from Mexico and the need for interdisciplinary investigation into the relationship between mental health, immigration, and health outcomes. I recently completed a fruitful collaboration with Dr. Thankam Sunil, a demographer and sociologist at UTSA to extend my work in the Rio Grande Valley. We conducted a five year investigation into understanding why low-income Mexican immigrant women had healthier infants that Mexican American and non-Hispanic white women – and why Mexican immigrant women started having less healthy babies the longer they lived in the United States. Since 2011, we have surveyed 630 Mexican immigrant and Mexican American women for psychosocial health, subjective social status, and reproductive histories; we surveyed another 558 women about psychosocial health, pregnancy intendedness, and contraception use. Finally, we conducted in-depth, ethnographic interviews with 83 women for their experiences and narratives about their social status during pregnancy and prenatal care practices. The majority of immigrant women were from cities in Central and Northern Mexico. These immigrant women from central and Northern Mexico had quite similar prenatal care practices as U.S. born women. But, they did have different understandings of the social status of pregnant women, and they experienced significantly less perceived stress when pregnant, as compared to U.S.-born women. Thus, in our most recent article we document how meanings of pregnancy and motherhood increasingly integrate notions of stress the longer immigrant Mexican women live in the United States. Stress has consistently been linked to low birth weight. We argue that understandings of pregnancy and motherhood among Mexican immigrant women living in the United States change; pregnancy becomes a more stressful time. The increased stress may affect the increase in low birth weight infants born to those women. We have published our work in four journals and presented on our work at twice as many conferences.
My new project is also on the US-Mexico border, and it involves a different way of imagining binationalism. At its most fundamental, my new project is about the stories we tell about places and peoples and how these stories shapes efforts to promote community health and wellbeing. The places and people of my project are the US side of US-Mexico border, specifically the Rio Grande Valley. A colleague and I systematically analyzed local, state and national stories about this region. We found that the most common stories were about border corruption, poverty, health and health care inequalities, and educational inequalities. Rarely were the stories positive. Next, I have so far conducted over 75 interviews with elected and appointed leaders in the Valley in the areas of politics, business and development, health and health care, and education. I have recorded their stories about the Valley and documented their initiatives to promote health and wellbeing in the border communities. The resilience, expertise, and innovation of these leaders are at odds with the dominant news stories in the US about the border. Ultimately, my book will offer an alternative story about the Texas border region that is grounded in the actual lives and stories of the people who live there and who work hard to help their communities. One of the most prevalent themes I hear from border leaders are the productive, rich, and potentially transformative relationships between the United States and Mexico. I think it’s time that story is heard.
Here is a brief example. The picture on this slide is from a Texas Tribune panel that was held this summer in McAllen, a large city in the Valley. The panel was called “Life on the Border: Rhetoric or Reality?”. It was hosted by The Texas Tribune, a highly respected, bipartisan, statewide news outlet. The Trib, as it’s colloquially known, recently began a yearlong investigative series.
Entitled “Bordering on Insecurity,” the series considers the ways in which the Texas-Mexico border is “secure,” especially with respect to the movement of people and crime. The picture on the series’ homepage is of a still river, shrunken with dry patches and surrounded by a brown desert landscape. On the far right hand side of the picture are two white and green border patrol trucks, waiting. Below the picture are the headlines: “Cracks in the Wall: When Border Watchdogs Turn Criminal,” “Love and Money Join Agent, Drug Smuggler,” and “How Investigators Linked a Headless Body to a Border Patrol Agent” (August 10, 2016). In smaller font, the sidebar Investigative Highlights reads: “We’ve also explained why the border region is safer than much of the rest of the state and brought you the voices of immigrants longing to cross the Rio Grande.” When The Texas Tribune defines the U.S.-Mexico borderlands as insecure, corrupt, and broken, defined by immigration alone, a narrow vision of the borderlands is reinscribed and perpetuated, especially during an intense election year demarcated by discourses on immigration and national security.
The McAllen panel was in response to loud and public criticism from editors of the McAllen and El Paso newspapers. Old friends with both editors, the editor of The Trib said that yes, it was true the series perpetuated border stereotypes, but he was keeping it. He did ultimately add that sidebar about how safe Valley cities were – and he held the panel in McAllen. But that’s it.
My participation in the Binational Policy Forum on Migration and Global Health conference also led to innovations in my teaching, specifically my participation and development of two study abroad programs in Guadalajara, Mexico. This past summer, I co-taught a cross-cultural medicine course with UTSA students. In this course, we study the complexity of American and Mexican medical systems, considering how they are similar and different – and how this can affect patient care. We partnered with Tech de Monterrey in Guadalajara and IMSS, the largest provider of health care in Mexico. We even had the chance to spend an evening with CIESAS Occidente scholars – I call the upper righthand picture my fangirl shot.
Our UTSA Roadrunners had a wonderful time in Guadalajara! Here they are outside of Tequila.
In the summer of 2017, my colleague, Dr Michael Muehlenbein, and I will offer a binational, comparative research project on risk perception of Zika and zoonotic diseases. We will teach our students cross-cultural research methods and ethics and combine research and service-based learning at zoos and wildlife rehabilitation and sanctuaries in San Antonio, on the US-Mexico border, and in Guadalajara, Mexico. In Guadalajara, our UTSA students will be working alongside veterinary students from Guadalajara. In essence, my research and teaching have become even more binational.
For Milena, writing this chapter also drew her attention to the binational implications of her dissertation research on how definitions of citizenship determine who has access to dialysis care in the United States. During her dissertation research, she interviewed and followed dialysis patients who were undocumented immigrants from Mexico as well as permanent residents. She participated in health fairs and diabetes screenings. She also interviewed and followed doctors and social workers as they treated these dialysis patients. . Doctors in the Rio Grande Valley often scolded undocumented patients for not returning to Mexico where they could supposedly receive “free” dialysis and healthcare. These beliefs conflicted with the stories Milena heard throughout her dissertation from undocumented patients. Her dissertation explores how health care access policies encode ideas of citizenship that fundamentally shape the health outcomes of undocumented immigrants. I should note that all of these pictures are used with permission of her participants; they wanted their stories told.
While the restrictions of her Deferred Action for Childhood Arrivals (DACA) status had originally limited her research to the United States, Milena was recently granted permission to temporarily travel to Mexico to begin a comparison study of access to dialysis for the poor in Mexico. Diabetes is currently the number 1 cause of death in Mexico, with kidney disease being a close second. Likewise, the Rio Grande Valley of Texas currently has the 2nd highest rate of diabetes in the US. Kidney disease, and its two leading causes, diabetes and hypertension, are of deadly concern binationally, between our two countries. With the generous support and funding from the UTSA Mexico Center-CIESAS Fellowship, she resided in Monterrey, Nuevo Leon in order to explore the options and access of those essentially “uninsured” Mexicans who fall in between the cracks of Seguro Popular and require dialysis treatment. She continued interviews and participant observation with dialysis patients.
She also traveled to the Mexico City campus of CIESAS to participate in discussions with Mexican social scientists. The opportunity to look at the issue of dialysis care from a binational perspective would not have been possible if it were not for Milena’s involvement in this book, the UTSA Mexico Center, and CIESAS.
During her time in Mexico, Milena was also able to establish meaningful connections and networks with anthropologists at CIESAS Noreste and CIESAS Distrito Federal – what it was called then, where she participated in a special session of the Seminario Permanente de Antropologia Medica on diabetes. Throughout both her time at the CIESAS offices and the Hospital Universitario at Monterrey, Milena has built key relationships that will surely lay the groundwork for a future long-term project analyzing the experiences of Mexicans on both sides of the border requiring dialysis care.
Milena’s success in research and publication has led to a number of accolades and grants. She was awarded the National Science Foundation’s Doctoral Dissertation Research Improvement Grant and recently awarded the 2016 American Anthropological Association’s Minority Dissertation Fellowship. She was also selected as a Ford Foundation Fellow – in fact, she could not be here tonight because she is at her first Ford Fellows conference.
To conclude, I would once again like to express my gratitude to Dr. Harriett Romo for the opportunity to contribute to the book and to express my appreciation to CIESAS, UTSA – specifically the ITC, for this lovely evening. Thank you.