This Viewpoint reviews possible reasons for reported excess mortality and poor outcomes in racial/ethnic minority populations with COVID-19 and proposes research, public health, and clinical interventions to decrease health inequities in and beyond the pandemic.

This article reports the development of a short (12-item) acculturation scale for Hispanics. Separate factor analyses of the responses of 363 Hispanics and 228 non-Hispanic whites produced three factors: "Language Use," "Media," and "Ethnic Social Relations." The 12-item scale (explaining 67.6% of the variance for Hispanics) correlated highly with the following validation criteria: respondents' generation, length of residence in the U.S., age at arrival, ethnic self-identification, and with an acculturation index. The first factor consists of only five items and explains 54.5% of the variance while maintaining strong correlations with the various criteria. The validity and reliability coefficients for this new short scale are comparable to those obtained for other published scales. Separate validations for Mexican Americans and Central Americans showed similar results.

This investigation studied the effects of acculturation on attitudinal familism in 452 Hispanics compared to 227 white nonHispanics. Despite differences in the national origin of Hispanics, Mexican-, Central -and Cuban-Americans reported similar attitudes toward the family indicating that familism is a core characteristic in the Hispanic culture. Three basic dimensions of familism were found: Familial obligations, perceived support from the family and family as referents. The high level of perceived family support, invariable despite changes in acculturation, is the most essential dimension of Hispanic familism. Familial obligations and the perception of the family as referents appear to diminish with the level of acculturation, but the perception of family support doesn't change. Although these two dimensions of familism decrease concurrently with the level of acculturation, the attitudes of persons with high levels of acculturation are more familistic than those of white nonHispanics.

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