Cultural factors in preventive care: Latinos

Diaz, Victor

doi:10.1016/s0095-4543(02)00010-6

Cited by 76 publications

(53 citation statements)

References 31 publications

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“…These results are somewhat counterintuitive, as previously the negative association between foreign immigration status and the health outcome has been suggested (19). Low income, unemployment, low level of education, lack of health insurance and access to quality health care, and anti-immigrant sentiment and discrimination in health care (19) as well as language barrier (32) have been listed as potential reasons. However, because of the selection process, the transplantation population might not reflect the general trends described in immigrants.…”

Section: Discussionmentioning

confidence: 82%

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Role of Socioeconomic Status in Kidney Transplant Outcome

Goldfarb–Rumyantzev

Koford

Baird

et al. 2006

Clinical Journal of the American Society of Nephrology

126

107

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There is controversy regarding the influence of genetic versus environmental factors on kidney transplant outcome in minority groups. The goal of this project was to evaluate the role of certain socioeconomic factors in allograft and recipient survival. Graft and recipient survival data from the United States Renal Data System were analyzed using Cox modeling with primary variables of interest, including recipient education level, citizenship, and primary source of pay for medical service. College (hazard ratio [HR] 0.93, P < 0.005) and postcollege education (HR 0.85, P < 0.005) improved graft outcome in the whole group and in patients of white race. Similar trends were observed for recipient survival (HR 0.9, P < 0.005 for college; HR 0.88, P ‫؍‬ 0.09 for postcollege education) in the whole population and in white patients. Resident aliens had a significantly better graft outcome in the entire patient population (HR 0.81, P < 0.001) and in white patients in subgroup analysis (HR 0.823, P < 0.001) compared with US citizens. A similar effect was observed for recipient survival. Using Medicare as a reference group, there is a statistically significant benefit to graft survival from having private insurance in the whole group (HR 0.87, P < 0.001) and in the black (HR 0.8, P < 0.001) and the white (HR 0.89, P < 0.001) subgroups; a similar effect of private insurance is observed on recipient survival in the entire group of patients and across racial groups. Recipients with higher education level, resident aliens, and patients with private insurance have an advantage in the graft and recipient outcomes independent of racial differences.

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Section: Discussionmentioning

confidence: 82%

“…Poverty, unemployment, and low education level have been listed among the factors that adversely affect health (19). SES has been suggested to play a significant role in kidney transplant outcome.…”

Section: Discussionmentioning

confidence: 99%

Role of Socioeconomic Status in Kidney Transplant Outcome

Goldfarb–Rumyantzev

Koford

Baird

et al. 2006

Clinical Journal of the American Society of Nephrology

126

107

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“…66,70 Thus, these women may have been better able to effectively communicate with their providers than Latinas receiving care from non-Spanish-speaking providers in other studies. Foreign-born Latinos experience more difficulty obtaining culturally competent care 38,41,[72][73] and are more likely to report discrimination by health-care providers than are USborn Latinos. 42 Approximately 41% of the sample reported that they experienced health-care discrimination.…”

Section: Discussionmentioning

confidence: 99%

Are Health-care Relationships Important for Mammography Adherence in Latinas?

Sheppard

Wang

et al. 2008

J GEN INTERN MED

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BACKGROUND: Latinas are the fastest growing racial ethnic group in the United States and have an incidence of breast cancer that is rising three times faster than that of non-Latino white women, yet their mammography use is lower than that of non-Latino women. OBJECTIVES:We explored factors that predict satisfaction with health-care relationships and examined the effect of satisfaction with health-care relationships on mammography adherence in Latinas. DESIGN AND SETTING:We conducted a cross-sectional survey of 166 Latinas who were ≥40 years old. Women were recruited from Latino-serving clinics and a Latino health radio program.MEASUREMENTS: Mammography adherence was based on self-reported receipt of a mammogram within the past 2 years. The main independent variable was overall satisfaction with one's health-care relationship. Other variables included: self report of patient-provider communication, level of trust in providers, primary language, country of origin, discrimination experiences, and perceptions of racism.RESULTS: Forty-three percent of women reported very high satisfaction in their health-care relationships. Women with high trust in providers and those who did not experience discrimination were more satisfied with their health-care relationships compared to women with lower trust and who experienced discrimination (p<.01). Satisfaction with the health-care relationship was, in turn, significantly associated with mammography adherence (OR: 3.34, 95% CI: 1.47-7.58), controlling for other factors.CONCLUSIONS: Understanding the factors that impact Latinas' mammography adherence may inform intervention strategies. Efforts to improve Latina's satisfaction with physicians by building trust may lead to increased use of necessary mammography.

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“…The use of translating services is recommended. 75 In a patient survey on their perception of physicians, both Latinos and African Americans placed higher value on provider respect, concern, courtesy, and education on prevention than on the amount of time spent by the physician. 76,77 Reducing disparities in care requires greater focus in medical training and continuing education to improve health care provider communication with patients of all ethnic and cultural backgrounds.…”

Section: Provider-to-patient Communicationmentioning

confidence: 99%

Review: Increasing Awareness and Education on Health Disparities for Health Care Providers

Nesbitt

Palomarez

2016

Ethn Dis

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The focus of this review is to highlight health care disparities and trends in several common diseases in selected populations while offering evidence-based approaches to mitigating health care disparities. Health care disparities cross many barriers and affect multiple populations and diseases. Ethnic minorities, the elderly, and those of lower socioeconomic status (SES) are more at-risk than others. However, many low SES Whites and higher SES racial minorities have poorer health than their racial or SES peers. Also, recent immigrant groups and Hispanics, in particular, maintain high health ratings. The so-called Hispanic Paradox provides an example of how culture and social background can be used to improve health outcomes. These groups have unique determinants of disparity that are based on a wide range of cultural and societal factors. Providing improved access to care and reducing the social determinants of disparity is crucial to improving public health. At the same time, for providers, increasing an understanding of the social determinants promotes better models of individualized care to encourage more equitable care. These approaches include increasing provider education on disparities encountered by different populations, practicing active listening skills, and utilizing a patient’s cultural background to promote healthy behaviors. Ethn Dis. 2016;26(2):181-190; doi:10.18865/ed.26.2.181

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Cultural factors in preventive care: Latinos

Cited by 76 publications

References 31 publications

Role of Socioeconomic Status in Kidney Transplant Outcome

Role of Socioeconomic Status in Kidney Transplant Outcome

Are Health-care Relationships Important for Mammography Adherence in Latinas?

Review: Increasing Awareness and Education on Health Disparities for Health Care Providers

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