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Include in your comments any missing information that you recommend for the cultural group/population your peers selected.
Complete in one or two single paragraphs and submit it.
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Cultural Impact on Health among the Hispanic and Latino Population
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Introduction Cultural Impact on Health among the Hispanic and Latino Population The US is one of the most culturally diverse countries in the world It hosts an average of more than one million immigrants each year. When it comes to healthcare each culture has its views on different treatments offered I t is the duty of us nurses to become aware of the different cultural diversities available.
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T he American Nurses Association (ANA) explains diversity as being able to acknowledge and appreciate the existing differences in beliefs, thoughts, attitudes, and priorities when it comes to seeking healthcare from different populations. The US Bureau of Statistics estimates that by 2044, more than 50% of the population will be made up of the minority population meaning nurses will have to become culturally competent. Let’s evaluate the Hispanic and Latino Americans’ cultural aspects such as their ethnicity, history and value orientation, religious beliefs, and nutritional behavior while at the same time giving health promotion strategies for the community. Introduction
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Ethnicity and Racial Identity There are about 60 million Hispanic and Latino Americans. Most of them have immigrated into the country from North American countries such as Mexico, Venezuela, Dominican Republic, Puerto Rico, Cuba, Honduras, among others. They have mainly immigrated to the country in search of better living conditions and search for better employment opportunities. Their community is viewed as aggressive and impolite. They tend to navigate through this obstacle by constructing and taking a long-winded approach to avoid any confrontation or conflict.
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Ethnicity and Racial Identity In the US most of them reside in the region bordering Mexico and live in places such as Texas, Arizona, California, and New Mexico ( Stang & Bonilla, 2018) . Communication outside their community is particularly limited and they tend to talk indirectly. The community enjoys various recreational activities such as baseball, basketball, and boxing. The Hispanic population traces its roots back to the indigenous people who lived in North America, some trace their roots to Asianic and African heritage because of the heterogeneity that was inherent in the region.
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History and Value Orientation The Hispanic community has had a tough time since their region was colonization by Spain who took the resources of the region. Most of the ancestors of the community entered the US in the 1910s when there was a Mexican Revolution in Mexico. T he Hispanic and Latino communities have faced discrimination and other struggles which necessitated the rise of civil rights movements within their communities. The Chicano Movement and United Frameworks are examples. They advocated for the community to get political rights such as voting, and migrant frameworks, and advocated for better health and working reforms for the population.
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Language Communication Process The primary language spoken within the community is Spanish and it has been a major barrier for the population. Most of their population like to speak in Spanish in their homes, a statistic that is at 73% of the households. The proficiency in talking in English among the community has been in decline for the past 15 years ( Sanchez, 2018) Most of their population like to speak in Spanish in their homes, a statistic that is at 73% of the households. ( Stang & Bonilla, 2018) . Communication with the outside community is sometimes very had as they prefer indirect communication, are hesitant in giving direct denials, maintain proximity when talking, and use body gestures when communicating ( Sanchez, 2018) .
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Health Beliefs and Practices The community believes that human life is paramount and should be preserved. Traditionally believes that good health comes from good luck T he community has been mixing traditional and western medicine. Many of them seek traditional medicine such as the use of home remedies Also, healthcare from friends and relatives, and traditional healthcare providers since western medicine is too expensive for them. Some Mexicans cross over to Mexico to receive treatment and buy drugs where treatment is cheaper.
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Religious Belief and Spirituality The Hispanic community has many religions revolving around it but the most predominant being Christianity from the Roman Catholic Church. M any of the Hispanic homes have statutes and makeshift alters. Some of the saints in their faith have been given specialized healing functions such as St. Peregrine for Cancer, St. Joseph for Death, St. Anne for infertility, and St. James the Greater for Arthritis ( Johnson & Farquharson, 2019) There are important rights such as baptism and anointing of the sick.
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Lifecycle Events
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Nutritional Behavior/Diet The diet and nutritional behavior of Hispanics and Latinos mainly revolve around traditional patterns and their countries of origin. There are core diets that they still share despite this such as overreliance on grains and beans and large consumption of vegetables and fruits ( LeCroy et al., 2019). The Hispanic diet is mostly made of rice, pats, and ready-to-eat cereals and nut in much fewer quantities when compared to non-Hispanic counterparts. They like beef but are less like to consume processed meats such as hotdogs and burgers. Their consumption of milk and their products is higher than any other community in the US and almost double that of their non-white counterparts.
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Medical Care Access and Experience In the US, medical care is highly funded by employers through insurance programs such as Medicaid and Medicare which is usually privately purchased. With the Affordable Care Act, there was an expected rise in the accessibility of healthcare for the Hispanic community as the act expanded its boundaries of access. Most of the population is also uninsured with uninsured rates being at 32% while among those born outside the country being at 50% ( Stang & Bonilla, 2018) . Barreirs to insurance access include substandard employment, a limited number of Hispanic health insurance providers, undocumented status, cultural sensitivity, and geographical mobility.
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Cultural Health Care Plan Hispanic community mainly faces health risks from cardiovascular problems. The increase in cardiovascular problems is linked to the socioeconomic level of the person as it increases based on the socioeconomic level decreases. Researching and educating the communicate the community on the appropriate lifestyle habits necessary to deter it. Care plan includes eating balanced diets, going to health centers for screening, and increasing physical activity through exercise
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Health Promotion Strategies Research showed that Hispanic children who had only been in contact with other children who had attended a health education class lost weight and exercised more effectively. E ducational material in written in Spanish about the causes of cardiovascular disease would be an effective way to raise awareness. The information shared would include factors such as exercise, the appropriate diets, and how they would overcome certain barriers to getting effective health care. Many people from the community do not visit the hospital and as such go to the hospital when it is too late for certain conditions.
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Project Evaluation Methods Educating the communities using the various methods indicated, the prevalence of cardiovascular diseases is expected to decrease. Evaluation will be done through a comparison of data prior to and after the health promotion programs. Access to healthcare will be evaluated by going through information of those who took insurance packages in the community and looking at the difference between the two. The rates at which the community also visits healthcare will also need to be recorded and evaluated
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Conclusion Culture has been a major factor that has been a hindrance to getting better health outcomes for various communities in the US. Most of them have immigrated into the country from North American countries such as Mexico, Venezuela, Dominican Republic, Puerto Rico, Cuba, and some from Honduras. The primary language spoken within the community is Spanish. T here are cultural beliefs that have been passed down through generations such as their treatments and the gender preferred as physicians. Hispanics and Latinos, their culture has today been a bit absorbed by the Western culture, but their socioeconomic status and religious beliefs continue to be a big part of why they cannot access healthcare.
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Most predominant religion is Christianity from the Roman Catholic Church. Traditionally during birth, the birth partner is mostly the mother-in-law or another female relative, and the first 40 days are regarded as sacred for the purification of the mother and child. There are core diets that they still share despite this such as overreliance on grains and beans and large consumption of vegetables and fruits ( LeCroy et al., 2019) . Most of the population is also uninsured with uninsured rates being at 32% while among those born outside the country being at 50% ( Stang & Bonilla, 2018) . The government should see to it that this population has access to better and cheaper healthcare insurance opportunities.
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References Fowler, A. L., Mann, M. E., Martinez, F. J., Yeh, H. W., & Cowden, J. D. (2022). Cultural Health Beliefs and Practices Among Hispanic Parents. Clinical Pediatrics , 61 (1), 56-65. LeCroy , M. N., Siega-Riz , A. M., Albrecht, S. S., Ward, D. S., Cai, J., Perreira , K. M., … & Stevens, J. (2019). Association of food parenting practice patterns with obesogenic dietary intake in Hispanic/Latino youth: Results from the Hispanic Community Children’s Health Study/Study of Latino Youth (SOL Youth). Appetite , 140 , 277-287. Moreira, T., Hernandez, D. C., Scott, C. W., Murillo, R., Vaughan, E. M., & Johnston, C. A. (2018). Susto , coraje , y fatalism : cultural-bound beliefs and the treatment of diabetes among socioeconomically disadvantaged Hispanics. American journal of lifestyle medicine , 12 (1), 30-33. Sanchez, A. A. (2018). An examination of the folk healing practice of curanderismo in the Hispanic community. Journal of Community Health Nursing , 35 (3), 148-161. Stang , J., & Bonilla, Z. (2018). Factors affecting nutrition and physical activity behaviors of Hispanic families with young children: Implications for obesity policies and programs. Journal of nutrition education and behavior , 50 (10), 959-967.
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I’d like to say that the US is one of the most culturally diverse countries in the world as it hosts an average of more than one million immigrants each year. Within its boundaries, the cultural groups include White and European Americans, Hispanic and Latino Americans, Asian Americans, Black and African Americans, Middle Easterners and North Africans, American Indians, and Native Hawaiians. When it comes to healthcare each culture has its views on different treatments offered and it is the duty of us nurses to become aware of the different cultural diversities available. 2
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The US Bureau of Statistics estimates that by 2044, more than 50% of the population will be made up of the minority population meaning nurses will have to become culturally competent. The American Nurses Association (ANA) explains diversity as being able to acknowledge and appreciate the existing differences in beliefs, thoughts, attitudes, and priorities when it comes to seeking healthcare from different populations. The strict code of ethics governs the profession and guides nurses to make ethical decisions when assessing and documenting the patient’s condition. This paper will assess the Hispanic and Latino Americans’ cultural aspects such as their ethnicity, history and value orientation, religious beliefs, and nutritional behavior while at the same time giving health promotion strategies for the community. 3
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Within the US there are about 60 million Hispanic and Latino Americans. This makes them the largest minority group living within the US. They have mainly immigrated to the country in search of better living conditions and search for better employment opportunities. Most of them have immigrated into the country from North American countries such as Mexico, Venezuela, Dominican Republic, Puerto Rico, Cuba, and some from Honduras. In the US most of them reside in the region bordering Mexico and live in places such as Texas, Arizona, California, and New Mexico ( Stang & Bonilla, 2018) . 4
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The Hispanic population traces its roots back to the indigenous people who lived in North America. Some trace their roots to Asianic and African heritage because of the heterogeneity that was inherent in the region ( Sanchez, 2018) . Their culture is rich in religion and tradition and most of them are devout Catholics since their countries of origin were mainly dominated by the Roman Catholic Church. The regions of the Hispanic communities were colonized by Spain and were known to be part of Spain until the 18 th Century ( Stang & Bonilla, 2018) . Communication outside their community is particularly limited and they tend to talk indirectlyThe community enjoys various recreational activities such as baseball, basketball, and boxing. They also have various activities in their cultures such as Fiesta Quinceañera (or Fiesta Rosa), Día de Muertos, Las Piñatas. Their culture is slowly diminishing but they have continued to strongly maintain and fight for it. 5
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The Hispania have had a tough time since their colonization by Spain who took the resources of the region but never invested in the people making the region remain in poverty. The region also has continued political instability due to vast corruption and the prevalence of drug cartels in the region. Most of the ancestors of the community entered the US in the 1910s when there was a Mexican Revolution in Mexico. Immigration was not a big problem then. Another large group immigrated to the US during the big depression after World War II where the government allowed them to enter to provide labor in the agricultural sector albeit on short-term contracts. While in the US, the Hispanic and Latino communities have faced discrimination and other struggles which necessitated the rise of civil rights movements within their communities such as the Chicano Movement and United Frameworks which advocated for the community to get political rights such as voting, migrant frameworks, and advocated for better health and working reforms for the population. The community has faced struggles since coming into the country such as punishments for children talking in Spanish in schools, job discrimination, and segregation. The senior citizens who had entered the US in the early 20 th century nearly lost their Medicaid/Medicare covers under the 1996 Welfare Reforms Legislation since most of them did not apply for Citizenship ( Johnson & Farquharson, 2019) . Being discriminated against and segregated has impacted the community by some of them turning into illegal means to sustain their lives. 6
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Language has been a major barrier for the Hispanic Community. The primary language spoken within the community is Spanish. Most of their population like to speak in Spanish in their homes, a statistic that is at 73% of the households. This is a fall from the previous peak in the year 2000 when it was at 78% ( Stang & Bonilla, 2018) . The second generation has continued to speak the language while the third generation has taken up new forms of mixed Spanish and English. When communicating with outsiders the community has been talking in English though some of them do not completely understand and talk in English. The proficiency in talking in English among the community has been in decline for the past 15 years ( Sanchez, 2018) . This is attributed to the growth of the Spanish community in the US which is the second-largest language being spoken. The third generation is continuing the trends of learning the language and communicating using it. Their communication with the outside community is sometimes very had as they mostly prefer indirect communication, are hesitant in giving direct denials, are very tactile people when communicating, direct eye contact is appreciated, maintain proximity when talking, and use body gestures when communicating ( Sanchez, 2018) . All these factors come in learning to understand how to effectively communicate with them in healthcare facilities. 7
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The community believes that human life is paramount and should be preserved. In line with this, there are cultural beliefs that have been passed down through generations such as their treatments, the gender preferred as physicians, and how they view the current healthcare system within the US. Traditionally, the population believes that good health comes from good luck, or having done good deeds, and illnesses are thought to come from supernatural forces or natural causes. Recently, the community has been mixing traditional and western medicine, but western medicine has been more prevalent. The population has not been able to afford western medicine thus many of them seek traditional medicine such as the use of home remedies such as drinking herbal tea, garlic, chamomile, eucalyptus, and oregano, healthcare from friends and relatives, and traditional healthcare providers ( Fowler et al., 2022) . The matriarch in the family is the one who decides when a family member needs medical care, but the father must agree to them being taken for medical care. Various drugs in the US are given under prescription but others such as antibiotics need no prescription. Some Mexicans cross over to Mexico to receive treatment and buy drugs where treatment is cheaper. Most of the population is also uninsured with uninsured rates being at 32% while among those born outside the country being at 50%. 8
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The Hispanic community has many religions revolving around it but the most predominant being Christianity from the Roman Catholic Church. In many of the Hispanic homes, statutes and makeshift alters are bound to be found. The population deeply believes in God and the statue of Mary Mother of Jesus and a crucifix ( Johnson & Farquharson, 2019) . Some of the members of the community members believe that faith and prayer are bound to health them of the illnesses they have, and some have died in the process, but this mainly attributed to low income where they cannot be able to afford western medicine. Some of the saints in their faith have been given specialized healing functions such as St. Peregrine for Cancer, St. Joseph for Death, St. Anne for infertility, and St. James the Greater for Arthritis ( Johnson & Farquharson, 2019) . There are important rights such as baptism and anointing of the sick. This makes the church a very impactful aspect of their society and it impacts their family and health practices. 9
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There are traditional and religious events that happen in the life of a person in the Hispanic community. In terms of faith in the church, they believe that a child should be baptized and follow all the rites within the church such as marriage, initiation, and burial rites. They also practice traditional rites such as Fiesta Quinceañera (or Fiesta Rosa), Día de Muertos, Las Piñatas ( Fowler et al., 2022) . These events revolve throughout their lives and have become an important part of their lives and mark important stages of life such as the transition from being a child to adulthood to marriage and lastly death. Most of the death rites are performed by the church and the dead are buried as quickly as possible. Traditionally during birth, the birth partner is mostly the mother-in-law or another female relative, and the first 40 days are regarded as sacred for the purification of the mother and child. 10
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There are traditional and religious events that happen in the life of a person in the Hispanic community. In terms of faith in the church, they believe that a child should be baptized and follow all the rites within the church such as marriage, initiation, and burial rites. Practice traditional rites such as Fiesta Quinceañera (or Fiesta Rosa), Día de Muertos, Las Piñatas ( Fowler et al., 2022). Traditionally during birth, the birth partner is mostly the mother-in-law or another female relative, and the first 40 days are regarded as sacred for the purification of the mother and child.
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There are traditional and religious events that happen in the life of a person in the Hispanic community. In terms of faith in the church, they believe that a child should be baptized and follow all the rites within the church such as marriage, initiation, and burial rites. Practice traditional rites such as Fiesta Quinceañera (or Fiesta Rosa), Día de Muertos, Las Piñatas ( Fowler et al., 2022). Traditionally during birth, the birth partner is mostly the mother-in-law or another female relative, and the first 40 days are regarded as sacred for the purification of the mother and child.
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The diet and nutritional behavior of Hispanics and Latinos mainly revolve around traditional patterns and their countries of origin. This creates differences in their dietic among the many Hispanic subcultures within the US. There are core diets that they still share despite this such as overreliance on grains and beans and large consumption of vegetables and fruits ( LeCroy et al., 2019) . The family setting has a large influence on the nutritional and diet habits of the individuals. The Hispanic diet is mostly made of rice, pats, and ready-to-eat cereals and nut in much fewer quantities when compared to non-Hispanic counterparts. They also have a taste for beef but are less like to consume processed meats such as hotdogs and burgers. There is also low smoking and drug usage in the community. Their consumption of milk and their products is higher than any other community in the US and almost double that of their non-white counterparts. 11
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In the US, medical care is highly funded by employers through insurance programs such as Medicaid and Medicare which is usually privately purchased. In 2010 through the Affordable Care Act, there was an expected rise in the accessibility of healthcare for the Hispanic community as the act expanded its boundaries of access. Historically, the community has had barriers and low access to insurance programs. Most of the population is also uninsured with uninsured rates being at 32% while among those born outside the country being at 50% ( Stang & Bonilla, 2018) . These high rates of being uninsured have been brought about by the unequal health insurance markets. Various barriers that keep them from accessing appropriate health insurance such as substandard employment, a limited number of Hispanic health insurance providers, undocumented status, cultural sensitivity, and geographical mobility. To increase Hispanics’ access to and use of health services, cultural sensitivity, and health literacy must be improved, particularly in the areas of chronic disease management, healthy lifestyle promotion, obesity prevention, workplace safety, and the use of preventive and screening services. 12
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The Hispanic community mainly faces health risks from cardiovascular problems such as heart failure and high blood pressure. The increase in cardiovascular problems is linked to the socioeconomic level of the person as it increases based on the socioeconomic level decreases. This leaves other factors such as access to quality healthcare, nutrition, and lifestyle habits to be questioned in line with the socioeconomic status of the individual ( Moreira et al., 2018). This being the biggest health risk for the community it will be vital to research and educate the communicate the community on the appropriate lifestyle habits necessary to deter it. These include eating balanced diets, going to health centers for screening, and increasing physical activity through exercise. Their eating habits which are tied to their culture and origins are a cause for the prevalence. 13
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An experiment showed that Hispanic children who had only been in contact with other children who had attended a health education class lost weight and exercised more effectively. Although there is a desire for improvement, overcoming the obstacles is required to bring about change. Because cardiovascular disease is the leading cause of death among Hispanics and affects such a large percentage of the population, educational material in Spanish about the causes of cardiovascular disease would be an effective way to raise awareness. The language and educational barriers would be broken down because of this. The information shared would include factors such as exercise, the appropriate diets, and how they would overcome certain barriers to getting effective health care. Many people from the community do not visit the hospital and as such go to the hospital when it is too late for certain conditions which could be detected early and treated, or prevention mechanisms put in place. 14
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After educating the communities using the various methods indicated, the prevalence of cardiovascular disease is expected to decrease. To evaluate the effectiveness of the project, data about cardiovascular diseases in the community and compared to that before the health promotion activities. The rates at which the community also visits healthcare will also need to be evaluated. Access to healthcare will be evaluated by going through information of those who took insurance packages in the community and looking at the difference between the two. By doing this we will be able to monitor the effectiveness of the health promotion initiatives and see where we were not effective and what countermeasures can be used to promote the health problem. 15
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Culture has been a major factor that has been a hindrance to getting better health outcomes for various communities in the US. For Hispanics and Latinos, their culture has today been a bit absorbed by the Western culture, but their socioeconomic status and religious beliefs continue to be a big part of why they cannot access healthcare. Their diet has also been something that has affected them greatly and increased the prevalence of cardiovascular diseases among them. Belief in cultural medicine has diminished significantly and access to better healthcare through the provision of insurance services from different providers would improve the health outcomes of the population. The government should see to it that this population has access to better and cheaper healthcare insurance opportunities and promote mass health promotion activities in their areas to empower them to know and try to reduce certain health problems that are on the rise in the population. 16
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Belief in cultural medicine has diminished significantly and access to better healthcare through the provision of insurance services from different providers would improve the health outcomes of the population. The government should see to it that this population has access to better and cheaper healthcare insurance opportunities and promote mass health promotion activities in their areas to empower them to know and try to reduce certain health problems that are on the rise in the population. 17
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Introduction John Thuku Aileen Rivero 8 2022-06-10T10:54:20Z 2022-07-30T03:09:56Z
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