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Hispanic Health Issues

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Submitted By angelschild4
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Hispanics, Hypertension , and Healthy choices.
Martha Valdivia
GCU
Family-Centered Health Promotion
NRS-429VN
Shannon Foley
June 12, 2016

Hispanics, Hypertension , and Healthy choices.

Health status and health behaviors of Hispanics is diversified within their own culture. There are differences between American born versus immigrant born. Acculturations to the American lifestyle has made this divide. American fast food is inexpensive, convenient, high in salt, and saturated fats. We will compare the health status of Hispanic culture to the national average. Health concerns include Hypertension, Heart Disease, and Cancer. Heart disease and cancer are the leading diseases affecting Latino-Americans. The Health disparities within the Hispanic population will be observed to allow for evaluation of healthier lifestyle. We will seek out community resources available to make those lifestyle changes. Due to the vast amount of information on this topic we will stayed focused on American Born Latinos.
Hispanic Health Status Versus the U. S. National Average
While obtaining information regarding Hispanic health disparities and behaviors, we discovered the complexity of this subject. Hispanics living in the United States represent an increasing diversity of national-origin groups. Relatively new groups, including Dominicans, Salvadorans, Guatemalans, and Colombians, have grown rapidly, adding their numbers to well-established populations of Mexican, Puerto Rican, and Cuban origin. (2006) Hispanics that were foreign born show better health practices and status than those born in the United States. Hispanics have an average life expectancy of 75.1 for men and 82.6 for women compared to 80.1 years for white males and 80.1 years for white females. (2011) According to the 2010 Census Bureau Report Hispanic population accounts for half the growth in the US population since 2000 Census Bureau Report. According to estimates from the US Census Bureau, 55 million Americans, or 17% of the total US population, identified themselves as Hispanic or Latino in 2014. Cancer is one the leading cause of death among Hispanics, accounting for 22% of deaths. While Hispanics are less likely than non-Hispanic whites to be diagnosed with the most common cancers (lung, colorectal, breast, and prostate), they have a higher risk for cancers associated with infectious agents, such as liver, stomach, and cervix. (2015, American Cancer Society) The other leading cause of death for Hispanics is Heart Disease with a direct link to hypertension. Some forms of hypertension can be controlled by lifestyle choices and health behavior practices.
“Hispanics are more likely to delay care, drop out of treatment when symptoms disappear and avoid visits to the doctor,” Dr. Daviglus said. Barriers to healthier living include accessing health care, language barriers, lack of transportation and lack of health insurance. Simple lifestyle changes can reduce the risk such as diet and exercise. Financial and safety restraints prevent Latinos from making these changes. ("American Heart Association," 2015)
Lifestyle changes to promote healthy living.
Diet, exercise, and establishing a relationship with a primary care provider are good preventative practices for heart disease. Educated them on making heathier food choices and cooking techniques. Hypertension is a major risk factor for heart disease among Hispanics. Most hypertensive people can control their blood pressure through diet and exercise. The Latino diet is vastly different than the American diet. Education on food choices and cooking techniques are available through various community resources. The American Heart Association has information via various multimedia modalities. The internet, books, audiovisual, and community outreach programs. (AHA, 2015) Reducing the sodium intake in a large step but one that will show results. Baking, broiling, and boiling fresh meat versus frying meats to name one lifestyle change. Choosing leaner meats and avoiding processed meats because of their higher fat and sodium content. Focus on reducing risk factors by maintaining a healthy weight. Eating a healthy diet that including fruit and vegetables. Avoiding foods with excessive salt and saturated fats. Latinos tend to carry extra weight another key risk factor leading to Hypertension and Diabetes Mellitus type 2. Health promotion on a national platform include "Get America Moving" and Healthy People 2020 to help reduce obesity in America. Focus on the next generation is crucial to break the pattern. Programs such as NFL Play 60, Cooking with Heart for Kids, and Teaching Gardens. (AHA, 2015). These platforms are available in English and Spanish.
Checking your blood pressure regularly is an important first step for understanding the risk. If it is high, we must work with a doctor to create a treatment plan. There are multiple national pharmacies that have reduced rates on some of the most common medications used for hypertension. Walmart pharmacies have a $4 medication program. They will provide you and your physician with a formulary. The formulary is also available on the Walmart website. The total age-adjusted prevalence of hypertension was 25.5% as compared with 27.4% in non-Hispanic whites in the National Health and Nutrition Examination Survey. (Sorlie PD1, Allison MA, Avilés-Santa ML, Cai J, Daviglus ML, Howard AG, Kaplan R, Lavange LM, Raij L, Schneiderman N, Wassertheil-Smoller S, Talavera GA. ) The Hispanic population is not a single entity but a highly diverse population with widely varying hypertension prevalence, with some Hispanic groups lower and other groups higher than for non-Hispanic whites. (Sorlie, et al, 2014) Most concerning is the lower number of persons with their hypertension under control. The healthcare community, Latino advocates, health policy makers, and the Latino community at large have a challenging task and responsibility to create strategies for awareness, treatment, and control of this significant factor for coronary disease, stroke, and heart failure. (Sorie, et al, 2014)
Since Latino men have a lower mortality age this would be a place to start with our health promotions. The next generation of Latino males need to change the cycle of poor health habits. Utilizing the community resources at an early age can set precedence for future behaviors. Heart disease being one of the leading cause of death for Latinos in the United States. The acculturation of Hispanics to the American health disparities compounds the situation. While socioeconomic challenges will continue to create barriers, we need to continue to move forward and utilize the community resources available to us in the United States. Community gardens in urban nationhood’s, Department of education making healthier meals choices for our public schools, and free community clinics available to those families with socioeconomic challenges. Healthcare workers have to continue with community outreach programs in hope to promote lifestyle changes to reduce the health disparities within the Latino community.

References
American Cancer Society. Cancer Facts & Figures for Hispanics/Latinos 2015-2017. Atlanta: American Cancer Society; 2015.
American Heart Association. Kids Programs and Focus Areas 2015. American Heart Association; 2016
Am J Hypertens. 2014 Jun; 27(6): 793–800.Published online 2014 Mar 12. doi: 10.1093/ajh/hpu003
Hispanic and Heart Disease, Stroke. (2015). . Retrieved from http://www.heart.org/HEARTORG/Conditions/More/MyHeartandStrokeNews/Hispanics-and-Heart-Disease-Stroke_UCM_444864_Article.jsp#.V1rrQ-YrKi5
National Alliance for Hispanic Health (2004). Delivering preventive health care to Hispanics: A manual for providers, p. 29–30. U.S Department of Health and Human Services, Health
Sorlie PD1, Allison MA, Avilés-Santa ML, Cai J, Daviglus ML, Howard AG, Kaplan R, Lavange LM, Raij L, Schneiderman N, Wassertheil-Smoller S, Talavera GA. (2014, June 27, 2014). Prevalence of hypertension, awareness, treatment, and control in the Hispanic Community Health Study/Study of Latinos. NCBI, 793-800. http://dx.doi.org/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4017932/
Resources and Services Administration

U.S. Census Bureau (2008a). Population estimates—Hispanic or Latino. Washington, DC. U.S. Census Bureau (2008b). Hispanic Americans by the numbers. Washington, DC.

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