Posts tagged Hispanic
Latinas who have an abnormal mammogram result take 33 days longer to reach definitive diagnosis of breast cancer than non-Hispanic white women, according to a new study by the Institute for Health Promotion Research (IHPR) at the University of Texas Health Science Center at San Antonio.
Such a time delay can have a critical impact on tumor size, stage at diagnosis, treatment, prognosis, and survival of subsequent breast cancer.
For this study, published online in SpringerPlus in March 2013, IHPR researchers worked with partners in the federally funded Redes En Acción: The National Latino Cancer Network to evaluate the differences in time to diagnosis of breast cancer among 186 Latinas and 74 non-Hispanic whites who received an abnormal mammogram result in six U.S. cities.
Analysis showed that Latinas’ median time to definitive diagnosis of breast cancer was 60 days, compared to just 27 days for non-Hispanic white women.
“This long delay puts Latinas at greater risk of being diagnosed with larger tumors and more advanced-stage breast cancer, which can affect prognosis,” said Amelie G. Ramirez, Dr.P.H., the study’s corresponding author, director of the IHPR, and Professor of Epidemiology and Biostatistics in the School of Medicine at the UT Health Science Center at San Antonio.
Given this delay and that cancer now is the leading cause of Latino death, this study also signals a greater need for ethnically and culturally appropriate interventions to facilitate Latinas’ successful entry into, and progression through, the cancer care system, Dr. Ramirez said.
Dr. Ramirez’ team recently found that extra support for patients, called “patient navigation,” can lead to faster diagnosis for Latinas after an abnormal mammogram result.
In that study, published in Cancer, women who received help from trained patient navigators had significantly shorter time delays between an abnormal mammogram and definitive diagnosis—whether positive or negative for breast cancer—than those who did not receive navigation. Services provided by navigators included culturally-sensitive support and help overcoming barriers related to transportation, child care, insurance, language and more.
Check out this great infographic on heart health risk factors, which indicates that 75% of Hispanics have at least one risk factor related to heart health and 65% of Hispanics have at least one oral health issue.
The infographic is from United HealthCare, Balsera Communications and Alex Izaguirre Design.
January is a time of new beginnings.
And it also is Glaucoma Awareness Month, a great time to do something that can help you or someone you love learn more about glaucoma, which has steadily risen among Latinos in recent years.
Glaucoma is a group of diseases that can damage the optic nerve of the eye and lead to vision loss and blindness. Primary open-angle glaucoma is the most common form. In this condition, fluid builds up in the front chamber of the eye, and the optic nerve is damaged by the resulting increase in eye pressure.
In 2010, there were more than 220,000 diagnosed cases of glaucoma in Latinos.
By 2030, there will be approximately 606,000 cases among Latinos, a 170% projected increase, the highest among minority groups, according to the National Eye Institute (NEI) of the National Institutes of Health.
“Glaucoma…is a leading cause of blindness among Hispanics/Latinos. Glaucoma often has no early warning signs, and most people don’t know this,” said Dr. James Tsai, chair of the Glaucoma Subcommittee for the NEI National Eye Health Education Program. “Often, a person will not experience any noticeable vision loss in the early stages of glaucoma. But as the disease progresses, a person may notice his or her side vision decreasing. If the disease is left untreated, the field of vision narrows and blindness may result.”
Studies show that at least half of all persons with glaucoma don’t know they have this potentially blinding eye disease.
But glaucoma can be detected early with a comprehensive dilated eye exam.
“Early detection and treatment may save your sight. While anyone can get glaucoma, NEI encourages people at higher risk, including African Americans over the age of 40; everyone over the age of 60, especially Mexican Americans; and people with a family history of the disease, to have a dilated eye exam every one to two years,” said NEI director Dr. Paul Sieving.
During a comprehensive dilated eye exam, drops are placed in your eyes to dilate, or widen, the pupils. This allows your eye care professional to see inside the eye and examine the optic nerve for signs of glaucoma and other vision problems. An eye pressure test alone is not enough to detect glaucoma.
If you have Medicare, are Hispanic/Latino age 65 or older, have diabetes, or have a family history of glaucoma, you may be eligible for a low-cost, comprehensive dilated eye exam through the glaucoma benefit. Call 1–800–MEDICARE or visit http://www.medicare.gov for more information.
To learn about other possible financial assistance for eye care, go here.
Minority births now outnumber White births, Census data show.
With this growing group of “minority-majority” Americans, increasingly Hispanic and Asian, it begs the question: what are the trends in Hispanic baby names?
The trend in “bilingual” names is continuing among Latino parents, with many choosing names that look or sound the same in English and Spanish, but Anglo names were a popular choice as well, according to babycenter.com.
The 2012 trends also show that Latino parents looked beyond telenovelas for baby-name inspiration, to darker, more mysterious stories such as vampire tales. And, of course, you can’t miss the influence of celebrities.
Top boy names in 2012 were:
Top girl names in 2012 were:
9. María José
The list of most popular names was drawn from more than 60,000 names of babies born in 2012 to U.S. mothers and Latin America who registered on BabyCenter en Español.
Here also is a list of “trendy” Latin baby names, from MamásLatinas:
Heart disease risk factors are widespread among U.S. Latino adults, with 80% of men and 71% of women having at least one risk factor for heart disease, according to a San Diego State University (SDSU) study funded by the National Institutes of Health (NIH).
These percentages are much higher than the general population, where 49% of adults have at least one major risk factor for heart disease and stroke.
Prevalence of risk factors varies across Hispanic/Latino background groups, with some groups, particularly those with Puerto Rican background, experiencing high rates of heart disease risk factors compared to other groups, according to findings from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL), which will be published in today’s Journal of the American Medical Association.
Latinos who are more “acculturated” (born in the U.S. or lived here 10 years or longer, and preferred English vs. Spanish) were significantly more likely to have three or more risk factors.
The more acculturated individuals are the higher rates of self-reported heart disease and stroke.
“Clinicians now have more data to understand the prevalence of cardiovascular risk factors in Hispanic/Latino communities,” said Dr. Greg Talavera, professor in the Graduate School of Public Health at SDSU and principal investigator for the HCHS/SOL Field Center. “For example, here in San Diego the majority of Hispanic/Latinos are of Mexican background and the study found that the prevalence of diabetes was generally higher compared to other Hispanic/Latino background groups.”
Findings from this phase of the study include self-reported information on heart disease and stroke and clinically measured risk factors. The study team will continue to follow participants to learn how risk factors change over time and how they influence the risk of developing cardiovascular disease.
“Heart disease is the leading cause of death among Hispanic/Latino people in the United States; however, prior research has underestimated the burden of heart disease risk factors in Hispanic/Latino populations,” said Dr. Larissa Avilés-Santa, project officer for HCHS/SOL and employee with NIH’s National Heart, Lung, and Blood Institute, which supported the study.
HCHS/SOL is a multi-center, prospective, population-based study that included more than 16,000 Latino adults of different backgrounds—including Cuban, Dominican, Mexican, Puerto Rican, Central American, and South American—between the ages of 18074. It is the first to examine the prevalence of heart disease risk factors—high blood pressure, cholesterol, obesity, diabetes, and smoking—within a large, diverse Latino population.
A tax on soda would carry the greatest health benefits for black and Latino Californians, who face the highest risks of diabetes and heart disease, according to recent research findings, California Watch reports.
According to the news report:
The study found that if a penny-per-ounce tax was applied to soda, cuts in consumption would result in an 8 percent decline in diabetes cases among blacks and Latinos. The statewide reduction in new diabetes cases is projected at 3 to 5.6 percent, according to researchers from UC San Francisco, Columbia University and Oregon State University, who released their findings at a recent American Public Health Association annual meeting.
The study was unveiled as a sugar-sweetened beverage tax faces votes in El Monte, in Los Angeles County, and Richmond, in the Bay Area. A statewide excise tax was proposed but died in the California Legislature in 2010.
Latinos comprise about 64% of residents in Richmond and 70% in El Monte.
A penny-per-ounce tax would cut soda consumption by up to 20 percent, which would help eliminate 5 in 10,000 new diabetes cases for African Americans and 4 in 10,000 for Mexican-Americans, study lead author Dr. Kirsten Bibbins-Domingo told California Watch, although food and beverage spokesperson are quoted as saying that such a tax would hurt small businesses and isn’t proven to improve people’s health.
“It’s pretty clear that what’s necessary is some mechanism to increase price (enough) to curb consumption,” said Bibbins-Domingo.
Parents are concerned about food marketing and the way it impacts their children’s eating habits and would support policies to limit the marketing of unhealthy food and beverages to children, according to a new report from Yale’s Rudd Center for Food Policy & Obesity.
Black and Hispanic parents reported believing that their children saw more food advertising and were more affected by that advertising compared with white parents, the report found. They also perceived more obstacles to ensuring healthy eating habits for their children, and were more supportive of most policies to promote healthy eating habits and limit food marketing.
Black and Hispanic parents, however, did not view the influence of food companies on their children’s eating habits more negatively, the report found.
In fact, because many food companies, including McDonald’s and Coca-Cola, invest significant amounts in targeted marketing to black and Hispanic youth and programs to support black and Hispanic communities, it appears that these programs may be successfully deflecting blame for obesity away from the food companies, according to the report.
“The food industry has responded to parents’ concerns about food marketing with self-regulatory pledges that have produced only small changes,” said Jennifer Harris, lead author and director of marketing initiatives at the Rudd Center. “Parents are becoming more aware of food marketing and they want to start seeing real improvements.”
The study is the first of its kind to assess parents’ attitudes about policies to promote healthy eating, such as nutrition standards for foods sold in schools, as well as policies limiting marketing to children. Researchers conducted an online survey of more than 2,000 parents of children and teens ages 2-17 in 2009, 2010, and 2011. They surveyed parents who participate in decisions about food and beverage choices in their households.
They found that parents overall are just as concerned about advertisements promoting unhealthy foods to children as they are about alcohol and tobacco use in the media.
Parental approval was highest for policies that would set nutrition standards for foods sold in schools (supported by 72-81% of parents) and policies that would promote healthy eating in children’s media (70-73%).
View the full report here.
Editor’s Note: This post is part of an ongoing series that will highlight work of the Robert Wood Johnson Foundation (RWJF) in Latino communities.
SaludToday Guest Blogger: Risa Lavizzo-Mourey
President and CEO, RWJF
RWJF and the Trust for America’s Health recently released our annual report, F as in Fat: How Obesity Threatens America’s Future.
Obesity rates in the United States remain unacceptably high, and the epidemic persists in affecting Blacks and Hispanics disproportionately. For the first time, this year’s report examined how the obesity epidemic could impact our future 20 years from now. Ironically, this forecast has made me reflect on the past.
Thirty years ago, I lived in Philadelphia and was an instructor at Temple University. After a long day teaching, I remember heading home with my daughter, who was a preschooler at the time. My office looked down North Broad Street, which ran through some of the worst urban blight of any American city in the past several decades. We wanted to pick up a few items for dinner, but couldn’t find a grocery store or supermarket with the fresh fruit, produce and other healthy foods we were accustomed to eating. About 20,000 people—mostly poor, mostly African-American and Hispanic—lived in that neighborhood and had to cope with this type of disadvantage on a daily basis. What I didn’t know then was that Philadelphia was a microcosm of how policies and environments affect diets, obesity, and health.
At that time, obesity was not on the radar as a major public health concern, and state obesity rates looked tame compared with what we see today. In 1995, Mississippi had an adult obesity rate of 19.4 percent, and Colorado had the lowest rate, 13.9 percent. According to the latest data, Colorado still has the lowest rate, but it has climbed to 20.7 percent. I don’t think we could have imagined it in 1995, but the lowest rate today is higher than the highest rate back then. That’s why it’s so important for us to look ahead to 2030 and try to chart a better course.
The new analysis in this year’s report shows that if obesity rates continue on their current trajectory, it’s estimated that by 2030 adult obesity rates could reach or exceed 44 percent in every state—and could exceed 60 percent in 13 states. If so, new cases of type 2 diabetes, coronary heart disease and stroke, hypertension and arthritis could skyrocket. Obesity-related health care costs could increase by more than 10 percent in 43 states and by more than 20 percent in nine states.
On the other hand, the analysis also shows that if the average adult body mass index (BMI) was decreased by only 5 percent in each state, we could spare millions of Americans from serious health problems and save billions of dollars in health care spending—between 6.5 percent and 7.8 percent in costs in almost every state. By 2030, this could equate to savings ranging from $1.1 billion in Wyoming to $81.7 billion in California.
We have made important progress toward preventing and reducing obesity around the country, especially among children. For instance, California, Mississippi and New York City are beginning to show decreases in overall rates of childhood obesity. The trends in those areas also have shown us that children who face the biggest obstacles to healthy choices and are at greatest risk for obesity do not always benefit when progress is made. I saw the evidence of this first hand when I lived in Philadelphia. That’s why a study released this fall tells the best story of all.
New data show Philadelphia has reduced its obesity rates in ways that also helped to close the disparities gap. While the city achieved an overall decline in obesity rates among public school students, the largest improvements came among Black male and Hispanic female students. For Black males, rates declined nearly 8 percent; rates for Hispanic females dropped 7 percent.
Although the decrease in childhood obesity rates in Philadelphia is a recent development, community-wide efforts started there more than a decade ago. We need to learn from the City of Brotherly Love and spread the actions and policies that work so all children can enjoy the benefits of better health.
I am now a grand mother and want my grandkids, and their entire generation, to be healthy. If we take effective action, many Americans could be spared from type 2 diabetes, heart disease, cancer, and other health problems, and the savings in health care costs and increased productivity would have a real and positive impact on the economy. Investing in prevention today means a healthier, more productive and brighter future for our country.
Parks, trails, and recreational facilities provide a wide variety of opportunities for physical activity and can help many Americans lead a more active lifestyle.
A new infographic from Active Living Research, a Robert Wood Johnson Foundation national program, highlights evidence that parks and recreation areas can increase physical activity levels while also providing economic benefits to families and communities.
The infographic also shows that 81% of Hispanic communities lack access to recreational facilities.