Posts tagged Hispanic

Study: Liver Cancer in Latinos Linked to Diabetes, Obesity

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Liver cancer rates among South Texas Latinos are higher than in other U.S. Latinos, as are their rates of obesity and diabetes—and the relationships between these ailments are being mapped by researchers at the Institute for Health Promotion Research (IHPR) at The UT Health Science Center at San Antonio, the team behind SaludToday.

In a study published April 18, 2012, in the journal PLoS ONE, the researchers looked at overall liver cancer rates among U.S. Latinos and compared this to a Texas sample and a South Texas subset from 1995-2006.

Dr. Amelie G. Ramirez

They also compared prevalence among Latinos of lifestyle-associated factors that contribute to liver cancer: heavy alcohol use, smoking, obesity and diabetes.

They found that from 1995 to 2006, annual age-adjusted liver cancer incidence increased among all populations – but was highest in South Texas Latinos over the entire period. The increase among South Texas Latinos was also significantly greater than all Texas Latinos, who in turn had significantly higher levels of liver cancer than the U.S. national sample.

While obesity and diabetes increased among all three groups, obesity rates were higher in Texas Latinos and highest in South Texas Latinos. Neither heavy alcohol consumption nor cigarette smoking increased.

“Regarding risk factors, we found remarkably similar and significantly increasing rates of obesity and diabetes in our study groups, with higher obesity prevalence in Texas and particularly South Texas Latinos,” said Dr. Amelie G. Ramirez, the study’s lead author and director of the Institute for Health Promotion Research at the Health Science Center.

The study warrants further exploration if there is a relationship between diabetes, obesity and liver cancer so that researchers can look at the problem from the standpoint of prevention, said Ramirez, who also is a professor of epidemiology and biostatistics in the Health Science Center’s School of Medicine and associate director of health disparities at the Health Science Center’s Cancer Therapy & Research Center.

“Both obesity and diabetes are preventable and/or treatable,” she said, “so reducing obesity and diabetes may be an important for lowering Latinos’ risk for liver cancer, too.”

Study: Diabetes Linked to Kidney Cancer among Hispanics

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A study of San Antonio-area kidney cancer patients shows a strong link to diabetes, with the most advanced cancers found in those with the worst control over their blood sugar, the San Antonio Express-News reports.

The study, led by Dr. Samy Habib of the UT Health Science Center at San Antonio and recently published in the Journal of Cancer, reviewed the medical records of 473 local patients who underwent surgery for clear cell renal cell carcinoma, the most common form of kidney cancer, between 1994 and 2009.

Of those, 120, or 25.4%, had a history of diabetes.

About 75% of the diabetics were Hispanic and tended to be younger than nondiabetics.

U.S. Cancer Rates Keep Falling; Biggest Decline Among Hispanic, Black Men

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A new report from the American Cancer Society indicates that cancer death rates are continuing to fall, dropping by 1.8% per year in men and 1.6% per year in women between 2004 and 2008, thanks to advances in cancer screening and treatment, Reuters reports.

While the rate of decline is small, experts say, it is significant because it has continued to fall each year in the past 10.

Cancer death rates among Hispanic men (2.3%) and black men (2.4%) had the biggest declines.

But the news is not all good. According to the Reuters report:

Despite improvements in the most common cancers, a companion report found an increase in cases of several cancers over the past decade, Reuters. These included cancers of the pancreas, liver, thyroid, and kidney and melanoma, as well as esophageal cancer and certain types of throat cancers associated with human papillomavirus or HPV infection.

That report found cases of HPV-related throat cancer and melanoma rose only in whites, and rates of esophageal cancer rose in both whites and Hispanics.

Experts say obesity and early detection may play a role in the rise of these cancer types.

Mental Health Workforce Shortage More Critical in Minority Communities

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Texas’ severe shortage of mental health professionals is compounded by a disparity in diagnosing and treating the state’s rapidly growing Latino and other minority communities, the Texas Tribune reports.

The report indicates that 64% of all psychiatrists were white, 3.5% were black, and 12.4% were Hispanic in 2009.

Watch this captivating video to see more about this issue.

Chat Live on Facebook with Hispanic Health Expert on 12/7/11

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Dr. Ileana Ponce-Gonzalez

The Agency for Healthcare Research and Quality (AHRQ) Effective Health Care Program will host a live chat on its Spanish-language Facebook page with Scientific Review Officer Dr. Ileana Ponce-Gonzalez at 2 p.m. EST on Wednesday, Dec. 7, 2011.

This Facebook live chat is part of AHRQ’s recently launched Toma las riendas campaign, a nationwide effort to encourage Hispanics to take control of their health and explore treatment options. The campaign promotes a wide variety of resources produced by the Effective Health Care Program, such as consumer-friendly publications that summarize treatment options for common health conditions and help Hispanics work with their health care teams to select the best possible treatment option.

Access to reliable information is essential when making a decision about one’s health.

“If you don’t get the best possible information about all your treatment options, you might not make an informed decision on which treatment is most appropriate for you,” said Dr. Ponce-González, who serves as the spokesperson for Toma las riendas. See her bio here.

You can send in live chat questions for Dr. Ponce-González now to EHC_Outreach@ahrq.hhs.gov, and questions will be taken during the chat, too.

A chat transcript will be available on the Facebook page after the event.

Latino Father Helps Pediatric Cancer Patients and Their Families Travel to Chemotherapy Appointments

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Editor’s Note: This post is part of an ongoing series that will highlight the Robert Wood Johnson Foundation’s work in Latino communities across the country.

Richard Nares

When his only child Emilio died of cancer shortly before his sixth birthday, Richard Nares found his world was shattered. As he and his wife tried to put their lives back together, Nares realized his priorities had changed.

“All I wanted to do was help other families who were going through what we went through,” said Nares, who was an artist and picture framer.

Putting his family’s tragedy and hard-earned knowledge to use, Nares and his wife Diane established the Emilio Nares Foundation to transport underprivileged families whose children are battling cancer to their medical visits at Rady Children’s Hospital in San Diego. “We’ve been in their shoes,” said Nares, referring to the parents. “We’re reliable. They trust us. We don’t miss a day and they know that. And we’re bilingual.” Today Nares’ foundation serves thousands of families each year with transportation to and from medical visits, multiple education and support programs, cooking classes, and knitting and sewing groups.

For developing a successful model to support and transport low-income families with children battling cancer to medical visits, Nares has been named one of 10 recipients of the Robert Wood Johnson Foundation Community Health Leaders Award. The award honors exceptional men and women who have overcome significant obstacles to tackle some of the most challenging health and health care problems facing their communities.

Nares’ own experience with his son Emilio gave him a unique perspective on what families need to help their child battle cancer. “When your child has cancer, his immune system is suppressed. It is dangerous for him to ride public transportation and sit next to someone who has a cold,” said Nares, who started out by using his own car to transport families until he was overwhelmed with requests. “I met a mom whose son had a brain tumor. She had to leave her home at 4:30 in the morning and change buses five times to get to the hospital by 9 a.m. Imagine what a horrific travel experience that was for her and her 2-year-old,” he said, which is why his program’s vans are sterilized and fully stocked with snacks, cleaning materials, and towels to help when the children suffer reactions to chemo or other treatments.

Community Health Leaders National Program Director Janice Ford Griffin said that the selection committee honored Nares for his “nonstop caring and commitment” to helping needy families with children battling cancer. “Richard Nares’ attention to details that may seem small yields big differences for families of children stricken by cancer. Safe, reliable, and comfortable transportation to and from the hospital is too often taken for granted and is the linchpin of prescribed and uninterrupted therapies and good outcomes,” Griffin said. “As he observed the families’ needs for more support, he has stepped forward to organize and provide an array of services for a population whose challenges are exacerbated by the lack of effective public transportation.”

According to Nares, his greatest challenge each day is to make sure that parents take an active role in their children’s health care. “It’s very important to be your child’s advocate as they battle cancer,” Nares said. “You know best how they’re feeling and how they are reacting to medication. Parents can feel intimidated by doctors, but we teach them: write down questions, make sure you have an interpreter if you need one, and demand answers.”

Rady Children’s Hospital Chief Executive Officer Margareta F. Norton said of Nares, “Richard is often seen around campus. Whether he is driving patients to appointments, helping staff the resource center, or speaking with staff, Richard is constantly available and interested to learn about the needs of the children and families in our care. He has helped us to promote and offer a variety of support services in the hospital in a way that only a parent could understand. It is this interest and pride in his work that are his greatest contributions to our community.”

For Nares, his work is his inspiration, “I look at these children and they remind me of my son. When I see the parents’ stress and fear, it’s like looking in a mirror.” Yet Nares continues to look forward. “I want doctors to ask the kids how they are feeling. I want parents to know that they are not alone and that someone is here to help,” Nares said.

RWJF has honored more than 190 Community Health Leaders since 1993. The work of the nine other 2011 recipients includes a project to help people with disabilities safely and confidently handle routine medical exams in Delaware; a community initiative to ensure access to medical care in the Kansas farm belt; a campaign for early detection and treatment of breast cancer for uninsured and underserved women in Miami; a nurse training program for disadvantaged Hawaiian students; a home health aide service for elderly Asian Americans in suburban Philadelphia; a rural community health outreach program in the Delta region of Arkansas; an anti-hunger and nutrition program in New Brunswick, N.J.; health education for Mexican Americans in Brooklyn, N.Y.; and health care for the working poor in Altoona, Pa.

For more information, visit www.communityhealthleaders.org.

VIDEO: Tackling Latino Health Issues

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The Utah Department of Health recently released several videos, “For Me, For Us,” to offer reliable health care information to racial/ethnic minorities, the Daily Herald reports.

Each video tackles healthy eating, access to health care and healthy births, and other health challenges facing minorities in Utah.

One of the videos targets Latinos. Watch in English or Spanish or below:

Dentist Educates Hispanics on Preventing AIDS, Diabetes & More

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Editor’s Note: This post is part of an ongoing series that will highlight the Robert Wood Johnson Foundation’s work in Latino communities across the country.

Gabriel Rincón

In the early days of his career—and also of the HIV/AIDS epidemic—Gabriel Rincón, DDS, spent part of his dental residency caring for AIDS patients in the final stages of their disease. During the late 1980s and early 1990s, there was not much information being circulated about HIV, particularly in New York City’s Mexican American community, for whom the topics of sex and gender roles were taboo.

“I saw people in my community getting infected with HIV/AIDS, yet there was nothing in Spanish about the disease or how to prevent it,” Rincón said.

So Rincón developed a culturally sensitive presentation to educate Mexican Americans and other Latinos about HIV, its signs and symptoms, how it is spread, and how it can be prevented. He bought an overhead projector and traveled to restaurants, factories, and churches to give his presentation. “I talked to anyone who would listen,” Rincón said. His efforts led him to launch Mixteca Organization, Inc., which provides health and education programs to thousands of Latino New Yorkers each year.

For his undaunted quest to educate and support Latino immigrants in need, Rincón has been named one of 10 recipients of the Robert Wood Johnson Foundation Community Health Leaders Award. The award honors exceptional men and women who have overcome significant obstacles to tackle some of the most challenging health and health care problems facing their communities.

After a year of making his presentation on HIV/AIDS, it became clear to Rincón that his community also was severely affected by heart disease and diabetes, so he started to educate about those issues as well. He found himself helping Latino immigrants get access to basic health care. Nearly a decade later, in 2000, someone suggested that he turn his work into a nonprofit organization.

Today, in addition to offering a broad range of health education programs, Rincón’s Mixteca provides literacy and computer classes, English language courses, and after-school programs. “A young man we worked with just graduated from the Rochester Institute of Technology. In order to be healthy, you have to be educated,” Rincón said.

Originally from Puebla, Mexico, Rincón was 17 years old when he came to the United States in 1972. “My family was very poor but I wanted to study, so I thought I could find a better life in the United States,” said Rincón, who found himself working as a dishwasher until immigration sent him back to Mexico. He became a dentist while in Mexico, learned English by reading Ian Fleming’s popular James Bond books, and then came back to the United States in 1984. “Sometimes things happen in life for a reason,” said Rincón, who had to repeat dental school in the United States before being allowed to practice here, and who continues to practice dentistry in Brooklyn.

Community Health Leaders National Program Director Janice Ford Griffin said that the selection committee honored Rincón for his compassion and commitment to tackling culturally sensitive health issues. “Dr. Rincón is incredibly committed to assuring access to quality health care, especially for Mexican Americans, in spite of the enormous impediments and barriers presented by language and a climate of fear and hostility they encounter on a daily basis. His collaborative leadership has provided a base for education, referral, and direct services that has influenced the lives of families that extend far beyond the Brooklyn neighborhood,” Griffin said.

Although based in Brooklyn, Mixteca serves people from all over New York City, including the Bronx, Manhattan, and Queens. “We no longer have to seek out people to help,” Rincón said. “We have proven ourselves to be a trusted community partner. Everything we do is confidential, so people come to us.” In 2010, Rincón, who also serves as a member of the board of trustees of Lutheran Medical Center, started to tackle another big taboo in his community—domestic violence.

Larry McReynolds, executive director of the Lutheran Family Health Centers in Brooklyn, said that Rincón’s dedication has resulted in measurable improvement in community health, especially in Brooklyn’s Sunset Park neighborhood, where Mixteca is based. “Gabriel Rincón’s passion for improving health outcomes for the immigrant population of Sunset Park is a tribute to his dedication and leadership at Mixteca,” McReynolds said. “In 2009 alone, Mixteca provided four community health fairs, 20 community health workshops, 305 referrals to free or affordable health care, 332 HIV rapid tests, and 4,000 health screenings. None of that would have been possible without Gabriel Rincón.”

RWJF has honored more than 190 Community Health Leaders since 1993. The work of the nine other 2011 recipients includes a project to help people with disabilities safely and confidently handle routine medical exams in Delaware; a transportation and support program for families with children battling cancer in San Diego; a community initiative to ensure access to medical care in the Kansas farm belt; a campaign for early detection and treatment of breast cancer for uninsured and underserved women in Miami; a nurse training program for disadvantaged Hawaiian students; a home health aide service for elderly Asian Americans in suburban Philadelphia; a rural community health outreach program in the Delta region of Arkansas; an anti-hunger and nutrition program in New Brunswick, N.J.; and health care for the working poor in Altoona, Pa.

For details, visit www.communityhealthleaders.org.

Online Hispanics Have a Hard Time Finding Health Info In Spanish

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How do Hispanics use the Internet to get informed on health issues?

A MediaPost Blog called Engage:Hispanics sought to answer this question and found that, despite a strong demand for health content online among Hispanics, there is very little of it available in Spanish:

According to comScore, Hispanic usage of health care websites is growing twice as fast as the general market. In September 2011, a total of 17.2 million Hispanics visited a health-related website; this represents 52% of all online Hispanics and an annual growth rate of 31%.

Compare this to the general market, where 66% of online users visited a health site in September 2010, up 15% from the previous year. The fact that most Hispanics are young helps explain why they are less likely than the general market to visit health sites, but language preference and the relative lack of Spanish language health information also seem to play a roll.

In the past 12 months, usage of health websites skyrocketed among the bilingual and Spanish-preferring online Hispanics. As a result, more than half of all online Hispanics visits a health site each month.

The blog entry indicates that there is a “clear demand for Spanish language health information online and relatively few companies providing it. Providing online Spanish health content would not only meet this demand, but it would also help Hispanics get healthy.”

Read more here.

Latinos, ‘Take the Reins’ of Your Health With New Spanish-Language Guides

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If you have been diagnosed with high cholesterol, for example, you probably know that keeping cholesterol at a healthy level can help you lower your chances of a heart attack or stroke.

But how much do you know about your treatment options, including what side effects medications may cause and how to determine the best option for you?

If you don’t get the best possible information about all your treatment choices, you might not make an informed decision on which treatment is most appropriate for you. All of this couldn’t be truer for Hispanics who have to navigate a complex healthcare system in another language.

This is where a new campaign, “Toma las riendas” (“Take the reins”), comes in.

The Toma las riendas campaign, sponsored by the Agency for Healthcare Research and Quality (AHRQ), promotes factual, unbiased treatment information to help Spanish-speaking Hispanic patients and doctors work together to make informed healthcare decisions.

This information, from AHRQ’s Effective Health Care Program, is based on scientific research regarding treatment options, simplified into easy-to-understand guides. Someone with high blood pressure, for example, might have more than a dozen medicines from which to choose. Someone with heart disease might need to choose between having heart surgery or taking medicine to open a clogged artery. Patients face complicated choices: Which test will help most? Is surgery the best option? Which medical treatments work best for me? What are the risks and benefits? Toma las riendas information puts more control in the hands of patients when making these kinds of health care decisions.

Toma las riendas also gives doctors and health care team members information to help them stay up to date on the best available scientific evidence related to specific health topics such as treatments for heart disease, diabetes, cancer, mental health and other conditions. This info helps health care providers compare the effectiveness of medications.

To get regularly updated information and engage in ongoing discussions about taking control of your health, visit the Facebook page. Spanish-language patient guides on heart and vascular system conditions, diabetes, cancer, bone and joint-related conditions, pregnancy, mental health, and digestive system ailments are available, for free, at http://effectivehealthcare.ahrq.gov/index.cfm/informacion-en-espanol/.

To order free printed copies, call 800-358-9295.

For other free Spanish-language tools, visit http://www.ahrq.gov/consumer/espanoix.htm.

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