Salud se puede good health is possible
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¡Salud Se Puede! (Good Health Is Possible!). Reaching Out To The Latino/Hispanic Community With Health Information. Introduction. Gail Kouame Consumer Health Coordinator NN/LM, PNR University of Washington Serve 5 states: Alaska, Idaho, Montana, Oregon, and Washington. Introduction.

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¡Salud Se Puede! (Good Health Is Possible!)

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Salud se puede good health is possible

¡Salud Se Puede!(Good Health Is Possible!)

Reaching Out To The Latino/Hispanic Community With Health Information


Introduction

Introduction

  • Gail Kouame

    • Consumer Health Coordinator

    • NN/LM, PNR

    • University of Washington

    • Serve 5 states:

      • Alaska, Idaho, Montana, Oregon, and Washington


Introduction1

Introduction

  • Services/Resources We Provide:

    • Promote NLM resources

    • Provide training – like today!

    • Provide training materials you can use

    • Fund health information projects

      • Ex: Community Choice in Wenatchee, WA

    • Promotional materials for health fairs, etc

    • Consult on proposed outreach efforts


Introduction2

Introduction

  • Who we serve:

    • Health Professionals

    • Medical Libraries – hospital and other

    • Public Libraries

    • Academic Libraries

    • Community-Based Organizations

    • Faith-Based Organizations

    • You!

  • Emphasis on underserved, underrepresented groups


What we ll cover today

What We’ll Cover Today

  • Demographics – Why We Need This Session

  • Perceptions About Health

  • Health Literacy Issues


What we ll cover today1

What We’ll Cover Today

  • Spanish Language Health Resources

  • Cultural Health Information Sites

  • Evaluating Spanish Language Health Sites


Demographics

Demographics

  • Let’s clear the air:

    • “Hispanic” - a government term, but it’s what is used

    • Latino or Spanish-speaking is preferred. Others?

  • In 2000, 12.5% of U.S. population Hispanic

  • 1 in 8 Americans Hispanic in 2000

  • Largest minority population in the U.S.

  • By 2050, Hispanics = 25% of U.S. population


Demographics1

Demographics

  • Hispanics in every US state

  • Percentage of NW state population that is Hispanic:

    • Washington – 6.1%

    • Oregon – 5.9%

    • Idaho – 7.1%

    • Alaska – 3.8%

    • Montana – 1.7%


Perceptions about health

Perceptions About Health

  • Cultural Values – regulate behavior and social interactions

  • Cultural Beliefs – attach meanings to events, things, people

  • In Mexican-American culture – health is holistic: mind, body, spirit

    • Ex: Full moon and pregnant woman

    • >500 years of oral tradition


Cultural beliefs influence

Cultural Beliefs Influence:

  • Etiology/cause of illness

  • How one communicates health problems

  • How one presents symptoms

  • When and to whom one goes for care


Cultural beliefs influence1

Cultural Beliefs Influence:

  • Congruency of illness with a medical diagnosis

  • Willingness (or not) to adhere to plan of care

  • Use of possible combinations of Western & Folk medicine

  • Restoration of health – as important as etiology


Cultural beliefs example

Cultural Beliefs - Example


Cultural beliefs

Cultural Beliefs

  • Curanderismo:

    • Term for entire Mexican Folk system of disease and healing

    • Coherent world view of healing with deep historical roots

    • Modern Curanderismo is syncretic, holistic, and eclectic

      • Derived from Aztec, Spanish, Judeo-Christian, Spiritualism, and modern biomedicine


Cultural values

Cultural Values

  • Cultural values drive help-seeking behaviors:

    • Familiarismo – familiaism

    • Fatalismo – “will of God” – I have to endure this

    • Spirituality/Religiosity

    • Orgullo – pride/saving face

    • Machismo

    • Marianismo – “saintly woman” – everyone else first


Cultural values1

Cultural Values

  • Interactions need to incorporate:

    • Carino – caring

    • Personalismo

    • Confianza

    • Dignidad

    • Respeto

    • Simpatia

    • Communicacion – closer personal space, less eye contact = giving respect


Cultural values2

Cultural Values

  • Cultural Identity and Ethnic Pride

    • Spanish Language as a cultural value for many Mexican Americans

      • Essential in communication

      • Conveys symptoms – e.g.: “dolor”

      • It includes how we share knowledge, customs, beliefs – e.g.: “dichos”


Importance of language

Importance of Language

  • Limited English Proficiency Patients:

    • Receive less information about therapeutic regimens

    • Understand less instructions related to medications

    • Are less likely to keep subsequent appointments

    • Are more likely to make ER visits


Importance of language1

Importance of Language

  • Limited English Proficiency patients:

    • Are less likely to receive preventive services

    • May receive misdiagnoses due to lack of communication

    • May receive poor medical care

    • May be prescribed inappropriate medications

    • May perceive less quality in health care received

  • Ask if people prefer to read in English or Spanish


Health literacy

Health Literacy

  • Definition - The degree to which individuals have the capacity to:

    • Obtain

    • Process

    • Understand

      basic health information and services needed to make appropriate health decisions.Healthy People 2010


Health literacy1

Health Literacy

  • Poor health literacy is a stronger predictor of a person’s health than

    • Age

    • Income

    • Employment status

    • Education level

    • And race

      JAMA, Feb 10, 1999


Health literacy2

Health Literacy

  • Patients with inadequate health literacy:

    • Have less health-related knowledge

    • Receive less preventive care

    • Have poorer control of their chronic illnesses

    • Are hospitalized more frequently

      Journal of General Internal Medicine 2004; 19:1228-39

  • Look familiar?


Health literacy3

Health Literacy

  • Healthy People 2010 - goal to improve health literacy

  • Institute of Medicine - Health Literacy is high-priority are for improvement in health care quality


Responses spanish language health information

Responses – Spanish Language Health Information

MedlinePlus.gov/spanish


Responses spanish language health information1

Responses – Spanish Language Health Information

  • NOAH – New York Online Access to Health


Responses spanish language health information2

Responses – Spanish Language Health Information

  • National Center for Farmworker Health


Responses spanish language health information3

Responses – Spanish Language Health Information

  • Healthy Roads Media


Responses cultural health sites

Responses – Cultural Health Sites

  • Ethnomed


Responses cultural health sites1

Responses – Cultural Health Sites

  • RHIN – Refugee Health Information Network


Evaluating spanish health sites

Evaluating Spanish Health Sites

  • You know more than you think!

    • Alphabet is almost the same

    • Language is similar

    • Photos and Graphics are clues

    • Look for “About Us”

      • Sobre Nos

      • Sobre

      • Acerca de…

      • ¿Quienes Somos?


Evaluating spanish health sites1

Evaluating Spanish Health Sites

  • Other clues:

    • Fecha = Date

    • Actualizado = Updated

    • Modificado = Modified

    • Use “quick and dirty” translation – babelfish, Altavista


Evaluating spanish health sites2

Evaluating Spanish Health Sites

  • Let’s give it a try!


Want to know do more

Want to Know & Do More?

  • Join the NN/LM PNR

  • It’s easy – and FREE!

  • http://nnlm.gov/pnr

    • HLIB-NW listserv

    • Funding Opportunities

    • Training & Promotional Materials

    • Connections with others interested in health information


Thank you

Thank You!

Gail Kouame

[email protected]

206-221-3449

1-800-338-7657


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