May 26, 2013
Tag Archives: health

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Latino Teen Birth Rate Drops Dramatically

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hispanically-speaking-news-219x300By Hispanically Speaking News

A new government study by the U.S. National Center for Health Statistics shows that teen birth rates have plummeted especially for Hispanic teen girls.

The teen birth rate from 1991 to 2011 dropped by 50 percent from every 62 births per 1,000 teens to 31 births for every 1,000 teens.  The decrease was equally dramatic from 2007 to 2011 – the most recent timeframe for the study – dropping by 25 percent.

The study observed the greatest decrease in teen birth rates amongst Latina teens.  From 2007 to 2011 the Latina teen rate dropped by 34 percent.  Now Latina teen rates are just 4 percent higher than that of African-American teens.  Teen birth rates for African-Americans dropped by 24 percent in the same timeframe.

The study did not get into the reasons for the birth rate decline.

Government researcher’s elation over the good news was tempered.  The U.S. still has one of the highest incidents of teen births amongst development nations.  While we have a rate of 31 per 1,000 rate, Japan’s rate is 4.9 births per 1,000 teen, for example. 

This article was firs published in Hispanically Speaking News.

Read more related stories here:

Teen Hispanic birth rates decline 40 percent, but more needs to be done, says expert, Associated Press/NBCLatino

Hispanic teen birth rate decreased dramatically, Christian Science Monitor

[Photo by mahalie stackpole]

Over half of Latinos don’t know key aspects of new health care law

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NBCLatinoBy Sandra Lilley, NBCLatino

About one in three Latinos is uninsured, and Hispanic families are among the groups that can most benefit from the Affordable Care Act’s expansion of health care coverage. Yet more than half  - 54 percent – of Latinos in Colorado could not name one specific aspect of the law, such as the fact that parents can insure their children until the age of 26 (only 18 percent knew), or that insurance companies cannot discriminate due to a pre-existing condition (only 14 percent knew).

“At this point, information is relatively low but the desire to be engaged in the process is very high,” said Dr. Gabriel Sanchez, Director of Research for Latino Decisions, who conducted the survey for Adelante con la Salud: Latino Health Care Engagement Project, which seeks to inform the state’s Hispanics on the new law.

A key finding was that only a mere 6 percent of Colorado Latinos knew about the health care exchanges – the main mechanism created by the law so families can purchase affordable insurance.  This is significant, because the law was set up so that health care costs would gradually go down as millions of  Americans sign up for health insurance through the exchanges.

Currently, the high cost of health care has taken its toll among Latino families, according to the poll. Forty three percent of Hispanics in Colorado say they have used up savings to pay medical bills, and almost one in three say they can’t cover their basic needs due to medical costs.  Forty five percent of Latinos surveyed say they rely on home remedies to defray medical costs, almost three in ten skip treatments and more than a quarter of Latinos did not get their prescriptions filled due to costs.

When asked how they would prefer to obtain information on the ACA, Latinos surveyed said hospitals  (27 percent) followed by doctors (21 percent).  ”We cannot assume doctors are informed about the Affordable Care Act,” said Sanchez, who is also the Assistant Director of the Robert Wood Johnson Foundation Center for Health Policy at the University of New Mexico.  Giving the medical community key talking points, said Sanchez, is necessary to avoid medical doctors giving “misinformation” about the new health care law.

Melanie Herrera Botz, co-Project director from Adelante con la Salud, said Colorado is already ahead of some states, especially on the rollout of the health care exchanges, which are supposed to be in place in October. “We changed the name to Connect for Health Colorado, we’re running tv commercials, and bus ads will be rolled – let’s hope our work pays off in October,” she said.

“One of our jobs is educating on how to navigate the health care system,” said Herrera Botz, explaining many families need to understand the basics, like what a premium or a deductible is.  ”If we don’t educate them on how to use it, it won’t work,” she said.

An interesting finding of the survey was that only 25 percent of Latinos knew that undocumented immigrants cannot participate in the health insurance program. Half of Latinos thought they could – and 62 percent think they should be eligible.

This article was first published by NBCLatino.

Sandra Lilley loves being an active part of our “national conversation”, on everything from politics, education and the economy to the latest books and people in the news. Sandra started out in Telemundo-NY as a general assignment reporter and later News Director. She was also a Dayside Managing Editor at MSNBC and a Planning Editor for the NBC Domestic Desk. Born and raised in Puerto Rico, Sandra studied history at Brown University, and currently lives in New Jersey with her family. Sandra hopes our site inspires and informs Latinos as they work toward their family’s “American Dream.”

[Photo by edenpictures]

Does Accultu ration Make Latinos Live Shorter, Sicker Lives?

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By Martha Garcia, Saludify

Acculturation, or adapting to the culture of the society you live in (including diet, lifestyle habits, language), is often at the heart of criticism for many Latinos. Stay true to tradition or adapt to life in the U.S., is a common Latino dilemma. But, what is the difference between acculturated and non-acculturated Latinos when it comes to health?

While many people assume all Hispanics living in the U.S. do not live as long as other ethnic groups due to health care gaps and high rates of chronic diseases, the Hispanic Paradox reveals a different picture.

Recent census information backs up the research.

Overall, Hispanics live 2 years longer than non-Hispanic Whites and an average of 8 years longer than African Americans. They also have a lower rate of infant mortality than other ethnic groups. Shocking statistics if you consider that Hispanics in the country have the highest uninsured health rates of any ethnic group, a rate that increases to nearly 50 percent if the person was not born in the United States.

Research, however, has found that while Hispanics in the U.S. live longer than non-Hispanics, non-acculturated Latinos live longer and healthier lives than acculturated or U.S. born Hispanics. In fact, acculturated Hispanics have higher rates of chronic conditions such as diabetes, heart disease, obesity and cancer.

What is it about the acculturation process that takes a toll on our health? While there may not be a definitive answer yet, a look into our rich Latino traditions and culture can certainly offer some clues.

Acculturation: Losing family traditions?

A major component of Latino life is the focus on family and community. Familismo, is an increased value of immediate and extended family members beyond mom, dad and grandparents. This can include aunts, uncles, compadresand other close knit community members.

Family support can indeed help individuals cope with daily stress.

A “strong sense of community and close family ties” can lead to better health, according to David Hayes-Bautista, director of the Center for the Study of Latino Health and Culture at the University of California, Los Angeles.

A very important part of Latinos coming together is the food, of course. Latinos’ family and friends reunions are usually about homemade meals. Non-acculturated Latinos might be more prone to still come together for family time, prepare food from scratch, using natural and fresh ingredients from their own garden or a nearby market.

An important aspect of these family dinners is the social bond it offers the family. A Canadian based study found frequent family dinners was associated with an increased rate of emotional well-being, pro-social behavior and life satisfaction among adolescents.

The findings offer a clue into the positive effects frequent family dinners can provide to the entire family. Offering family members a strong outlet for increased communication, which can lead to increased mental and physical health and may be a key role in Latino longevity.

It is also about what non-acculturated Latinos eat. The recent juice cleanse craze has proven to be a healthy dietary addition in the U.S., but Latinos have long known the benefits of consuming fresh fruit and vegetable juices.

A tradition long honored by Hispanics, juices and licuados are as much a part of Latino culture as tacos and burritos for Mexicans. All infused with items, like fresh orange juice, celery, mango, spinach, nopal, cinnamon and other natural ingredients, non-acculturated Hispanics are more likely to prepare these juices instead of buying them already prepared from the grocery store.  Acculturation usually implies adopting the rhythm of the American life, which in turn may lead to less time to prepare meals, and more access to and acceptance of fast food options.

True, Hispanic food often includes unhealthy aspects, like fried food or items heavy in fat. However, traditional Hispanic cultures opt for home cooked meals made from scratch with fresh ingredients, which is always a much healthier alternative to packaged food with added preservatives.

The non-acculturated Latino household will opt for ingredients which are completely fresh, shying away from canned and packaged goods which may contain added sugar and chemicals. In fact, according to a recent survey, 52 percent of non-acculturated Latinos prepare fresh home cooked meals more often than acculturated Latinos.

Acculturation might also lead to more access to English-language marketing campaigns and television shows promoting fast food and related lifestyle habits.

Acculturation and access to health care

When Americans get sick they often turn to the doctor for help. Many traditional Hispanic cultures dictate that when someone gets sick, you turn to the family for home remedies first. Research indicates nearly six out of 10 Latinos will try home remedies first, as a cure for illness.

Every Hispanic culture has a rich history of using plant remedies and foods administered by abuelas andcuranderas as prescriptions for sicknessLatinos often turned to the yerba buena for stomach aches or oregano oil for earaches. Even the nopal, leaf of the cactus, is known to help lower blood sugar and fight cholesterol.

Studies reveal non-acculturated Hispanics turn to home remedies 80 percent of the time as opposed to acculturated Hispanics, who seek herbal remedies only 50 percent of the time. Acculturation might involve a tendency to rely more on prescription and over the counter medications, which often cause side effects.

Could this be the key to Hispanic longevity? While the practice is culturally approved, it is also a favorite among Latinos because of the cost difference. In a country where Latinos have the highest uninsured health rates of any racial or ethnic group, opting for low cost alternatives proves to be practical economically for many Latinos, not just culturally.

However, relying on natural remedies for more serious illness can also prove detrimental to Latinos, who often crowd the hospital’s emergency rooms when their condition worsens.

Acculturation and physical activity levels

Regular physical activity has been proved to improve an individual’s overall health and reduce the risk for chronic diseases.

When it comes to Latinos, levels of physical activity vary greatly among acculturated and non-acculturated individuals. There is also conflicting information about this issue.

While, non-acculturated Latino parents might be more likely to promote outdoor play time among their children and be more active themselves, especially if their financial situation is not strong, they often run into obstacles to be active.

According to a review, many low-income Latinos, find themselves with multiple role responsibilities that leave little time for leisure and physical activity. Many of them also perceive their own neighborhoods as not safe, which keeps them from activities such as walking and going to the park.

However, non-acculturated Hispanics are more likely to be found working in jobs that require strenuous physical activity such as construction, gardening, and cleaning. Acculturated Latinos, on the other hand, are more likely to be found in desk jobs that promote a more sedentary life.

All in all, the process of acculturation might take a toll on someone’s health – by leading a more stressful life, adopting the so-called American diet, reducing levels of physical activity, and distancing oneself from cultural traditions that may be physically, mentally and emotionally healthier, something to keep in mind, especially for those Latinos raising children in the U.S.

This article was first published in Saludify.

Martha Garcia is a freelance writer living in Los Angeles. She writes for various magazines, newspapers & websites. Martha is the Faith editor for the Signal newspaper. She loves to travel, learn about new things and continues her pursuit of healthier living.

[Photo by Daquella manera]

Dramatic Increase in Testicular Cancer Cases Among Latinos

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saludifyBy Hope Gillette, Saludify

While testicular cancer is considered rare when compared to other cancers, recent research has shown a steady increase in its prevalence among non-Hispanic white, Hispanic, and African American men over the age of 15. Of these groups, Hispanics have the highest incidence increase at approximately 6 percent over a 7-year period.

And though non-Hispanic white males still have the highest overall occurrence rate at 8.6 per 100,000 individuals, Hispanic men are not far behind with 6.3 incidences per 100,000 individuals.

“More research is needed to shed light on why the incidence is up nationwide and if any environmental factors or co-morbidities impact disease formation,” Jeff Holzbeierlein , MD, Associate Professor of Urology and Director of Urologic Oncology at the University of Kansas Medical Center, said in a press release. “These new data confirm Hispanic Americans should speak with their doctor about risk factors and be even more vigilant with their testicular health.”

Testicular cancer claims the lives of approximately 400 men annually, states the American Cancer Society, and some 8,000 new cases are diagnosed each year. Although the rate of testicular cancer is climbing for most men, it is considered a very treatable cancer, and the odds of dying from it are about 1 in 5,000, especially if diagnosed early.

Nearly all testicular cancers begin in the germ cells, specialized cells associated with reproduction functions. What causes these cells to become abnormal is unknown, though experts feel men with undescended testicles, issues with testicular development, those with a family history of testicular cancer, and those between the ages of 15 and 34 are most at risk. Marijuana use has also been linked to increased risk of testicular cancer.

Symptoms, according to the Mayo Clinic, usually present as a lump or enlargement in testicles, fluid accumulation in the scrotum, heaviness in the testicles, abdominal or groin aches, and tenderness of the breasts.

“It still remains an uncommon cancer,” Dr. Len Lichtenfeld, deputy chief medical officer of the American Cancer Society, told Hispanically Speaking News. “It’s important that we become aware of the situation [of rising numbers of cases], but not become alarmed by it. If a man notices a lump or a change, he should go see his doctor. We have had a significant improvement in the treatment of this cancer.”

While Hispanic men saw the highest increase in testicular cancer occurrence, African American men saw the lowest at 1.7 cases per 100,000 individuals up from 0.7 per 100,000 at the beginning of the study.

testicular cancer

This article was first published in Saludify.

Hope Gillette is an award winning author and novelist. She has been active in the veterinary industry for over 10 years, and her experience extends from exotic animal care to equine sports massage.

 

Who’s Caring For Our viejitos? Latino Caregivers at a Glance

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saludifyBy John Benson, Saludify

America is getting older as the baby boomer generation eases into its senior years.

This naturally includes the Hispanic population, which by 2019 is projected to be the largest racial/ethnic minority in the 65 and older age group.

National Hispanic Council on Aging (NHCOA) President and CEO Dr. Yanira Cruz paints a troubling picture to Saludify, regarding today’s Latino seniors, many of which live solely on social security and often are forced to choose between medication and food.

“Latino older adults are living longer but they’re not necessarily living well,” Cruz said. “What I mean by that is, we are hitting our golden years in economic insecurity and we’re facing a number of chronic conditions including diabetes.”

For the Latino population, this means a new set of challenges are on the horizon for not only those aging but for the family members who invariably will be taking on the role of caregivers.

Caregivers deal with their own struggles

A 2008 Hispanic Family Caregiving in the U.S. study revealed 36 percent of Hispanic households in the nation report having at least one family caregiver. This equates to an estimated 8,147,000 Latino caregivers in the U.S., with that number growing fast.

“That is a piece of good news — that we take care of our elders,” Cruz said. “We’re very proud of having our older adults in our spaces, and we value and honor them. We take caregiving as a role that we play that is part of who we are as a community and who we are as a family.”

But while this family structure is a positive, one negative is the fact many families can’t or won’t rely on outside services that could potentially help them fill their caregiving roles in a more effective way. The result is financial and health strife for those left caring for Latino abuelitos, not to mention kids still living under the same roof.

Senior Community Outreach Services, Inc. Director of Programs Rachanna Rodriguez told Saludify this is an all-too familiar scenario currently playing out in the Alamo, Texas area.

“The problem is the lack of resources and education about the caregiving role itself due to healthcare illness of their own or the fact that it just takes long [...] to try to coordinate one service,” Rodriguez said. “Because of the caregiver role and the healthcare illness of the loved one, they’d prefer they can get the majority of services – transportation, respite care, medication assistance – at one agency, which is not realistic here in our community because we don’t have all of that in one stop.”

Another major issue for caregivers, who often have to quit their jobs or cut hours, is the cost of medical expenses.

“We are economically depressed,” Rodriguez said. “We don’t have high paying jobs and many of our caregivers struggle to pay for out of pocket medical expenses, especially medications because they’re so expensive. They have to determine, ‘do I make the house payment this month or do I take dad to the doctor so he can get his medication?’”

This poses additional stress on the caregiver, as well as the rest of the family living with taking care of their senior.

Cruz added that she recently encountered a former Washington D.C. public school teacher who had to quit her job to take care of her elderly mother who suffered from Alzheimer’s. She also has two teenage kids, so financially the family is in trouble.

Said Cruz, “In addition to the financial constraints, she’s also experiencing some mental health issues because the stress associated with being a caregiver 24 hours a day is a huge pressure.”

It is not only about the added expenses though. The emotional toll of seeing a loved one struggle with mental or physical distress is high and real for caregivers.

Many of these caregivers in turn are not seeking help to deal with the added stress, whether it is because of lack of health insurance, cultural and language barriers, low income or the stigma attached to mental health issues among Latinos. The result for the caregiver many times is deteriorated health, depression and even more stress and guilt for not being able to care for their seniors properly due to their own struggles.

Younger caregivers, those with small children or attending school, can also face physical, emotional and mental issues from juggling many responsibilities in a limited time frame, especially when additional resources — like other family members or finances to hire outside help — are not available.

Older Americans Act

Something Cruz and her peers are paying very close attention to is the re-authorization of the Older Americans Act. A key portion of the act, which was originally passed in 1965, is the National Family Caregivers Support Program that offers a range of services to support family caregivers such as information to caregivers about available services, assistance to caregivers in gaining access to the services, individual counseling, organization of support groups and limited caregiver training, respite care and supplemental services.

“That program is worth highlighting,” Cruz said. “It gives families across the country the flexibility to care for their loved ones as they see fit. It allows for the older adults to remain at home for as long as possible.”

In addition to the Older Americans Act’s reauthorization, Cruz is hopeful it’s expanded in the future. Perhaps even following some of the suggestions listed in the Hispanic Family Caregiving in the U.S. study. This includes: training in caregiving activities, especially personal care and health-related tasks, such as operating feeding tubes or respirators; financial support so that they do not go bankrupt as a result of healthcare and related costs; support at the workplace so that they do not have to leave the workforce needlessly; and culturally sensitive materials that are also in Spanish if needed.

“What comes to mind is, in the next 25 years the world population will have more older adults than younger people,” Cruz said. “What that tells us is the dynamics with how we view and address society will have to change. So now is a good moment to begin and ask ourselves what innovations can we come up with to be able to assure older adults 20 or 30 years from now are able to age with dignity and enjoy their golden years? We’re living longer thanks to the advances of medicine but with that we have a lot of changes coming.”

Latino caregivers at a glance

Here is a snapshot of some of the most important key findings from the Hispanic Family Caregiving in the U.S.study:

• One-third of Hispanic households report having at least one family caregiver (36 percent). With an average of 1.83 caregivers per household, there are an estimated 8,147,000 Hispanic caregivers in the U.S.

• Just under three-quarters (74 percent) of Hispanic caregivers are female, with an average age of 43, caring for a loved one whose average age is 62. Most of the care recipients are female.

• Hispanic family caregivers tend to be in more intensive caregiving situations with 63 percent in high burden situations compared to 51 percent of non-Hispanic caregivers. And Hispanic caregivers spend more hours per week giving care (on average 37 hours vs. 31 hours) and provide a greater number of Activities of Daily Living, known as personal care (2.6 vs. 1.9).

• A high percentage of Hispanic caregivers live with their loved one (43 percent) — this is versus 32 percent of non-Hispanic caregivers.

• Eighty-four percent of Hispanic caregivers believe that their role is an expectation within their upbringing. Seventy percent think that it would bring shame on their family not to accept their caregiving role versus 60 percent of non-Hispanics.

• Caregiving is a shared responsibility: 82 percent say that they get some help from a relative or friend.

Four in ten working Hispanic caregivers report making a major workforce change, such as taking a leave of absence, changing jobs, cutting back hours or stopping work entirely.

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This article was first published in Saludify.

John Benson is employed as a fulltime freelance writer writing for local/national outlets. When he’s not covering news, music or entertainment, he can be found coaching his boys (basketball, football and baseball) or spending time with his wife, Maria.

[Photo by Rosie O'Beirne]

The effects of Global Warming Impacts Latinos the Hardest

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NBCLatinoBy  Dr. Evelyn Montalvo-Stanton, NBCLatino

Some people celebrate spring when the first daffodils appear in their yards; my equinox arrives via itchy eyes and runny noses of allergy-sufferers in my clinic. Just like the first frost evokes new flu viruses, and May’s lengthening sun rays bring heat stroke to mind, as a physician, I am inherently attuned to the ways that the world around us impacts our health.

Like many other health professionals, I am increasingly concerned about the health threats posed by climate change, and I believe that it is my obligation as a healer to help spread this message about global warming: Prevention is the best medicine.

I serve a predominantly Latino community facing a variety of economic and health challenges, and I see firsthand how global warming’s impacts fall hardest on patients who have the least resources to bounce back. Come by my clinic on a hot, smoggy day, and you will see how the growing smog pollution triggered by climate change wears down on my patients with respiratory illness. Nationwide, one in two Latinos live in areas that violate clean air rules. Scientists predict that if air pollution remains at current levels, “Red Alert” days of high smog levels will increase by 68 percent in the 50 largest U.S. cities by mid-century.  Climate change compounds other sources of health inequity, and for the millions of Americans living paycheck to paycheck with limited primary healthcare, extra days in the emergency room are not a reality they can afford.

Air pollution is not the only health risk tied to global warming. Hurricanes, droughts, floods, blizzards and heat waves are expected to become more frequent and intense in many areas of the country due to climate change.  These events can affect patients directly by causing heat stroke or heat exhaustion, or pose indirect health risks such as disease outbreaks from debris-filled water, more frequent and widespread wildfires during drought, and depression and post-traumatic stress disorder in affected communities.

Diseases transmitted by food sources, water, insects and rodents are likely to spread to new areas in a warming climate.  In the United States, these risks may include a wider distribution of Lyme disease; spreading gastroenteritis from contaminated water after floods; rodent -borne viruses such as Hantavirus following heavy rains; and mosquito-borne viruses such as West Nile virus becoming more common and widespread. Warmer temperatures and higher levels of carbon dioxide have also caused an earlier onset of the spring pollen season in North America, exacerbating allergy symptoms with significant consequences for respiratory health.

As global warming changes our exposure and resilience to illness and injury, the hardest-hit tend to be low-income families with other health and economic challenges.  Those most at risk include children, pregnant women, older adults, people with chronic conditions, outdoor workers, and those in coastal and low-lying areas.  These groups of people must be empowered with an understanding of what heat waves, extreme storms, and other risks associated with climate change could mean to their health, and our public health and medical systems must prepare to deliver the care that they need.

As we saw with Hurricanes Sandy and Katrina, healthcare professionals are at the front lines treating victims of extreme weather and the other impacts of climate change. We must also be at the forefront of the national dialogue on global warming, helping to shape public policy that avoids its worst impacts and protects communities from the climate disruptions that is already locked in.

President Obama’s second term presents a unique opportunity to hold him to his commitments to clean up our energy sector, strengthen our climate response plans for public health, and make our country a leader in the green economy. I urge my fellow physicians, nurses, medical assistants and community health workers to make our voices heard: We see firsthand what is happening in our communities, and we must not wait to act. Prevention is the best medicine.

This article was first published in NBCLatino.

Evelyn Montalvo-Stanton is a pediatric pulmonologist and collaborates often with Voces Verdes, the national independent, nonpartisan voice of Latino leaders for the environment.

[Photo by skampy]

Poll: More Latino Outreach Needed for Obamacare

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Latino DecisionsBy Matt Barreto And Gabriel Sanchez, Latino Decisions

new poll of Latino/Hispanic adults strongly suggests that the Federal Government needs to do much more outreach to Latinos regarding the Affordable Care Act (ACA). The poll, commissioned by the Robert Wood Johnson Foundation’s Center for Health Policy at the University of New Mexico, and impreMedia and administered by Latino Decisions, queried 800 Latino/Hispanic adults regarding their knowledge of the new health care law and their personal health care status, including a specific focus on how the rising costs of health care is impacting the lives of Latinos in the United States.

Clear Need for More/Better Outreach

Overall, the results from this poll indicate that there will need to be not only more outreach to the Latino community regarding the new law, but information that is more directly targeted to this population. When asked about their general knowledge about the new law only 12% of Latino adults feel very informed about the ACA (see figure below) compared to a combined 52% who felt either “not all that” or “not that” informed.

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This is reinforced by an overwhelming majority (69%) of Latino adults who say that the ACA is confusing and complicated. Another component of this segment of the survey indicated that only 13% of Latinos think public officials in D.C. took the health needs of the Latino community into account during the ACA debates and bill passage compared to 41% who think they did not take Latinos into account and 43% who said “somewhat”. Finally, ask depicted in the figure below, when asked to provide the names of different parts of the new law a robust 71% indicated that they “did not know”.

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Latinos Express a Desire to be Engaged With the ACA

Now is a critical time to provide the Latino population with more information about the ACA and the poll suggests Latinos are eager to be engaged in this discussion. Overall, 89% of Latinos (see figure below) said they are interested in learning more about the ACA, including 56% who say “very interested”. Furthermore, after hearing some basic information, 75% believe ACA will be good for the Latino community in the long run compared to only 16% say it will be bad. These findings from the survey provide some optimism that if properly engaged the Latino community will be avid consumers of information pertaining the to the historic reform legislation.

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The Rising Costs of Health Care are Major Burden to Latino Families

The survey also reveals that the costs of health care are creating significant burdens on Latino families and that far too many Latino households lack access to health insurance. The survey indicates that 35% of Latinos lacked health insurance at some time in the past 12 months with an additional 10% indicating they lost their health insurance at some time during the recession of the past 4 years. When taken together that’s 45% of Latino adults who have not had permanent and regular access to health insurance. When queried about the costs of health care nearly half of Latino adults indicate that their health care costs have “gone up” in the past year with 76% of those who have seen their costs rise indicating that this has created a significant financial burden. The costs of health care and medical bills has had a tremendous impact on the lives of Latino families and on their health seeking behavior. For example, 28% (see figure below) of respondents to the survey said that because of medical bills, they have been unable to pay for basic necessities like food, housing, heat with 40% indicating they have had trouble paying their other bills. Finally, 32% of respondents say that because of the costs, they or a family member have skipped a recommended medical test or treatment.

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Survey Methodology

Latino Decisions and ImpreMedia partnered with the Robert Wood Johnson Foundation Center for Health Policy at the University of New Mexico in the design of the survey focused on Latinos knowledge and attitudes toward the Affordable Care Act. All phone calls were administered by Pacific Market Research in Renton, Washington. The poll was overseen by Drs. Matt Barreto and Gabriel Sanchez — both experts in Latino public opinion. A total of 800 completed interviews were conducted with Latino adults. The survey has a margin of error of +/- 3.4%. Respondents were interviewed by telephone, and could choose to be interviewed in either English or Spanish. A mix of cell phone only and landline households were included in the sample, and both samples are weighted to match the 2010 Current Population Survey universe estimate of Latinos. The survey was approximately 20 minutes long and was fielded from April 14, 2013 through April 22, 2013.

This article was first published in Latino Decisions.

Dr. Matt A. Barreto is an Associate Professor in political science at the University of Washington, Seattle and the director of the Washington Institute for the Study of Ethnicity and Race. Barreto is a founding principal of Latino Decisions. He received his Ph.D. in political science from the University of California, Irvine in 2005.

Dr. Gabriel Sanchez is an Associate Professor of Political Science at the University of New Mexico, and Assistant Director of the Robert Wood Johnson Foundation Center for Health Policy at the University of New Mexico. He is Director of Research for Latino Decisions. Sanchez received his Ph.D in Political Science from the University of Arizona. His research explores the relationship between racial/ethnic identity and political engagement, Latino health policy, and minority legislative behavior.

[Photo by  SEIU International]

Latinos Not Ready for Changes in U.S. Health Care System

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PRESS RELEASE

LOS ANGELES--(BUSINESS WIRE)--May 01, 2013--

impreMedia and Latino Decisions in conjunction with The Robert Wood Johnson Foundation, Health Policy Center, today released key findings of a national Latino poll indicating that less than a quarter of Latinos feel well informed about the Affordable Care Act (ACA).

The results of the tracking poll were released as part of the “We The People, Health Care Symposium” sponsored by impreMedia, The Latino Coalition and AltaMed, held today in Washington, D.C. With more than 46 million uninsured people living in the U.S., nearly 35% of the uninsured are Latinos. The symposium brought a collective group of some of the country’s top medical experts, business leaders and advocates to discuss how healthcare under the ACA will play a heightened role in the lives of Latinos across the country.

Signed into law by President Barack Obama in 2010, the ACA is landmark legislation including comprehensive health care reforms that will roll out through 2014. However, the impreMedia-Latino Decisions poll found that 69% of Latinos think the ACA is confusing and complicated. When asked to name different parts of the ACA, 71% of respondents said, “don’t know” yet 89% said they are interested in learning more about the law.

“This is a watershed moment in the American health care system and sadly Latinos are feeling left out,” said Monica Lozano, CEO of impreMedia. “It is imperative that Latinos understand how the changes under this law will impact them, and how to make the informed decisions for themselves, their businesses and their families.”

Only 13% of Latinos believe that public officials took the needs of the Latino community into account during the ACA debate and bill passage. Despite having limited awareness about the legislation, 75% indicated that the ACA would be good for the Latino community in the long run.

The ACA changes come at a time when health care costs are creating significant burdens on Latino families. The poll found that 35% of Latinos lacked health insurance at some time in the past 12 months and an additional 10% said they lost their health insurance during the recession over the past 4 years — all told that is 45% of Latinos who have not had permanent and regular access to health insurance.

“Latinos have bore the brunt of a broken health care system for decades, ” said Matt Barreto, Co-founder of Latino Decisions. “Now that this new health care law is in place, there needs to be significant outreach to Latinos to explain exactly how people can access health insurance and ultimately get access to health care treatments. Very large majorities of Latinos are telling us in this poll they want and need more information about the ACA.”

The poll found that 49% indicated that their health care costs have increased in the past year and 76% said rising costs have created a significant financial burden. In fact, more than a quarter said because of these costs that they of family members have skipped recommended medical tests or treatment and have been unable to pay for basic necessities like food or housing.

The poll also revealed that there is a variety of effective ways to reach Latinos about the ACA including distribution of information that is bilingual and culturally relevant — not just a literal translation. In addition, use of credible, trusted sources of information such as hospitals, community centers, health care professionals and Spanish-language media is also important. In fact, 76% of Latinos indicated that they would be likely to enroll in the ACA if they were asked to do so by a Latino doctor or nurse and were given more information about the legislation.

Media Footnote: All References to the poll must be as follows: impreMedia-Latino Decisions Poll. For more information on the poll, please go to www.latinodecisions.com.

Methodology

Latino Decisions and impreMedia partnered with the Robert Wood Johnson Foundation Center for Health Policy at the University of New Mexico in the design of the survey focused on Latinos knowledge and attitudes toward the Affordable Care Act. All phone calls were administered by Pacific Market Research in Renton, Washington. The poll was overseen by Drs. Matt Barreto and Gabriel Sanchez- both experts in Latino public opinion. A total of 800 completed interviews were conducted with Latino adults. The survey has a margin of error of +/- 3.4%. Respondents were interviewed by telephone, and could choose to be interviewed in either English or Spanish. A mix of cell phone only and landline households were included in the sample, and both samples are weighted to match the 2010 Current Population Survey universe estimate of Latinos. The survey was approximately 20 minutes long and was fielded from April 11, 2013 through April 25, 2013.

About impreMedia

impreMedia is the leading Hispanic news and information company in the U.S. in online and print. impreMedia’s multi-platform offerings include: print, digital, mobile and events. Twenty-six percent of U.S. Hispanic adults use an impreMedia product. impreMedia is also the nation’s largest Hispanic newspaper publisher with publications in top U.S. Hispanic markets, reaching 15 markets total that represent 57% of the U.S. Hispanic population. Its leading publications include La Opinión in Los Angeles, and El Diario/La Prensa in New York, both of which are 2012 NAHP Gold (La Opinión) and Silver (El Diario/La Prensa) award winners for outstanding Spanish daily. For more information, visit: www.impremedia.net.

impreMedia portals and publication websites include: www.impremedia.com, www.impowergroup.com, www.laopinion.com, www.eldiariony.com, www.hoynyc.com, www.laraza.com, www.laprensafl.com, www.elmensajero.com, www.rumbotx.com, and www.vistamagazine.com.

About Latino Decisions

Latino Decisions is a joint effort between Pacific Market Research, a nationally known research firm, and Dr. Gary Segura and Dr. Matt Barreto, leading Latino politics scholars and professors at Stanford University and the University of Washington. Both Dr. Segura and Dr. Barreto are experienced and nationally respected researchers who have a deep understanding of U.S. Latino culture and advanced quantitative research skills. Their expertise, coupled with Pacific Market Research’s logistical capabilities, makes Latino Decisions a leader in the field. For more information, please visit www.latinodecisions.com or call 877-271-2300.

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[Photo by edenpictures]

Minorities Wait Longer For Breast Cancer surgery

Woman_receives_mammogram_(1)

By Genevra Pittman, Reuters/Chicago Tribune

NEW YORK (Reuters Health) – Among young women diagnosed with breast cancer, black and Hispanic patients were more likely to wait weeks for treatment, in a new study from California.

Researchers found treatment delays were also more common among poor women and those without private insurance – and that a woman’s chance of surviving at least five years after cancer surgery was lower when it was put off.

Click on picture to read full story.

[Photo by Rhoda Baer]

Latino Children Tragically Boom in Foster Care

texas school children budget cuts education

voxxiBy Toni Castro, Voxxi

A historic number of Hispanic children are in the country’s foster care system, a dramatic change brought on by immigration and the assimilation of a growing Latino population into American society.

The record increase is in part also caused by families breaking apart by divorce or separations caused by incarcerations or deportations of one or both parents.

The startling phenomenon was documented by the child and youth welfare group that operates under the name The Chronicle of Social Change.

“The increase of Latino children in the child welfare system is likely due in part to a growing population of third generation Latino children, who are at greater risk of child welfare involvement than their first and second generation counterparts,” said researcher Alan Dettlaff of the University of Illinois, Chicago.

The best evidence of what has been happening to Hispanic children in foster care is in Los Angeles, where Latino children today make up 59 percent of the youth supervised by the county’s Department of Children and Family Services—up from 39 percent in 2000.

It is a particularly stunning development made even more glaring considering that although Hispanics make up only about half of the county’s population, they comprise about two thirds of the children in the county.

Researchers said that nationally there is a similar tragic finding of an unusually large number of Hispanic children in foster care.

In 1995, only 10 percent of Hispanic children in the country were in the foster home care system. By 2010, that figure had risen to 21.4 percent, startling considering that Latinos make up only 16 percent of the national total population.

A 2007 study by the Urban Institute found that children of second and third generation Latinos were more likely to end up in foster care than those of immigrant parents.

“Latino immigrant children, most of them Mexican, made up one percent of Texas’ foster care population, but seven percent of the total population,” that study reported.

“The children of immigrants (second generation) represented eight percent of the foster care population and accounted for 20 percent of the total child population in Texas.”

“(But) by the third generation, Latino children had gone from a marked under representation to steep overrepresentation.”

Children born to Hispanic citizens made up 33 percent of the foster care population in Texas, the study found, even though they comprise only 22 percent of Texas’ overall child population.

Assimilation and acculturation into the American society, these reports have generally concluded, are not usually the panacea to these families staying together.

“Despite cross generational gains in economic integration, there are negative consequences to integration,” Dettlaff wrote in a 2009 study. “Drug abuse, bad parenting skills, recent history of arrest and high family stress, all those things are more likely in U.S.-born Latino families than foreign born families.”

This article was first published in Voxxi.

Los Angeles based writer Tony Castro is the author of the critically-acclaimed “Chicano Power: The Emergence of Mexican America” and the best-selling “Mickey Mantle: America’s Prodigal Son.”

[Photo By Mr. Conguito]

Latinos in Favor of Birth Control & Sexual Education

young latinos

saludifyBy Hope Gillette, Saludify

A new poll presented Thursday in a webinar by Planned Parenthood Federation of America and the Center for Latino Adolescent and Family Health at the Silver School of Social Work in New York, has revealed Hispanics in the United States overwhelmingly support sexual education and access to birth control for teenagers.

According to Rocsi Diaz, Entertainment Tonight Correspondent and Planned Parenthood Youth Ambassador, the poll was conducted as a means of identifying reasons within the Hispanic community for continued high rates of teen pregnancy.

While overall teen pregnancy numbers have dropped within all demographics during the last few years, Hispanics have seen the slowest decline, with four in 10 Latina teens expected to have at least one pregnancy before the age of 20.

Latinas’s pregnancy rate is currently twice as high as non-Hispanic whites, stated Diaz, and they’re 1.5 times more likely to  repeat a teen birth.

The poll: Birth control and sexual education

The poll data used to evaluate Hispanics’ feelings toward birth control and sexual education was pulled from GFR’sKnowledgePanel Latino survey, which was representative of 97 percent of physical addresses in the 50 states. Forty percent of survey participants were Spanish-speaking only and 40 percent identified themselves as bilingual.

The results of the poll revealed the following:

  • 87.4 percent of Latinos indicated that it is very important for teens to avoid getting pregnant or causing a pregnancy
  • 89 percent of Latinos felt avoiding teen pregnancy was just as important as doing well in school
  • 51 percent of Latinos felt avoiding teen pregnancy was more important for Hispanics compared to other groups
  • 86 percent of Latinos felt parents should do more to reduce teen pregnancy
  • 78.2 percent of Latinos felt schools should do more to reduce teen pregnancy
  • 61 percent of Latinos felt religious organizations should do more to reduce teen pregnancy
  • 63.1 percent of Latinos felt the media should do more to reduce teen pregnancy
  • 67.7 percent of Latinos felt the government should do more to prevent teen pregnancy
  • 96.1 percent of Latinos believe sexually transmitted disease information should be a part of sexual education in high school
  • 93.3 percent of Latinos felt healthy relationships should be a part of sexual education in high school
  • 91.5 percent of Latinos felt abstinence should be a part of sexual education in high school
  • 90.6 percent of Latinos felt birth control should be a part of sexual education in high school
  • 81.1 percent of Latinos felt sexual orientation should be a part of sexual education in high school
  • The percentage of support for sexual education topics was similar for students in middle school
  • One-third of Latinos felt Hispanic teens had less access to birth control compared to other groups
  • 50 percent of Latinos believe Hispanic teens have less access to health insurance compared to other groups
  • One-third of Latinos are unsure how the Affordable Care Act will change their access to health care

Planned Parenthood representatives explained as many as 30 percent of their sexual education participants are Latino, and one of the main reasons students cite for going to education programs is because they were once teen parents themselves.

Latinos who had children at a young age do not want those children experiencing teen pregnancy.

“Twenty-three percent of the nearly three million patients a year who rely on Planned Parenthood for birth control, cancer screenings, and other preventive care are Latino, and 32 percent of our sex education participants are Latino,” said Cecile Richards, CEO of Planned Parenthood Federation of America. “We take seriously our shared responsibility and are proud to partner with Latino families and community leaders to help prevent teen pregnancy.”

Come October 1, Eric Ferrero, Vice President of Communications for Planned Parenthood, explained 9 million Latinos will become eligible for health care under the Affordable Care Act, and already a number of people have reported no-cost prescriptions for birth control. As 2013 progresses, more and more Latinos will have access to no-copay birth control methods.

Access to care is one of the most critical components to decreasing the teen pregnancy rate, stated Diaz at the end of the webinar.

Research indicates 100 percent of the decline in teen pregnancy for individuals between 18 and 19 years of age was directly due to more effective and accessible birth control methods. Among individuals between 16 and 17 years of age, 75 percent of the decline was attributed to accessibility and 25 percent was linked to a higher rate of abstinence.

This article was first published in Saludify.

Hope Gillette is an award winning author and novelist. She has been active in the veterinary industry for over 10 years, and her experience extends from exotic animal care to equine sports massage.

[Photo by moodboardphotography]

Why U.S. Latinos Struggle to Seek Mental Health Care

mental health

saludifyBy Dr. Elizabeth King, Saludify

Although Latinos are an ethnic group at high risk for mental health issues such as depression, anxiety and substance abuse, they are less likely than other groups to seek the help of a qualified mental health professional.

This is very troubling since not treating these and other mental health issues, can lead to a worsening of symptoms and the deterioration of quality of life as a result of severe imbalances.  A large part of the “why” Latinos don’t seek treatment is the stigma of even acknowledging, much less seeking treatment for, mental health problems.

Traditionally, Latino families tend to keep everything close to the vest.  Any perceived issues are dealt with through family or church networks.  Those suffering from depression or anxiety, if it is acknowledged, are raised to believe they should seek counsel with a priest or other religious figures.

Dealing with mental health issues in the Latino culture

While turning to clergy or family during times of crisis can provide comfort, nothing takes the place of treatment with a trained professional.  But when the fear of being labeled as “crazy” is so internalized in a culture, the road to relief is long.

This problem of acknowledgement and acceptance of mental illness is especially difficult for Latino men.  The culture of “machismo” is a heavy burden to carry and with the Hispanic population nearly 50 million strong in the United States today, the unwillingness or inability to seek proper treatment for mental health issues is nothing short of a public health crisis.If they do seek treatment at all, Latin men and women will most likely visit their general physician with physical complaints and expect to take medication to resolve their problems.  These may very well be real, (remember, depression hurts), but by avoiding treatment with a mental health professional, they are destined to suffer more than necessary.

Other factors come into play when trying to develop an understanding of Latinos and mental health.  Many are uninsured, and simply do not have the means to visit treatment centers of any kind, much less centers that specialize in treating mental health issues.  Some, who have just arrived to the United States, are unable to communicate effectively in English, and there are not enough Spanish speaking healthcare providers to meet their needs.  These social problems, of course, must be taken into account when discussing barriers to treatment.

From a holistic perspective, a large part of my practice focuses on understanding all the various components that make up a human being and all the various events that have shaped their lives.

I feel it is critical to delve as deeply as possible into a life in order to prepare a treatment plan that will yield results.  Although many people understand on an intellectual level that trauma, family history and stress impact general well-being, they rarely go beyond that understanding.

In Latino culture, this is especially true.  They feel they should just “shake it off” and carry on.  Sharing “family secrets” with strangers has also been taught to be taboo in the Latino culture.  Even today when going to a psychotherapist seems to be quite trendy in the United States, Latinos are still struggling with the concept of seeking professional help from a mental health professional because they do not want to expose their family problems to outsiders.

Holistic medicine offers patients a real alternative.  By combining alternative and traditional therapies, and taking into account every part of each complex individual’s life experience, I believe success is within reach, no matter how grim the outcome may initially appear.

Holistic approach works best for Latinos’ mental health

In my practice, I use psychotherapy to explore and give patients a safe environment within which they can express long buried emotions and anxieties.  An important component that I also address with my Latino patients is the challenges that they face as they try to acculturate into the American culture. Learning a new language and customs with little support can be very traumatic. As a Latina that came to the United States from the Dominican Republic over 40 years ago with a single mom, four siblings and a grandmother, I know firsthand how difficult it was for all of us to adapt to our new life.There is no shame in acknowledging that certain events and feelings are difficult to bear and almost impossible to process without professional help.  Holistic medicine takes people out of their fear and into natural healing.  If traditional medicine is indicated such as using medication for depression and anxiety, then my practice takes all necessary steps to ensure patients get the assistance they need by referring to an allopathic doctor that can prescribe the appropriate medication.  I work very closely with the patient’s doctors because I find that my patients thrive and come out feeling better than ever with the combination of treatments.

As a holistic trauma specialist, I have the tools and techniques to help patients process and release frozen memories so that they can move on with their lives.  I combine counseling with hypnosis, nutritional counseling, massage therapy, acupuncture, yoga, meditation and many other effective and safe treatments.  These powerful combinations have seen astonishing results in my practice and with my Latino patients.

When Latino culture can embrace the various options that exist in the United States to bring them to peak mental and physical health, I believe that this, the largest growing minority in the United States, will truly feel the benefits of a healthy and happy life.

This article was first published in Saludify.

“The Holistic Therapist.” Dr. King is a wellness expert, psychotherapist, hypnotherapist, speaker, radio personality and author. She is the CEO of International Holistic Center. She recently launched their women’s division; Suits, Stilettos and Lipstick.

[Photo by viewp0int]

A Look at Immigrant Patients Deported by Hospitals

wheelchairs
By Associated Press/Boston Herald

DES MOINES, Iowa — Over the last five years, American hospitals have sent at least 600 immigrants who were in the U.S. illegally back to their home countries to avoid paying for long-term care after serious illness or injury.

The Center for Social Justice at Seton Hall University has documented “medical repatriation” cases in 15 states involving patients from El Salvador, Guatemala, Honduras, Lithuania, Mexico, the Philippines and South Korea.

Click on the picture to read the full story.

[Photo by Curtis Cronn]

Amaranth, The Seeds That Time Forgot

amaranth

texas_observer_logoBy Saul Elbein, Texas Observer

Every morning, while her girls are still in bed, Irma Rosales makes tortillas for breakfast. She prepares the masa, pats it into little cakes, places them on a flat pan over a charcoal grill.

It’s a scene that’s been repeated in millions of households for hundreds of years, all across Mexico and Central America. But look closely at the tortillas on Irma’s comal and you’ll see something new: little white seeds. They’re amaranth, a crop native to the central valley of Oaxaca, Mexico, where Irma lives. Once, amaranth was a staple of Mesoamerican civilization. Now a Oaxacan nonprofit is trying to bring it back.

The organization is called Puente a la Salud, or Bridge to Health. Irma went to one of its workshops after a doctor diagnosed her daughter Ashly with chronic malnutrition. The doctor was a young man from the city, just out of medical school, doing his nationally mandated year of service in Mazaltepec, Irma’s small town.

“She’s underweight,” he said. “Your daughter is showing symptoms of chronic malnutrition.”

Irma listened as the doctor rattled off the signs: listlessness, depression. And if it wasn’t corrected, long-term brain damage. That hit hard.

Her family wasn’t wealthy, but Irma had thought her girls were okay. Like many people in Oaxaca State—one of Mexico’s poorest—she and her husband are subsistence corn farmers. They eat a typical rural Mexican diet of corn and beans. They are well-off enough to have a chicken, so they have eggs. Every now and then they even have meat.

Everything Irma had done, she had done to make life better for Ashly and her other three children. Like many Oaxacans, she had made a long and difficult illegal journey to the U.S. in hopes of making money to send home. She’d spent five years in Los Angeles with her husband, making jeans in a clothing factory for crappy pay. As often as she could, Irma talked on the phone to her daughter back in Mazaltepec with her husband’s family. Every time they talked, Ashly cried. She’d say, “Mama, when are you coming back?”

Eventually Irma and her husband had enough. The job wasn’t worth splitting the family. They returned home to Ashly and malnutrition.

As she left the clinic where her daughter was diagnosed, Irma saw a flyer for Puente a la Salud, inviting her to a workshop about a grain called amaranth. She decided to give it a shot.

Alice Stafford Planting amaranth in San Isidro.

Today, amaranth is rare and expensive, the sort of thing one buys in small bags at American natural-foods stores. Most Mexicans no longer eat it. But before the arrival of the Spanish in the 16th century, amaranth was eaten throughout the highlands of central Mexico and south into the high valleys of Oaxaca State.

Amaranth’s leaves are edible and full of vitamins. The combination of corn, beans and amaranth, whose grain-like seeds can be ground into flour, provides a complete protein, meaning it delivers all the amino acids the body can’t make for itself. The combination is as nutritionally complete as meat.

In the Aztec culture—unfortunately for the history of the Mexican diet—amaranth also had religious significance. It was a favorite food of Huitzilopochtli, the hummingbird-visaged God of War who, legend had it, led the Aztecs out of the country’s northern wastelands to become lords of central Mexico. Amaranth flowers are bright and sweet; hummingbirds love them. Huitzilopochtli, like all the gods of old Mexico, also loved the taste of human blood. A regular diet of sacrifices sustained him and kept the world from falling into darkness.

Every year during Huitzilopochtli’s sacred month, which corresponds roughly with December, Aztec families built little statues of the god in their homes out of puffed amaranth and honey. According to some accounts, they also included blood from human sacrifices. At the end of the month, the statue was carved up and eaten. The people would take the god into them, like Catholics with the host.

To arriving Spanish priests, the practice looked like intolerable paganism. And while not every Mexican used amaranth this way, the Spanish took no chances. Everywhere they went in Mexico, the Spanish tried to eradicate worship of the old gods. Because the amaranth service seemed like a demon mass—and because the Spanish god preferred wheat—the priests did everything possible to end the cultivation and consumption of amaranth.

It’s not clear if anyone missed it. Today, subsistence farms across the country that once grew corn, beans and amaranth now grow only corn and beans.

Amaranth was all but forgotten, surviving only in the highest, most isolated mountain valleys, places the Spanish language and the Catholic faith never penetrated.

The religious purge of amaranth succeeded, but the priests and farmers who banished it wrecked the rural Mexican diet along the way. Without amaranth, it was no longer possible for farming families—too poor to own animals—to get all the protein they needed.

Farmer Don Chelis in his amaranth field.

The Texas woman who made it her goal to reintroduce amaranth to rural Oaxaca stumbled on the crop almost by accident.

Katherine Lorenz was 23 when she came to Oaxaca State, in southern Mexico. Austin-born and raised, Lorenz was Texas royalty, the granddaughter of George Mitchell, planner of The Woodlands and inventor of fracking. In March 2003 Lorenz went to Oaxaca with Amigos de las Americas, an international nonprofit that sends university and high school students to Latin America on a service program. Lorenz went into the countryside to build cookstoves.

Oaxaca State is a place where it is possible for aid workers to live in the First World while commuting daily to the Third. Oaxaca City is a posh vacation and retirement destination, a UNESCO World Heritage Site filled with art galleries and expensive restaurants. It is a city devoted almost entirely to the needs of tourists.

Outside the city, though, life goes on much as it has since before the Spanish conquest. In many communities people still speak traditional languages as a matter of course; it’s not uncommon to meet old people and children who speak Spanish poorly or not at all. Many towns survive largely on subsistence farming.

Working in Oaxaca, Lorenz gradually came to understand that many of the children she interacted with on a daily basis were malnourished. Few kids in the campo were outright starving, but if you looked closely you could see that something was off. Their eyes were dull, their hair a little too wispy. Children she thought were 5 or 6 turned out to be 9 or 10.

It wasn’t that they weren’t getting enough calories; it was that they were living on a diet of primarily corn and beans, and they weren’t getting the full complement of nutrients they needed to grow. Think of a malnourished child as a skyscraper under construction. There isn’t any steel for the girders. There isn’t enough cement. There’s no copper wire for the electrical systems, no pipe for the plumbing. And yet the body forges upward, scrounging what it can.

Lorenz had studied nutrition in college; she knew enough to realize that early-childhood malnutrition is serious. If a child suffers chronic malnutrition under the age of 5, brain development may be irreversibly stunted, putting children at risk for other problems. According to the United Nations Development Program, during Lorenz’s time in Oaxaca more than half the children in the countryside suffered from chronic malnutrition.

Looking to do something about it, Lorenz met Kate Seely, an American from Vermont. Seely, too, was concerned with malnutrition in the campo—a whole range of birth defects could be prevented if only local mothers could get enough folate. An organic farmer friend back in Vermont suggested amaranth, which has plenty.

Seely and Lorenz looked into amaranth and liked what they saw. It seemed like the perfect crop. It wasn’t just folate and protein; amaranth is a nutritional powerhouse, and the leaves can be eaten as green vegetables. As luck would have it, Seely had worked with a small mill in Oaxaca that processed amaranth seeds, so supply wouldn’t be an issue. With a $20,000 loan from Lorenz’s mother, the two founded Puente a la Salud to try to reacquaint rural Oaxacans with amaranth.

At the time, Lorenz said, she found romance in the idea of helping restore a native crop that had been all but destroyed.

“A lot of the intrigue to me was that I could say, ‘I’m foreign, but this grain has been here forever, and it’s a part of your history and culture,’” Lorenz told me. “I thought people would really like that.”

Vladimir Roshdestvensky Maria Abdiel with her child at a cooking workshop, Tlahuitoltepec.

She was wrong.

Seely and Lorenz weren’t the first to hit on amaranth as a possible solution to the endemic malnutrition of the campos. As a native crop suppressed by the Spanish, amaranth had a certain political appeal to patriotic Mexicans. The famed Mexican chemist Alfredo Sanchez Marroquin had devoted much of the 1970s to recovering and restoring native Mexican crops. His disciples wandered the country, trekking into isolated pueblos where people still grew amaranth, gathering seed stock.

But early reintroduction efforts focused mostly on agribusinesses or welfare. No one in southern Mexico was trying to reintroduce amaranth as a staple crop that people actually grow and eat.

After founding Puente, Lorenz and Seely started hosting workshops in the small communities of rural Oaxaca State. The workshops were often organized by local doctors. In front of mostly female audiences, Lorenz and Seely would demonstrate cooking with amaranth, showing women how to make traditional corn-based foods like tortillas and atole with added amaranth. They gave out free amaranth seed.

“We thought it was going to be about nutrition,” Lorenz told me. “We thought we were going to explain the nutritional benefits to people, and then show them how to cook with it, and they’d like it so much they’d start growing it.”

She laughed. “I learned you can’t just bulldoze your way into someone else’s culture and expect them to change.”

It turned out that few of the traits that attracted Lorenz and Seely to amaranth had much influence on the Oaxacans. They’d try the amaranth, maybe like it enough to eat it on occasion, but they weren’t integrating the seeds into their diets.

And the Oaxacans didn’t much care about the grain’s indigenous heritage. Lorenz and Seely lectured their audiences about amaranth’s role in pagan ceremonies, about its importance as a tribute to the Aztecs, its role as a native staple.

“That had zero attraction,” Lorenz said. “We had surveys at the end to see what people had learned, and that one didn’t even register. People just didn’t give a damn.”

It may be that “tradition” and “natural” are resonant only to people who are not already up to their eyeballs in tradition and nature. Lorenz was initially surprised by the disinterest. Then she was surprised she had been surprised.

“Most people in the campo want the new best thing. They want the new iPhone. Eating what your great-great-grandparents ate was not attractive.”

What turned out to work best was simple self-interest. The Oaxacans who came through Puente were mostly farmers and the children of farmers. When Lorenz and Seely gave them seeds and presented amaranth not as a heritage grain or a nutritional supplement but as something they could sell for money, suddenly people were interested.

Then came the happy accident. A few years into the program, the Kellogg Company introduced an amaranth cereal that was widely sold throughout Mexico. Amaranth came to be seen as a luxury food. It had cachet. Within two years the market price for a kilo of amaranth tripled. Farmers took notice and began planting amaranth. And once there was amaranth growing in their own fields, farmers were more likely to eat it.

Today the walls of Irma’s mud-brick house are covered in Puente-printed amaranth posters advising Un Puño Cada Día: one handful a day. After her workshop, Irma joined a Puente program called Summer of Health, in which she learned new ways to cook with amaranth. She also learned to incorporate vegetables like carrots and beets into her daily recipes.

She watched her daughter Ashly start to put on weight.

On a warm day in January, Puente volunteers prepared an organic garden for one of her neighbors. Irma’s daughters ran around with a couple of girls from the neighborhood, carrying stalks of carrizo cane and occasionally whacking each other with them. They had big smiles on their faces; their eyes were bright.

I sat with Irma in a field of alfalfa and watched the girls play. When I asked Irma about amaranth, she didn’t say anything about ancestors, or Aztecs, or food sovereignty. She just sighed and said, “Thank God my daughter is healthy.”

This article was first published in The Texas Observer.

[Photo by Nikhol Esterás]