Dr. Nydeggar's Syndemic Framework

of Latin American immigrants in Madrid, briefly approaching three different questions: do they believe that there are differences about sexual and reproductive health issues between what they lived in their countries and Spain?; are they having different behaviors in Spain than in their origin countries and, if so, which ones?; and finally, what do they perceived about sexual health services and access in Spain?

According to this perception of “Latino culture,” it can be assumed that teen pregnancy was acceptable and was something that all Latina girls aimed for. Minerva, one of the girls interviewed, described this when she stated, “... they talk down to us, like, ‘Okay, we know that in the Hispanic culture it's okay for girls to get pregnant young and become mothers, but not in American culture, okay?’” (Garcia, 2012: 63). This connection to “Latino culture” also emphasized the gender inequality between men and women. Embedded into the courses was a justification of machismo, a “..strong and exaggerated sense of masculinity specific to Latinos”(Garcia, 2012: 63). Rather than explain the prevention of pregnancy as a group effort, Miriam reported that her sex education teacher, “...started talking about Latino culture and saying that because of machismo, guys were always gonna try to control us and tell us how many babies to have, and that they were too macho to wear condoms” (Garcia, 2012: 63). The idea portrayed when blaming “Latino culture” is that the sexuality of young Latina women is a problem that needs to be fixed but the sexuality of Latino men is acceptable. The efforts of the teachers, as reported by the girls, focused on changing how women pursued their sexuality. However, this perception of sexuality in Latina girls is false, and was grounded on the negative stereotypes

Social organization based on premises of family values, respect to older generations and deference to healthcare staff, physicians and nurses (Grady, 2014). Time concept is considered in this group and many activities can be performed at the same time. Priority, in this case, is given to an activity that person can be related to. Knowing this, healthcare providers should consider spending slightly more time with this patient. Environmental factors play and definitive role in close-knit Hispanic/Latino communities. Social influences can change and influence health related behaviors, and major domain is immediate and extended family (Larsen, Pekmezi, Marquez, Benitez, & Marcus,

These religious and spiritual influences play a major role in the Hispanics health, illness and daily life. In much a similar manner, the Native American Indian family adopts the cultural beliefs to associate with illness and health. They believe that a person’s state of exists when he or she exists in harmony with nature and sickness occurs when an imbalance between the natural or supernatural forces and the sick individual exists (Askim-Lovseth & Aldana, 2010). Traditional health believes and practices involving healing ceremonies and rituals restore balance when illness happens. “These can be conducted by their traditional medicine men or women, who are thought to have compelling powers, the ability to read minds, and know-how in concocting medicine, drugs and poisons.” For the white young family, the cultural belief of invincibility and youth are the driving force behind health prevention (Askim-Lovseth & Aldana, 2010). “Focus on the temporary is regularised, while thinking about health is assigned to an adult person where family accountabilities pertain.” Protecting against illness or disease does not feature into their daily lives. Disease or illness is something that is insubstantial and distant, and unimaginable to their young, resilient bodies and thus irrelevant (Edelman & Mandle, 2010).

Iannotta, Joah G. Emerging Issues in Hispanic Health: Summary of a Workshop. Washington, D.C.: National Academies, 2002. Print.

The Hispanic culture has different values, beliefs, and traditions. Family is highly value. Family is a close-knit group and the most important social group to gather in any events or special days. The Hispanic “family unit” includes not only parents and children but also grandparents and extended family. Individuals within the family have moral responsibilities to help other members of the family experiencing financial problems, unemployment, health conditions and any other life issues. They show the importance placed upon relationship within their family extending a hand in good times and bad. Respeto y dignidad (respect and dignity) are other important values of the Hispanic culture. Children’s are taught to avoid confrontations with parents and older persons, and to be obedient and respectful. The Hispanics believe that the father is head of the family and the mother is to take care of home. Naming children after grandparents and parents is fairly common. A well-known tradition is the celebration of a fifteen year old girl called Quincenera. Hispanics culture and traditions are based around celebrating and spending time with love ones.

Hispanic households, it particularly does well in showcasing the immense difficulty that women of the

The Southwest United States is an area of great diversity. It is located on the border between the US and Mexico. In this region there are four main ethnicities represented: Hispanics, African Americans, Anglo Americans, and Native Americans. These groups interact daily working in the same offices and going to school together. Youth of each ethnicity face risks as they grow up. By focusing on the Hispanic adolescent girl the extent of the possible risks to one ethnicity can be explored. These risks will include motivation at school, the risk of dropping out of school, the at-risk classification, which includes gang involvement, and teen pregnancy. The results of studies focused

Mexican American women for over 20 years have had the highest rate of teen pregnancy compared to Anglo women. Teenage birth rates have decreased as a whole, but even with teenage births decreasing Mexican American women are still at the top, having the highest teen birth rates with 46.3 births for every 1,000 teens that are females. There are several reasons for this startling fact; this paper is going to illustrate some of the misconceptions when dealing with Latina sexuality and reproduction and also the negative results that came from it. To illustrate this alarming issue, some misconceptions about Mexican American sexuality and reproduction will be shared. Such as, most Mexican American teenage or adolescent mothers may lack knowledge.

The “Hispanic Paradox” Among women from rural communities, traditional lifeways (traditionalism) may promote certain healthy outcomes (Coe, Attakai, Papenfuss, Giuliano, Martin, & Nuvayestewa, 2004); by contrast, a loss of cultural traditions during the process of acculturative change may promote disease or disorder. Recent Hispanic health research has identified an Hispanic paradox among low-acculturated Hispanics/Latinos,1 that is characterized by unexpectedly lower rates of adverse health outcomes observed among the least acculturated Mexican immigrants relative to their more acculturated Mexican American peers. This paradox has been observed within three health-related areas: the perinatal health of Hispanic/Latina women, mortality rates

Hispanics are the largest and fastest growing ethnic minority group, estimated to be 54 million living in the United States of America. (Office of Minority Health and Health Equity). They work very hard to make both ends meet and also to stay in good health. They are relatively as a source of cheap labor in the American labor market This paper will dwell more on the Hispanic current Health status, how health promotion is described by the group and what health disparities exists for this group.

“Marianismo is traditional feminine values, including the overall passivity of women in matters of sexuality”. Sexuality is a taboo subject in Hispanic culture and there is hardly any parental communication regarding this topic. This is one of the reasons why Latina/Hispanic teenage girls are hesitant to discuss issues like birth control and seek health care advice (Issues in Latina Health, 2007)

Hispanics are the largest and fastest growing ethnic minority group and there are estimated to be about 54 million living in the United States (Office of Minority Health & Health Equity, YEAR). The Hispanics are a minority group that struggle every day to survive, to provide for their families, to stay healthy and to live quality lives. This paper will discuss the Hispanics current health status, how health promotion is defined by the Hispanics and what health disparities exist for the Hispanics. Lastly, this paper will discuss the three levels of health prevention and their effectiveness given the unique

In the United States, the Latino American population has risen by over 40% within the past decade and accounts for over 17.1% of the Nations society. In 2050, the Latino Community is expected to make up nearly one-fourth of the population and 2/3 of the U.S. Hispanics are from the Mexican-American Subgroup. In the United States, there has been extensive research examining the prevalence of varying psychiatric disorders among the Latino Hispanic Communities. There are many deeply rooted and socioeconomic factors that may contribute to the diagnosis, treatment, and outcome of psychiatric disorders. Example factors, such as reception of immigrations, history of immigration, experiences involving discrimination, and strength of an ethnic community, are just to name a few. Due to the expansion of the Latino and Hispanic minorities in the United States, this has become a major challenge for today’s healthcare system.

In the Hispanic/Latino culture health care is most commonly sought after when symptoms appear, and in may cases only when those symptoms cause the individual’s incapacitation. Working through discomfort is considered the norm, dwelling on discomfort or mild pain is seen as weakness and seeking medical attention when not ill, such as preventive care, is almost unheard of, unless it is required by one’s employer. Culturally engaging in premarital sex is frowned upon for girls, though not so much for males, abstinence may be the only birth control ever discussed at home, for fear of implying consent. This significantly increments the danger of teen age pregnancy, abortion is rejected, mostly for moral and religious reasons, thus the high rate of teen age birth.