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Que Sera? Sera?

Que Sera? Sera?. Elizabeth Lee-Rey, MD Luz Towns-Miranda, PhD Hispanic Center of Excellence Albert Einstein College of Medicine. Que Sera? Sera?. OBJECTIVES To obtain an overview of demographic representation of Latinos nationally and locally in NYC and the Bronx.

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Que Sera? Sera?

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  1. Que Sera? Sera? Elizabeth Lee-Rey, MD Luz Towns-Miranda, PhD Hispanic Center of Excellence Albert Einstein College of Medicine

  2. Que Sera? Sera? • OBJECTIVES • To obtain an overview of demographic representation of Latinos nationally and locally in NYC and the Bronx. • To gain knowledge regarding key health issues facing Latinos/as.

  3. Que Sera? Sera? • OBJECTIVES • To increase awareness regarding significant parameters that impact the health care of Latinos. • To gain greater understanding of the differences that distinguish the predominant Latino groups in the Bronx.

  4. Peru Ecuador Bolivia Chile Colombia Venezuela the Guyana Brazil Uruguay Paraguay Argentina Name all 11 countries in South America.

  5. Name all 8 countries in Central America. • Panama • Costa Rica • Guatemala • Nicaragua • Salvador • Honduras • Belize

  6. What are the 3 countries of Hispanic origin found in the Caribbean? • Cuba • Dominican Republic • Puerto Rico

  7. What are some of the barriers to health care for Hispanics? • Poverty • Less education • Unemployment rates • Poor access to adequate health care • Discrimination • Socioeconomic status • Lack of health insurance

  8. $100

  9. Tortillas are a staple food of which ethnic group? • Puerto Ricans • Mexicans • Salvadorians • Dominicans

  10. $200

  11. The largest ethnic parade held in NYC is celebrated by which Latino group? • Mexicans • Dominicans • Cubans • Puerto Ricans

  12. $300

  13. Mangu is a breakfast food for which Latino group? • Mexicans • Cubans • Puerto Ricans • Dominicans

  14. $500

  15. Which group is less likely to have a regular physician? • Asian Seniors • Hispanic Male Adolescents • African American Newborns • Middle-age Women

  16. Minority Boys Are Less Likely to Have a Regular Physician Percent of boys with no regular MD The Commonwealth Fund Survey of the Health of Adolescent Girls, 1997 Louis Harris and Associates, Inc

  17. $1000

  18. Who was the first female Puerto Rican Congresswoman? • Iris Chacon • Nydia Velazquez • Marife Hernandez • Celia Cruz

  19. Who was the first NYC Dominican Councilman? • Guillermo Linares • Victor Marisete • Adriano Espaillat • Tito Puente

  20. $2000

  21. What percentage of Latino babies are born into poverty? • 50% • 66% • 75% • 40%

  22. What percentage of Latino Babies are born into poverty? • ¾ of Latino babies are born into poverty • Almost 2/3 of all Latino children live below the poverty line • 73% of Hispanic children are living in “distressed neighborhoods.”

  23. $4,000

  24. Hispanic women make up what percentage of the total NYC female population? • 29% • 33% • 45% • 50%

  25. Hispanic women make up what percentage of the total NYC female population? • Latinas represent 29% of the total female population in NYC • Latinas comprise approx. 51% of the Hispanic pop in NYC • Their median age is lower than for all other racial and ethnic groups Source:NYC Depart of Planning Presentation by NYC Major’s Off of Health Service

  26. $6000

  27. Latinas nationally are how likely to have diabetes as compared to the general population • As likely • Less likely • Twice as likely • Three times as likely

  28. Latinas and Diabetes • While NYC statistics are not available be ethnicity, data from neighborhoods where Hispanics comprise more than 60% of the population indicate that the incidence of DM hospitalizations far exceeds the average. • Latinas nationally are twice as likely as the general population to have diabetes. • The average incidence of DM hospitalizations in NYC is 7.4 per 1000. In Bushwich, where the Hispanic population is 67%, the rate is 20.8 per 1000. Presentation by the NYC Mayor’s Office of Health Services

  29. $8,000

  30. Latina’s biggest cancer risk is • Colon • Lung • Breast • Cervical

  31. Cancer Facts • Latinas are somewhat under-represented in the total cancer statistics. This may due to the relatively younger age of Latinas • Latina’s biggest cancer risk is Breast Cancer. As a whole, the rate of Latina deaths due to Breast Ca is 1.7 per 100,000. This compares to less than .5 for all other forms of cancer to the reproductive health organs. Presented by the NYC Mayor’s Office of Health Services

  32. $16,000

  33. The leading cause of death for Hispanic females from birth to 49 is • Cancer • Heart Disease • AIDS • Diabetes

  34. The leading cause of death for Hispanic Males age 1 to 59 is a) Homicide b) Heart Disease c) AIDS d) Cancer

  35. The Leading Cause of Death for Hispanics in NYC • In NYC, according to 1995 data, AIDS was the leading cause of death for Hispanic males from ages 1 yr old to 59 yrs old. It was the leading cause of death for Hispanic females from birth to 49 yrs old. Source: The seventh Annual Hispanic Federation Annual Survey Hispanic New Yorkers on Nueva York Report 4:Latinos and HIV/AIDS

  36. $32,000

  37. Who are the Uninsured? • Live in families with incomes higher than the federal poverty level. • Poor, unemployed and belong to a racial ethnic group. • Seniors over the age of 65. • Children.

  38. Who Are The Uninsured? • Many Americans stereotype the uninsured as poor, unemployed, and minorities. While these groups run a greater risk, they do not represent the majority of Americans without health coverage.

  39. Who Are The Uninsured? In fact, most of the 44 million uninsured Americans: • live in families with incomes higher than federal poverty level. • Are from working families with at least one full time worker. • Are adults under the age of 65. • Work in medium size/large businesses with more than 25 employees. • Are not from America’s racial and ethnic minority groups.

  40. $64,000

  41. What is the distribution of the Hispanic nonelderly uninsured when compared by race and ethnicity? • 50% • 25% • 5% • 17%

  42. The Nonelderly Uninsured, by Race/Ethnicity, 1998

  43. $125,000

  44. Which group is at most risk of being uninsured? • White (non-Hispanic) • Black • Native American • Hispanic

  45. Which group is at most risk of being uninsured? SOURCE: Hall, Collins, and Glied, 1999 The Commonwealth Fund Collins, Hall, and Neuhaus, U.S. Minority Health: A Chart Book, 1999

  46. $250,000

  47. Which Hispanic group report the worst health status and the highest incidence of acute medical conditions? • Colombians • Ecuadorians • Puerto Ricans • Mexicans

  48. Which Hispanic group report the worst health status and the highest incidence of acute medical conditions ? Source:Therrien & Ramirez 2000 The Hispanic population in the US:3/2000 US Bureau of Census for Labor Statistics 3/99

  49. $500,000

  50. When was the category Hispanics first included in national data systems such as US census and birth/death certificates? • 5 years ago • In the last 2 decades • Never an issue • 100 years ago

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