Hispanic health in the USA: a scoping review of the literature
Open accessAbstract
Hispanics are the largest minority group in the USA. They contribute to the economy, cultural diversity, and health of the nation. Assessing their health status and health needs is key to inform health policy formulation and program implementation. To this end, we conducted a scoping review of the literature and national statistics on Hispanic health in the USA using a modified social-ecological framework that includes social determinants of health, health disparities, risk factors, and health services, as they shape the leading causes of morbidity and mortality. These social, environmental, and biological forces have modified the epidemiologic profile of Hispanics in the USA, with cancer being the leading cause of mortality, followed by cardiovascular diseases and unintentional injuries. Implementation of the Affordable Care Act has resulted in improved access to health services for Hispanics, but challenges remain due to limited cultural sensitivity, health literacy, and a shortage of Hispanic health care providers. Acculturation barriers and underinsured or uninsured status remain as major obstacles to health care access. Advantageous health outcomes from the "Hispanic Mortality Paradox" and the "Latina Birth Outcomes Paradox" persist, but health gains may be offset in the future by increasing rates of obesity and diabetes. Recommendations focus on the adoption of the Health in All Policies framework, expanding access to health care, developing cultural sensitivity in the health care workforce, and generating and disseminating research findings on Hispanic health.
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Research has identified the family as a particularly important source of health-related support among Latinos, including for HIV care.
“Research has also identified the family as a particularly important source of health-related support among Latinos (Diaz & Niño, 2019;Gallegos & Segrin, 2021;Velasco-Mondragon, Jimenez, Palladino-Davis, Davis, & Escamilla-Cejuda, 2016), including for HIV care”
From Nurse-led approaches to address social determinants of health and advance health equity: A new framework and its implications (2023) · cites this paper as Velasco-Mondragon, Jimenez, Palladino-Davis, Davis, & Escamilla-Cejuda, 2016
The Culture and language section describes familism as an important value among Hispanics and a source of emotional and financial support that may mitigate health risks. That supports the general claim about family support, but the passages found do not establish its role specifically in HIV care. (LLM, conf=0.84)
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- Authors
- Velasco-Mondragon, E., Jimenez, A., Palladino-Davis, A. G., Davis, D., & Escamilla-Cejudo, J. A.
- Affiliations
- Loyola University Chicago (US)
- Saint Louis University (US)
- Venue
- Public Health Reviews
- Published
- 2016-12
- Volume
- 37
- Issue
- 1
- Pages
- 31-31
- ISSN
- 0301-0422 (ISSN-L)
- 2107-6952
- PMC
- PMC5809877
- OpenAlex
- W2560496194
- Cited by
- 514
- References
- 5
- Citations by year
- 2026: 41 · 2025: 56 · 2024: 73 · 2023: 93 · 2022: 90 · 2021: 80 · 2020: 42 · 2019: 22 · 2018: 12 · 2017: 5
- FWCI
- 2.45
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Public health reviews (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Touro Scholar (Touro College) (submittedVersion, cc-by)
- Funders
- World Health Organization
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Health › Public Health and Social Inequalities
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Keywords
- Hispanic health, Latino health, health disparities, social determinants of health, socio-ecological framework, cancer mortality, cardiovascular disease, unintentional injuries, Affordable Care Act, health care access, uninsured status, acculturation, health literacy, obesity, diabetes mellitus, Health in All Policies, health policy
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