Latino Aging and Health Disparities

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Start Date

25-6-2008 4:45 PM

End Date

25-6-2008 5:45 PM

Keywords:

Health Disparate, Minority and Vulnerable Populations, Healthcare Disparities, Hispanic or Latino, Aging, Clinical Trials as Topic, Comparative Effectiveness Research, Social Determinants of Health

Description

Dr Angelica P. Herrera will discuss the policy and practical implications of current research in Latino aging, and how they inform efforts to reduce health disparities in a growing aging population. She will review research findings from her published work on "Cultural Determinants of Long-term Care Service Use in Mexican-American Family Caregivers" and "The Influence of Religious Coping on Caregiver Well-being", which examine the role of familism (e.g. expectation to care for aging relatives), gender roles, and religiosity as important predictors of depression, mental and physical health, and decisions to utilize home- and community-based services. She will highlight the purpose, design, and preliminary results of a community assessment as part of a federal initiative under way, "Improving Hispanic Elders' Health: Community Partnerships for Evidence-Based Solutions," which seeks to develop evidence-based interventions that reduce health disparities in Hispanic elderly in a multi-phased project guided by principles of community-based participatory research. Dr Herrera describes the development of policy recommendations through the initiative, Eliminating Disparities in Clinical Trials (EDICT) to improve the participation of ethnic minority older adults in clinical trials. Recommendations address multiple barriers, such as ageism, cognitive impairment and health literacy in older adults and caregivers in clinical trials, exclusion criteria/ study design flaws, and state and national healthcare policies and insurance coverage that hamper elders' participation. Lastly, she will discuss the cultural determinants of care and living arrangements in very old adults of Mexican-origin. This study is particularly concerned with the way that functional decline and family resources (e.g. economic and informal support) vary by immigration factors, such as nativity, generational status, and acculturation, in determining changes in living arrangements (e.g. living alone, with family, or institutionalization).

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Jun 25th, 4:45 PM Jun 25th, 5:45 PM

Latino Aging and Health Disparities

Dr Angelica P. Herrera will discuss the policy and practical implications of current research in Latino aging, and how they inform efforts to reduce health disparities in a growing aging population. She will review research findings from her published work on "Cultural Determinants of Long-term Care Service Use in Mexican-American Family Caregivers" and "The Influence of Religious Coping on Caregiver Well-being", which examine the role of familism (e.g. expectation to care for aging relatives), gender roles, and religiosity as important predictors of depression, mental and physical health, and decisions to utilize home- and community-based services. She will highlight the purpose, design, and preliminary results of a community assessment as part of a federal initiative under way, "Improving Hispanic Elders' Health: Community Partnerships for Evidence-Based Solutions," which seeks to develop evidence-based interventions that reduce health disparities in Hispanic elderly in a multi-phased project guided by principles of community-based participatory research. Dr Herrera describes the development of policy recommendations through the initiative, Eliminating Disparities in Clinical Trials (EDICT) to improve the participation of ethnic minority older adults in clinical trials. Recommendations address multiple barriers, such as ageism, cognitive impairment and health literacy in older adults and caregivers in clinical trials, exclusion criteria/ study design flaws, and state and national healthcare policies and insurance coverage that hamper elders' participation. Lastly, she will discuss the cultural determinants of care and living arrangements in very old adults of Mexican-origin. This study is particularly concerned with the way that functional decline and family resources (e.g. economic and informal support) vary by immigration factors, such as nativity, generational status, and acculturation, in determining changes in living arrangements (e.g. living alone, with family, or institutionalization).