Contents
List of Figures
List of Tables
Acronyms Used in the Text
Acknowledgments
Overview of Health Care Issues for People of Mexican Origin
Interviewee Personal Profiles
Notes
Chapter 1. "It was just an ideal location": An Introduction to the Mexican-Origin Population
Political-Geographic Concentration of the Mexican-Origin Population
Historical Concentration of the Mexican-Origin Population
Langauge Status
Educational Level
Occupational Location
Concluding Thoughts
The Historical Context of Health and Disease
The Sociocultural Basis of Health and Disease
Health Promotion and Disease Prevention in the Mexican American Community
The Health Status of Mexican American Subgroups
The Mexican American Morbidity and Mortality Paradox
Concluding Thoughts
Chapter 3. "One starts with marijuana . . . ": Understanding Substance Abuse and AIDS
Prevalence of Drug Use among Mexican American Adolescents and Adults
Causal Factors in Substance Use
Adverse Health Consequences of Drug Use
Prevention Issues among Hispanic Youth and Adolescents
Concluding Thoughts
Chapter 4. "Treated like second-class citizens": Health Care Access
What Is Health Care Access?
Financial Access to Care: A Crisis for Mexican-Origin Patients
Risk Factors That Influence the Health Insurance Coverage of the Mexican-Origin Population
The Role of Minority Health Care Professionals in Access to Care
Concluding Thoughts
Linguistic Competency: A Siginificant Component of Cultural Competency
The Impact of Mexican Folklore, Language, and Health
Cultural Competency: Implications for the Mexican-Origin Population
Understanding the Role of Gender and Cultural Competency
Implementation of Cultural Competency: Implications for the Mexican-Origin Population
A Patient's Guife for Assessing the Cultural Competency of a Health Care Provider
Beyond Cultural Competency: Some Final Thoughts
Chapter 6. "This is about heling, about people getting better prevention": Future Trends in Mexican American Health
Mexican American Health Policy in the Twenty-First Century
Glossary
Bibliography
Index