Skip to main content

Abstract

The Latino population is increasing at a rate far surpassing the capacity needed to understand and respond to their mental health needs. In the next 20 years, Latinos will account for one in every three persons born in the USA. According to the Pew Hispanic Center, one in every four newborns is Latino and by 2050, 82% of US growth will be attributed to the Latino population. The Hispanic/Latino community is expected to reach 28.6% of the United States (US) population by 2060 making it the nation’s largest and youngest racial and ethnic group. This dramatic demographic shift raises questions about whether or not mental health systems will be able to address the needs of this rapidly growing and diverse Latino population. In this chapter, we review the demographic shifts in the Latino community in the USA, the prevalence of mental illness and substance use disorders, biomedical aspects relevant to this community, as well as mental health disparities in access and quality of care faced by Latinos. In addition, we discuss cultural aspects relevant to Latinos as well as provide recommendations for clinicians to consider when caring for this population.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 54.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 69.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Flores A, Lopez G, Radford J. Facts on U.S. Latinos, 2015. Statistical Portrait of Hispanics in the United States. Pew Research Center; 2017. http://www.pewhispanic.org/2017/09/18/facts-on-u-s-latinos-current-data/.

  2. Velasco-Mondragon E, Jimenez A, Palladino-Davis AG, Davis D, Escamilla-Cejudo JA. Hispanic health in the USA: a scoping review of the literature. Public Health Rev. 2016;37(1):1. https://doi.org/10.1186/s40985-016-0043-2.

    Article  Google Scholar 

  3. Krogstad JM, Lopez MH. Hispanic nativity shift. Pew Res Center’s Hisp Trends Proj. 2014:2–7. http://www.pewhispanic.org/2014/04/29/hispanic-nativity-shift/. Accessed 28 Sept 2018

  4. Flores A. How the U.S. Hispanic population is changing. Pew Research Center. http://www.pewresearch.org/fact-tank/2017/09/18/how-the-u-s-hispanic-population-is-changing/. Published 2017. Accessed 29 Sept 2018.

  5. Institute of Medicine (US). Institute of Medicine (US) committee on understanding and eliminating racial and ethnic disparities in health care. In: Smedley BD, Stith AY, Nelson AR, editors. Unequal treatment: confronting racial and ethnic disparities in health care. Washington (DC): National Academies Press (US); 2003.

    Google Scholar 

  6. AHRQ. Minority health: recent findings. http://www.ahrq.gov/populations/. Accessed 3 Sept 2018.

  7. Alegria M, Vallas M, Pumariega AJ. Racial and ethnic disparities in pediatric mental health. Child Adolesc Psychiatr Clin N Am. 2010;19(4):759–74. https://doi.org/10.1016/j.chc.2010.07.001.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Lê Cook B, Carson N, Alegria M. Assessing racial/ethnic differences in the social consequences of early-onset psychiatric disorder. J Health Care Poor Underserved. 2010;21(2 Suppl):49–66. https://doi.org/10.1353/hpu.0.0289.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Kataoka SH, Zhang SL, Kenneth B, Wells MPH. Unmet need for mental health care among U.S. children: variation by ethnicity and insurance status. Am J Psychiatry. 2002;159(9). https://ajp.psychiatryonline.org/doi/pdf/10.1176/appi.ajp.159.9.1548. Accessed 27 Sept 2018

    Article  PubMed  Google Scholar 

  10. Olfson M, Gameroff MJ, Marcus SC, Jensen PS. National trends in the treatment of attention deficit hyperactivity disorder. Am J Psychiatry. 2003;160(6):1071–7. https://doi.org/10.1176/appi.ajp.160.6.1071.

    Article  PubMed  Google Scholar 

  11. Olfson M, Gameroff MJ, Marcus SC, Waslick BD. Outpatient treatment of child and adolescent depression in the United States. Arch Gen Psychiatry. 2003;60(12):1236. https://doi.org/10.1001/archpsyc.60.12.1236.

    Article  PubMed  Google Scholar 

  12. Stevens J, Harman JS, Kelleher KJ. Ethnic and regional differences in primary care visits for attention-deficit hyperactivity disorder. J Dev Behav Pediatr. 2004;25(5):318–25.

    Article  PubMed  Google Scholar 

  13. Chandra A. Racial/ethnic differences in teen and parent perspectives toward depression treatment. J Adolesc Health. 2009;44(6):546–53.

    Article  PubMed  Google Scholar 

  14. Alegría M, Canino G, Ríos R, et al. Mental health care for Latinos: inequalities in use of specialty mental health services among Latinos, African Americans, and non-Latino whites. Psychiatr Serv. 2002;53(12):1547–55. https://doi.org/10.1176/appi.ps.53.12.1547.

    Article  PubMed  Google Scholar 

  15. Freedenthal S. Racial disparities in mental health service use by adolescents who thought about or attempted suicide; 2007. www.icpsr.umich.edu. Accessed 27 Sept 2018.

  16. Clarke TC, Norris T, Schiller JS. Early release of selected estimates based on data from the 2016 National Heath Interview Survey. Atlanta: CDC: Centers for Disease Control and Prevention; 2018.

    Google Scholar 

  17. Ginzberg E. Access to health care for hispanics. JAMA. 1991;265(2):238. https://doi.org/10.1001/jama.1991.03460020092035.

    Article  CAS  PubMed  Google Scholar 

  18. Ruiz P. Access to health care for uninsured hispanics: policy recommendations. Psychiatr Serv. 1993;44(10):958–62. https://doi.org/10.1176/ps.44.10.958.

    Article  CAS  Google Scholar 

  19. Guarnaccia PJ, Martínez Pincay I, Alegría M, Shrout PE, Lewis-Fernández R, Canino GJ. Assessing diversity among Latinos. Hisp J Behav Sci. 2007;29(4):510–34. https://doi.org/10.1177/0739986307308110.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Alegría M, Mulvaney-Day N, Woo M, Torres M, Gao S, Oddo V. Correlates of past-year mental health service use among Latinos: results from the National Latino and Asian American Study. Am J Public Health. 2007;97(1):76–83. https://doi.org/10.2105/AJPH.2006.087197.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Alegria M, Woo M. Understanding psychopathology among the adult and child Latino population from the United States and Puerto Rico. In: Villarruel FA, Carlo G, Grau JM, Azmitia M, Cabrera NJ, Chahin TJ, editors. Handbook of U.S. Latino psychology: developmental and community-based perspectives. Thousand Oaks, CA, US: Sage Publications, Inc; 2009.

    Google Scholar 

  22. Fortuna LR, Alegria M, Gao S. Retention in depression treatment among ethnic and racial minority groups in the United States. Depress Anxiety. 2010;27(5):485–94. https://doi.org/10.1002/da.20685.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Alegría M, Nakash O, Lapatin S, et al. How missing information in diagnosis can lead to disparities in the clinical encounter. J Public Heal Manag Pract. 2008;14(Supplement):S26–35. https://doi.org/10.1097/01.PHH.0000338384.82436.0d.

    Article  Google Scholar 

  24. Witbrodt J, Mulia N, Zemore SE, Kerr WC. Racial/ethnic disparities in alcohol-related problems: differences by gender and level of heavy drinking. Alcohol Clin Exp Res. 2014;38(6):1662–70.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Organista KC. Solving Latino psychosocial and health problems: theory, practice, and populations. John Wiley & Sons; 2007. https://www.wiley.com/en-us/Solving+Latino+Psychosocial+and+Health+Problems:+Theory,+Practice,+and+Populations-p-9780470126578. Accessed 27 Sept 2018.

  26. Santiago-Rivera AL, Arredondo P, Gallardo-Cooper M. Counseling Latinos and La Familia: a practical guide. 2455 Teller Road, Thousand Oaks California 91320 United States: SAGE Publications, Inc.; 2002. https://doi.org/10.4135/9781452204635.

  27. Wang Y, Rayer S. Growth of the Puerto Rican population in Florida and on the U.S. Mainland. Bureau of Economic Business Research; 2018. https://www.bebr.ufl.edu/population/website-article/growth-puerto-rican-population-florida-and-us-mainland. Accessed 25 July 2018. Published 2018.

  28. Lopez G. Hispanics of Mexican Origin in the United States, 2013. Statistical Profile. Pew Research Center; 2015.

    Google Scholar 

  29. Lopez G. Hispanics of Cuban Origin in the United States, 2013. Statistical Profile. Pew Research Center; 2015.

    Google Scholar 

  30. Oboler S. Ethnic labels, Latino lives: identity and the politics of (re)presentation in the United States. University of Minnesota Press; 1995. https://www.upress.umn.edu/book-division/books/ethnic-labels-latino-lives. Accessed 27 Sept 2018.

  31. Falicov CJ. Latino families in therapy: a guide to multicultural practice. New York: Gulford Press; 1998.

    Google Scholar 

  32. Lopez M. Three-fourths of hispanics say their community needs a leader; 2013. http://www.pewhispanic.org/2013/10/22/three-fourths-of-hispanics-say-their-community-needs-a-leader/. Accessed 28 Sept 2018.

  33. Santiago-Rivera AL, Arredondo P. Counseling Latinos and La Familia: a practical guide counseling Latinos and La Familia: a practical guide. Thousand Oaks, CA, USA: SAGE Publications, Inc.; 2002. https://doi.org/10.4135/9781452204635.

  34. Pew Hispanic Center. When labels don’t fit: hispanics and their views of identity. Washington, DC.

    Google Scholar 

  35. Semega JL, Fontenot KR, Kollar MA. Income and poverty in the United States: 2016. US Census Bur. 2017;(September):P60–249. Retrieved from http://www.census.gov/content/dam/Census/library/publications/2016/demo/p60-256.pdf

  36. Kids Count Data Center. Children in poverty by race and ethnicity; 2016. https://datacenter.kidscount.org/data/tables/44-children-in-poverty-by-race-andethnicity#detailed/1/any/false/871,870,573,869,36,868,867,133,38,35/10,11,9,12,1,185,13/324,323. Accessed 5 July 2018.

  37. McLaughlin KA, Green JG, Alegría M, et al. Food insecurity and mental disorders in a national sample of U.S. adolescents. J Am Acad Child Adolesc Psychiatry. 2012;51(12):1293–303. https://doi.org/10.1016/j.jaac.2012.09.009.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Flores G, Abreu M, Olivar MA, Kastner B. Access barriers to health care for Latino children. Arch Pediatr Adolesc Med. 1998;152(11):1119–25.

    Article  CAS  PubMed  Google Scholar 

  39. Horowitz K, Weine S, Jekel J. PTSD symptoms in urban adolescent girls: compounded community trauma. J Am Acad Child Adolesc Psychiatry. 1995;34(10):1353–61. https://doi.org/10.1097/00004583-199510000-00021.

    Article  CAS  PubMed  Google Scholar 

  40. Flannery DJ, Wester KL, Singer MI. Impact of exposure to violence in school on child and adolescent mental health and behavior. J Community Psychol. 2004;32(5):559–73. https://doi.org/10.1002/jcop.20019.

    Article  Google Scholar 

  41. Fowler PJ, Tompsett CJ, Braciszewski JM, Jacques-Tiura AJ, Baltes BB. Community violence: a meta-analysis on the effect of exposure and mental health outcomes of children and adolescents. Dev Psychopathol. 2009;21(01):227. https://doi.org/10.1017/S0954579409000145.

    Article  PubMed  Google Scholar 

  42. Alegría M, Mulvaney-Day N, Carson N, Woo M. A sociocultural framework for understanding the mechanisms behind behavioral health and educational service disparities in immigrant Hispanic children. In: Landale N, McHale S, Booth A, editors. Growing up Hispanic: health and development of children of immigrants. Washington, DC: Urban Institute Press; 2010. p. 275–303.

    Google Scholar 

  43. Canino G, Alegria M. Understanding psychopathology among the adult and child Latino population from the United States and Puerto Rico. In: Villaruel FA, Carlo G, Grau JM, Azmitia M, Cabrera NJ, Chahin TJ, editors. Handbook of US Latino psychology: developmental and community. In: Villaruel FA, Carlo G, Grau JM, Azmitia M, Cabrera NJ CT, editors. Handbook of US Latino psychology: developmental and community-based perspectives. California: Sage; 2009. p. 31–44.

    Google Scholar 

  44. Duarte CS, Bird HR, Shrout PE, et al. Culture and psychiatric symptoms in Puerto Rican children: longitudinal results from one ethnic group in two contexts. J Child Psychol Psychiatry. 2008;49(5):563–72. https://doi.org/10.1111/j.1469-7610.2007.01863.x.

    Article  PubMed  PubMed Central  Google Scholar 

  45. Freudenberg N, Ruglis J. Reframing school dropout as a public health issue. Prev Chronic Dis. 2007;4(4):A107.

    PubMed  PubMed Central  Google Scholar 

  46. NAMI. Improving access to treatment for all people with mental illness. NAMI Multicultural & International Outreach Center. www.nami.org. Published 2003. Accessed 31 Mar 2013.

  47. Cook BL, Zuvekas SH, Carson N, Wayne GF, Vesper A, McGuire TG. Assessing racial/ethnic disparities in treatment across episodes of mental health care. Health Serv Res. 2014;49(1):206–29. https://doi.org/10.1111/1475-6773.12095.

    Article  PubMed  Google Scholar 

  48. Villatoro AP, Mays VM, Ponce NA, Aneshensel CS. Perceived need for mental health care: the intersection of race, ethnicity, gender, and socioeconomic status. Soc Ment Health. 2018;8(1):1–24. https://doi.org/10.1177/2156869317718889.

    Article  PubMed  Google Scholar 

  49. Lisotto MJ, Fortuna L, Powell P, Parekh R. Media’s role in mitigating culturally competent understanding of Latino Youth. Child and Adolescent Psychiatry and the Medi. 2019;153–164. https://doi.org/10.1016/b978-0-323-54854-0.00014-x.

    Chapter  Google Scholar 

  50. Yang Q, Liu S, Sullivan D, Pan S. Interpreting suffering from illness: the role of culture and repressive suffering construal. Soc Sci Med. 2016;160:67–74. https://doi.org/10.1016/j.socscimed.2016.05.022.

    Article  PubMed  Google Scholar 

  51. Cabassa LJ, Hansen MC, Palinkas LA, Ell K. Azúcar y nervios: explanatory models and treatment experiences of Hispanics with diabetes and depression. Soc Sci Med. 2008;66(12):2413–24. https://doi.org/10.1016/j.socscimed.2008.01.054.

    Article  PubMed  PubMed Central  Google Scholar 

  52. Skiba R, Poloni-Staudinger L, Simmons A, Reggins-Azziz R, Chung C-G. Can poverty explain ethnic disproportionality in special education? J Spec Educ. 2005;39:130–44.

    Article  Google Scholar 

  53. Stiefel L, Schwartz A, Ellen I. Disentangling the racial test score gap: probing the evidence in a large urban school district. J Policy Anal Manag. 2007;26:7–30.

    Article  Google Scholar 

  54. Ailinger RL, Dear MR, Holley-Wilcox P. Predictors of function among older Hispanic immigrants: a five-year follow-up. Nurs Res. 1993;42(4):240–4.

    Article  CAS  PubMed  Google Scholar 

  55. J. G. Hispanic Droupout Rate Hits New Low, College Enrollment at New High. Pew Research Center.

    Google Scholar 

  56. U.S. Census Bureau. Highest educational levels reached by adults in the U.S. Since 1940.

    Google Scholar 

  57. Finch BK, Vega WA. Acculturation stress, social support, and self-rated health among Latinos in California. J Immigr Health. 2003;5(3):109–17.

    Article  PubMed  Google Scholar 

  58. Guinn B, Vincent V. Determinants of coping responses among Mexican American adolescents. J Sch Health. 2002;72(4):152–6.

    Article  PubMed  Google Scholar 

  59. Kuperminc G, Wilkins N, Roche C, Alvarez-Jimenez A. Risk, resilience, and positive development among Latino youth. In: Villaruel F, Carlo G, Grau J, Azmitia M, Cabrera N, Chahin T, editors. Handbook of US Latino psychology: developmental and community-based perspectives. CA: Sage; 2009.

    Google Scholar 

  60. Bell NS, Harford TC, Fuchs CH, McCarroll JE, Schwartz CE. Spouse abuse and alcohol problems among white, African American, and Hispanic U.S. Army soldiers. Alcohol Clin Exp Res. 2006;30(10):1721–33. https://doi.org/10.1111/j.1530-0277.2006.00214.x.

    Article  PubMed  PubMed Central  Google Scholar 

  61. Spencer SJ, Logel C, Davies PG. Stereotype threat. Annu Rev Psychol. 2016;67:415–37.

    Article  PubMed  Google Scholar 

  62. Guendelman MD, Cheryan S, Monin B. Fitting in but getting fat: identity threat and dietary choices among US immigrant groups. Psychol Sci. 2011;22(7):959–67.

    Article  PubMed  Google Scholar 

  63. Krogstad JM, Stepler R, Lopez MH. English proficiency on the rise among latinos. U.S.Born Driving Language Changes. Pew Research Center; 2015.

    Google Scholar 

  64. Pippins JR, Alegría M, Haas JS. Association between language proficiency and the quality of primary care among a national sample of insured Latinos. Med Care. 2007;45(11):1020–5. https://doi.org/10.1097/MLR.0b013e31814847be.

    Article  PubMed  PubMed Central  Google Scholar 

  65. Knight GP, Roosa MW, Caldern-Tena CO, Gonzales NA. Methodological issues in research on Latino populations. In: Villaruel FA, Carlo G, Grau JM, Azmitia M, Cabrera NJ, Chahin TJ, editors. Handbook of US Latino psychology: developmental and community-based perspectives. 62nd ed. California: Sage; 2009. p. 45–62.

    Google Scholar 

  66. López SR. A research agenda to improve the accessibility and quality of mental health care for Latinos. Psychiatr Serv. 2002;53(12):1569–73. https://doi.org/10.1176/appi.ps.53.12.1569.

    Article  PubMed  Google Scholar 

  67. Green AR, Nze C. Language-based inequity in health care: who is the “poor historian?”. AMA J Ethics. 2017;19(3):263–71.

    Article  PubMed  Google Scholar 

  68. Wilson E, Chen AH, Grumbach K, Wang F, Fernandez A. Effects of limited English proficiency and physician language on health care comprehension. J Gen Intern Med. 2005;20(9):800–6.

    Article  PubMed  PubMed Central  Google Scholar 

  69. Flores G, Bauchner H, Feinstein AR, Nguyen US. The impact of ethnicity, family income, and parental education on children’s health and use of health services. Am J Public Health. 1999;89(7):1066–71. https://doi.org/10.2105/AJPH.89.7.1066.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  70. Clemans-Cope L, Kenney G. Low income parents’ reports of communication problems with health care providers: effects of language and insurance. Public Heal Rep. 2007;122:206–16.

    Article  Google Scholar 

  71. Guerrero AD, Rodriguez MA, Flores G. Disparities in provider elicitation of parents’ developmental concerns for US children. Pediatrics. 2011;128:901–9.

    Article  PubMed  Google Scholar 

  72. Hughes MT, Valle-Riestra DM. AME of L families with their child’s special education program. MP. 2002;4(1):11–7. Experiences of Latino families with their child’s special education program. Multicult Perspect. 2002;4(1):11–17

    Google Scholar 

  73. Lynch EW, Stein RC. Parent participation by ethnicity: a comparison of Hispanic, Black, and Anglo families. Except Child. 1987;54(2):105–11.

    Article  CAS  PubMed  Google Scholar 

  74. Hoover-Dempsey KV, Walker JMT, Sandler HM, et al. Why do parents become involved? Research findings and implications. Elem Sch J. 2005;106(2):105–30.

    Article  Google Scholar 

  75. Casciano R, Massey DS. Neighborhoods, employment, and welfare use: assessing the influence of neighborhood socioeconomic composition. Soc Sci Res. 2008;37(2):544–58.

    Article  PubMed  PubMed Central  Google Scholar 

  76. Williams D, Collins C. US socioeconomic and racial differences in health: patterns and explanations. Annu Rev Sociol. 1995;21:349–87.

    Article  Google Scholar 

  77. Myers HF. Ethnicity-and socio-economic status-related stresses in context: an integrative review and conceptual model. J Behav Med. 2009;32(1):9–19.

    Article  PubMed  Google Scholar 

  78. Alegría M, Canino G, Shrout PE, et al. Prevalence of mental illness in immigrant and non-immigrant U.S. Latino groups. Am J Psychiatry. 2008;165(3):359–69. https://doi.org/10.1176/appi.ajp.2007.07040704.

    Article  PubMed  PubMed Central  Google Scholar 

  79. Alegria M, Canino G, Stinson F, Grant B. Nativity and DSM-IV psychiatric disorders among Puerto Ricans, Cuban Americans and non-Latino whites in the United States: results from the National Epidemiologic survey on alcohol and related conditions. J Clin Psychiatry. 2006;67:56–65. 2006;67:56–65

    Article  PubMed  Google Scholar 

  80. Burnam MA, Hough RL, Karno M, Escobar JI, Telles CA. Acculturation and lifetime prevalence of psychiatric disorders among Mexican Americans in Los Angeles. J Health Soc Behav. 1987;28(1):89–102.

    Article  CAS  PubMed  Google Scholar 

  81. Ortega AN, Rosenheck R, Alegría M, Desai RA. Acculturation and the lifetime risk of psychiatric and substance use disorders among Hispanics. J Nerv Ment Dis. 2000;188(11):728–35.

    Article  CAS  PubMed  Google Scholar 

  82. Vega WA, Kolody B, Aguilar-Gaxiola S, Alderete E, Catalano R, Caraveo-Anduaga J. Lifetime prevalence of DSM-III-R psychiatric disorders among urban and rural Mexican Americans in California. Arch Gen Psychiatry. 1998;55(9):771–8.

    Article  CAS  PubMed  Google Scholar 

  83. LaVange LM, Kalsbeek W, Sorlie PD, et al. Sample design and cohort selection in the Hispanic community health study/study of Latinos. Ann Epidemiol. 2010;20(8):642–9.

    Article  PubMed  PubMed Central  Google Scholar 

  84. Perreira KM, Gotman N, Isasi CR, Arguelles W, Castañeda SF, Daviglus M, Giachello AL, Gonzalez P, Penedo FJ, Salgado H, Wassertheil-Smoller S. Mental health and exposure to the United States: key correlates from the Hispanic community health study of Latinos. J Nerv Ment Dis. 2015;203(9):670–8.

    Article  PubMed  PubMed Central  Google Scholar 

  85. Jang Y, Park NS, Kang S-Y, Chiriboga DA. Racial/ethnic differences in the association between symptoms of depression and self-rated mental health among older adults. Community Ment Health J. 2014;50(3):325–30. https://doi.org/10.1007/s10597-013-9642-2.

    Article  PubMed  Google Scholar 

  86. Merikangas KR, He J, Burstein ME, Swendsen J, Avenevoli S, Case B, Georgiades K, Heaton L, Swanson S, Olfson M. Service utilization for lifetime mental disorders in U.S. adolescents: results of the National Comorbidity Survey Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatry. 2011;50(1):32–45.

    Article  PubMed  Google Scholar 

  87. Cook BL, Barry CL, Busch SH. Racial/ethnic disparity trends in children’s mental health care access and expenditures from 2002 to 2007. Health Serv Res. 2013;48(1):129–49.

    Article  PubMed  Google Scholar 

  88. Minnis AM, Padian NS. Reproductive health differences among Latin American- and US-born young women. J Urban Health. 2001;78(4):627–37. https://doi.org/10.1093/jurban/78.4.627.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  89. Center for Disease Control and Prevention. Youth risk behavior surveillance system overview.

    Google Scholar 

  90. Center for Disease Control and Prevention. Youth risk behavior surveillance system overview; 2018. Retrieved August 10 from. https://www.cdc.gov/healthyyouth/data/yrbs/pdf/trendsreport.pdf%0A.

  91. McClellan JM, Susser E, King M-C. Schizophrenia: a common disease caused by multiple rare alleles. Br J Psychiatry. 2007;190(03):194–9. https://doi.org/10.1192/bjp.bp.106.025585.

    Article  PubMed  Google Scholar 

  92. Escamilla M, Hare E, Peralta J, Ontiveros A, Nicolini H, Raventós H, Medina R, Mendoza R, Jerez A, Muñoz R, Almasy L. A schizophrenia gene locus on chromosome 17q21 in a new set of families of Mexican and Central America ancestry: evidence from the NIMH Genetics of schizophrenia in Latino populations study. Am J Psychiatry. 2009;166(4):442–9. 2009;166(4):442–449.

    Article  PubMed  Google Scholar 

  93. Molding SO, Daly MJ. Population genetics and genetic 2273 epidemiology in psychiatry. In: Sadock BJ, Sadock 2274VA, editors. Kaplan & Sadock’s comprehensive 2275 textbook of psychiatry. 9th ed. Philadelphia, PA: 2276 Lippincott Williams; 2009. p. 299–319.

    Google Scholar 

  94. Blennow K, de Leon M, Zetterberg H. Alzheimer’s disease. Lancet. 2006;368(9533):387–403.

    Article  CAS  PubMed  Google Scholar 

  95. O’Bryant SE, Johnson L, Balldin V, Edwards M, Barber R, Williams B, Devous M, Cushings B, Knebl J, Hall J. Characterization of Mexican Americans with mild cognitive impairment and Alzheimer’s disease. J Alzheimers Dis. 2013;33:373–9.

    Article  PubMed  PubMed Central  Google Scholar 

  96. Livney MG, Clark CM, Karlawish JH, Cartmell S, Negron M, et al. Ethnoracial differences in the clinical characteristics of Alzheimer disease at initial presentation at a urban Alzheimer disease center. Am J Geriatr Psychiatry. 2011;19(5):430–9.

    Article  PubMed  PubMed Central  Google Scholar 

  97. Mehta KM, Yeo GW. Systematic review of dementia prevalence and incidence in US race/ethnic populations. Alzheimers Dement. 2017;13:72–83.

    Article  PubMed  Google Scholar 

  98. Manuck SB, McCaffery JM. Gene-environment interaction. Annu Rev Psychol. 2014;65:41–70.

    Article  PubMed  Google Scholar 

  99. Jiménez-Castro L, Hare E, Medina R, et al. Substance use disorder comorbidity with schizophrenia in families of Mexican and Central American ancestry. Schizophr Res. 2010;120(1–3):87–94. https://doi.org/10.1016/j.schres.2010.02.1053.

    Article  PubMed  PubMed Central  Google Scholar 

  100. Administration. FUSF and D. How FDA evaluates and regulated products: drugs. http://www.fda.gov/AboutFDA/Transparency/Basics/ucm269834.htm.

  101. Evelyn B, Toigo T, Banks D, Pohl D, Gray K, Robins B, Ernat J. Participation of racial/ethnic groups in clinical trials and race-related labeling: a review of new molecular entities approved 1995–1999. J Natl Med Assoc. 2001;93(12):18s–24.

    CAS  PubMed  PubMed Central  Google Scholar 

  102. Tamayo J, Mazzotti G, Tohen M, Gattaz WF, Zapata R, Castillo JJ, Fahrer RD, Gonzalez-Pinto AM, Vieta E, Aorin JM, Brown E, Brunner E, Royner J, Bonnett-Perrin E, Baker RW. Outcomes for Latin American versus white patients suffering from acute mania in a randomized, double-blind trial comparing olanzapine and haloperidol. J Clin Psychopharmacol. 2007;27(2):126–34.

    Article  CAS  PubMed  Google Scholar 

  103. Zandi PP, Judy JT. The promise and reality of pharmacogenetics in psychiatry. Clin Lab Med. 2010;30(4):931–74. https://doi.org/10.1016/j.cll.2010.07.004.

    Article  PubMed  Google Scholar 

  104. Lohoff F. Pharmacogenetics in psychiatry. Cambridge: Cambridge University Press; 2012.

    Book  Google Scholar 

  105. Tansey KE, Guipponi M, Hu X, et al. Contribution of common genetic variants to antidepressant response. Biol Psychiatry. 2013;73(7):679–82. https://doi.org/10.1016/j.biopsych.2012.10.030.

    Article  CAS  PubMed  Google Scholar 

  106. Zeier Z, Carpenter LL, Kalin NH, et al. Clinical implementation of pharmacogenetic decision support tools for antidepressant drug prescribing. Am J Psychiatry. 2018;175:appi.ajp.2018.1. https://doi.org/10.1176/appi.ajp.2018.17111282.

    Article  Google Scholar 

  107. Lanouette N, Folsom D, Sciolla A, Jeste DV. Psychothropic medication nonadherence among United States Latinos: a comprehensive review of the literature. Psychiatr Serv. 2009;60(2):157–74.

    Article  PubMed  PubMed Central  Google Scholar 

  108. Interian A, Martínez I, Ríos LI, Krejci J, Guarnaccia PJ. Adaption of a motivational interviewing intervention to improve antidepressant adherence among Latinos. Cult Divers Ethn Minor Psychol. 2017;16:215–25.

    Article  Google Scholar 

  109. Hodgkin D, Volpe-Vartarian J, Alegría M. Discontinuation of antidepressant medication among Latinos in the U.S.A. J Behav Health Serv Res. 2007;34:329–42.

    Article  PubMed  PubMed Central  Google Scholar 

  110. Saloner B, Lê Cook B. Blacks and Hispanics are less likely than whites to complete addiction treatment, largely due to socioeconomic factors. Health Aff (Millwood). 2013;32(1):135–45. https://doi.org/10.1377/hlthaff.2011.0983.

    Article  Google Scholar 

  111. Kopelowicz A, Zarate R, Wallace C, Liberman R, Lopez S, Mintz J. The ability of multifamily group to improve treatment adherence in Mexican Americans with schizophrenia. Arch Gen Psychiatry. 2012;69(3):265–73.

    Article  PubMed  Google Scholar 

  112. Gilmer TP, Ojada VD, Barrio C, Fuentes D, Garcia P, Lanouette NM, Lee KC. Adherence to antipsychotics among Latinos and Asians with schizophrenia and limited Enligh proficient. Psychiatr Serv. 2015;60(2):175–82.

    Article  Google Scholar 

  113. Schmidt LA, Ye Y, Greenfield TK, Bond J. Ethnic disparities in clinical severity and services for alcohol problems: results from the National Alcohol Survey. Alcohol Clin Exp Res. 2007;31(1):48–56. https://doi.org/10.1111/j.1530-0277.2006.00263.x.

    Article  PubMed  Google Scholar 

  114. Vega W, Alegria M. Health issues in the Latino community. In: Aguirre-Molina M, Molina CW, Zambrana RE, editors. Health issues in Latino community, Jossey Bass health series. San Francisco, CA: Jossey Bass Publishers; 2001. p. 179–208.

    Google Scholar 

  115. Finch BK, Hummer RA, Kolody B, Vega WA. The role of discrimination and acculturative stress in the physical health of Mexican-origin adults. Hisp J Behav Sci. 2001;23(4):399–429.

    Article  Google Scholar 

  116. Finch BK, Kolody B, Vega WA. Perceived discrimination and depression among Mexican-origin adults in California. J Health Soc Behav. 2000;41(3):295–313.

    Article  CAS  PubMed  Google Scholar 

  117. Pascoe EA, Smart Richman L. Perceived discrimination and health: a meta-analytic review. Psychol Bull. 2009;135(4):531–54. https://doi.org/10.1037/a0016059.

    Article  PubMed  PubMed Central  Google Scholar 

  118. Williams DR, Mohammed SA. Discrimination and racial disparities in health: evidence and needed research. J Behav Med. 2009;32(1):20–47. https://doi.org/10.1007/s10865-008-9185-0.

    Article  PubMed  Google Scholar 

  119. Williams DR, Neighbors HW, Jackson JS. Racial/ethnic discrimination and health: findings from community studies. Am J Public Health. 2003;93(2):200–8.

    Article  PubMed  PubMed Central  Google Scholar 

  120. Diaz E, Woods S, Rosenheck R. Effects of ethnicity on psychotropic medication adherence. Community Ment Heal J. 2005;41:521–37.

    Article  Google Scholar 

  121. Vega WA, Karno M, Alegria M, et al. Research issues for improving treatment of U.S. Hispanics with persistent mental disorders. Psychiatr Serv. 2007;58(3):385–94. https://doi.org/10.1176/ps.2007.58.3.385.

    Article  PubMed  Google Scholar 

  122. Bauermeister JJ, Alegría M, Bird HR, Rubio-Stipec M, Canino G. Are attentional-hyperactivity deficits unidimensional or multidimensional syndromes? Empirical findings from a Community survey. J Am Acad Child Adolesc Psychiatry. 1992;31(3):423–31.

    Article  CAS  PubMed  Google Scholar 

  123. Appelbaum P. Assessment of patients’ competence to consent to treatment. N Engl J Med. 2007;357:1834–40.

    Article  CAS  PubMed  Google Scholar 

  124. Escobedo C, Guerrero J, Lujan G, Ramirez R, Serrano D. Ethical issues with informed consent. Bio Ethics Issue. 2007;1:8–15.

    Google Scholar 

  125. Baker D, Parker R, Williams M, Coates W, Pitkin K. Use an effectiveness of interpreters in an emergency department. J Am Med Assoc. 1996;275(10):783–8.

    Article  CAS  Google Scholar 

  126. Ginde AA, Clark S, Camargo CA. Language barriers among patients in Boston emergency departments: use of medical interpreters after passage of interpreter legislation. J Immigr Minor Health. 2009;11(6):527–30. https://doi.org/10.1007/s10903-008-9188-5.

    Article  PubMed  Google Scholar 

  127. Lewis-Fernández R, Das AK, Alfonso C, Weissman MM, Olfson M. Depression in US Hispanics: diagnostic and management considerations in family practice. J Am Board Fam Pract. 2005;18(4):282–96.

    Article  PubMed  Google Scholar 

  128. Aguilar-gaxiola S, Loera G, Méndez L, Sala M, Latino Mental Health Concilio NJ. Community-defined solutions for Latino mental health care disparities. California Reducing Disparities Project, Latino Strategic Planning Workgroup Population Report. Sacramento: CA; 2012.

    Google Scholar 

  129. Hibbard JH, Pope CR. Gender roles, illness orientation and use of medical services. Soc Sci Med. 1983;17(3):129–37.

    Article  CAS  PubMed  Google Scholar 

  130. Cleary PD, Mechanic D, Greenley JR. Sex differences in medical care utilization: an empirical investigation. J Health Soc Behav. 1982;23(2):106–19.

    Article  CAS  PubMed  Google Scholar 

  131. Horst K, Mendez M, Culver-Turner R, Amanor-Boadu I, Minner B, Cook J, Stith S, McCollum E. The importance of Therapist/Client Ethnic/Racial matching in couples treatment of domestic violence. Contemp Fam Ther. 2012;34:57–71.

    Article  Google Scholar 

  132. Zyguras S, Klimidis S, Lewis J, Stuart G. Ethnic matching of clients and use of mental health services by ethnic clients. Psychiatr Serv. 54(4):535–41.

    Google Scholar 

  133. Wintersteen MB, Mensinger JL, Diamond GS. Do gender and racial differences between patient and therapist affect therapeutic alliance and treatment retention in adolescents? Prof Psychol Res Pr. 2005;36:400–8.

    Article  Google Scholar 

  134. Burchinal MR, Cryer D. Diversity, child care quality, and developmental outcomes. Early Child Res Q. 2003;18(4):401–26. https://doi.org/10.1016/j.ecresq.2003.09.003.

    Article  Google Scholar 

  135. Flicker SM, Waldron HB, Turner CW, Brody JL, Hops H. Ethnic matching and treatment outcome with Hispanic and Anglo substance-abusing adolescents in family therapy. J Fam Psychol. 2008;22(3):439–47. https://doi.org/10.1037/0893-3200.22.3.439.

    Article  PubMed  Google Scholar 

  136. Bernal G, Saez-Santiago E, Galloza-Carrero A. Evidence-based approaches to working with Latino youth and families. In: Villaruel FA, Carlo G, Grau JM, Azmitia M, Cabrera NJ, Chahin TJE, editors. Handbook of US Latino psychology: developmental and community-based perspectives. CA: Sage; 2009.

    Google Scholar 

  137. Trevino FM, Sumaya C, Miranda M, Martinez L, Saldana JM, Treviflo F. Increasing the representation of Hispanics in the health professions. Public Health Rep. 1993;108(5):551–8. http://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC1403430&blobtype=pdf. Accessed 27 Sept 2018

    CAS  PubMed  PubMed Central  Google Scholar 

  138. Cabral RR, Smith TB. Racial/ethnic matching of clients and therapists in mental health services: a meta-analytic review of preferences, perceptions, and outcomes. J Couns Psychol. 2011;58(4):537–54. https://doi.org/10.1037/a0025266.

    Article  PubMed  Google Scholar 

  139. Malgady R, Costantino G. Symptom severity in bilingual Hispanics as a function of clinician and language of interview. Psychol Assess. 1998;10:120–7.

    Article  Google Scholar 

  140. Hoffman L. Constructing realities: an art of lenses. Fam Process. 1990;29(1):1–12.

    Article  CAS  PubMed  Google Scholar 

  141. White M, Epston D. Narrative means to therapeutic ends. 1st ed. New York: Norton; 1990.

    Google Scholar 

  142. Cervantes R, Salgado de Snyder VN, Padilla A. Post-traumatic stress disorder among immigrants from Central America and Mexico. Hosp Community Psychiatry. 1989;40:615–9.

    CAS  PubMed  Google Scholar 

  143. McGoldrick M, Giordano J, Garcia-Preto N. Ethnicity and family therapy. 3rd ed.

    Google Scholar 

  144. McGoldrick M, Hardy KV, editors. Re-visioning family therapy: race, culture, and gender in clinical practice. 2nd ed. New York: Guilford Press; 2008.

    Google Scholar 

  145. Alegria M. The challenge of acculturation measures: what are we missing? A commentary on Thomson & Hoffman-Goetz. Soc Sci Med. 2009;69(7):996–8. https://doi.org/10.1016/j.socscimed.2009.07.006.

    Article  PubMed  PubMed Central  Google Scholar 

  146. Rogler L, Cortes D, Malgady R. Acculturation and mental health status among Hispanics: convergence and new directions for research. Am Psychol. 1991;46:585–97.

    Article  CAS  PubMed  Google Scholar 

  147. Paniagua FA. Assessing and treating culturally diverse clients: a practical guide, vol. 4. 2nd ed. Thousand Oaks: SAGE; 1998.

    Google Scholar 

  148. Flores MT, Carey G. Family therapy with Hispanics: toward appreciating diversity. Boston: Allyn and Bacon; 2000.

    Google Scholar 

  149. Bernal G, Cumba-Avilés E, Sáez-Santiago E. Cultural and relational processes in depressed Latino adolescents. In: Beach SRH, Wambold MZ, Kaslow NJ, Heyman RE, MBF, editors. Relational processes and DSM-V: neuroscience, assessment, prevention, and treatment. Washington, DC: American Psychiatric Association; 2006. p. 211–24.

    Google Scholar 

  150. Bernal G, Shapiro E. Cuban families. In: McGoldrick M, Pearce JKGJ, editors. Ethnicity and family therapy. 2nd ed. New York: Guildford Press; 1996. p. 155–68.

    Google Scholar 

  151. Sue D, Sue D. Counseling the culturally diverse: theory and practice. 6th ed. New Jersey: John Wiley & Sons; 2012.. http://www.wiley.com/WileyCDA/WileyTitle/productCd-1118022025,subjectCd-PS80.html. Accessed 15 Feb 2015

    Google Scholar 

  152. Alegria M, Shrout PE, Woo M, et al. Understanding differences in past year psychiatric disorders for Latinos living in the US. Soc Sci Med. 2007;65(2):214–30. https://doi.org/10.1016/j.socscimed.2007.03.026.

    Article  PubMed  PubMed Central  Google Scholar 

  153. Martinez C, McClure H, Eddy M. Language brokering contexts and behavioral and emotional adjustment among Latino parents and adolescents. J Early Adolesc. 2009;29:71–98.

    Article  PubMed  PubMed Central  Google Scholar 

  154. Bird HR, Canino GJ, Davies M, Zhang H, Ramirez R, Lahey BB. Prevalence and correlates of antisocial behaviors among three ethnic groups. J Abnorm Child Psychol. 2001;29(6):465–78.

    Article  CAS  PubMed  Google Scholar 

  155. Wahl A-M, Eitle TM. Gender, acculturation and alcohol use among Latina/o adolescents: a mult-ehtnic comparison. J Immigr Minor Health. 2008;12:153–65.

    Article  Google Scholar 

  156. Cardemil EV, Sarmiento I. Clinical approaches to working with Latino adults. In: Villaruel FA, Carlo G, Grau JM, Azmitia M, Cabrera NJ, Chahin TJ, editors. Handbook of US Latino psychology: developmental and community-based perspectives. California: Sage; 2009. p. 329–45.

    Google Scholar 

  157. Jakobsons LJ, Buckner JD. The assessment, diagnosis, and treatment of psychiatric disorders in Hispanic/Latino clients. In: Mental health care for people of diverse backgrounds: CRC Press; 2018. p. 21–36.

    Google Scholar 

  158. Trimble JE, King J, Lafromboise TD, Bigfoot DS, Norman D. In: Parekh R, editor. The Massachusetts General Hospital textbook on diversity and cultural sensitivity in mental health. New York, NY: Springer New York; 2014. https://doi.org/10.1007/978-1-4614-8918-4.

    Chapter  Google Scholar 

  159. Calzada EJ, Fernandez Y, Cortes D. Incorporating the cultural value of respeto into a framework of Latino parenting. Cultur Divers Ethnic Minor Psychol. 2010;16(1):77–86. https://doi.org/10.1037/a0016071.

    Article  PubMed  PubMed Central  Google Scholar 

  160. Liu J. The shifting religious identity of Latinos in the United States. Pew Research Center. 2014;

    Google Scholar 

  161. Molina C, Zambrana E, Aguirre-Molina M. The influence of culture, class and environment on health care. In: Aguirre-Molina CWMM, editor. Latino health in the US: a growing challenge. Washington, DC: American Public Health Association; 1994. p. 23–43.

    Google Scholar 

  162. Hodge DR, Sun F. Positive feelings of caregiving among Latino Alzheimer’s family caregivers: understanding the role of spirituality. Aging Ment Health. 2012;16(6):689–98. https://doi.org/10.1080/13607863.2012.678481.

    Article  PubMed  Google Scholar 

  163. Garcia-Prieto N. Latinas in the United States: bridging two worlds. In: McGoldrick M, Hardy KV, editors. Re-visioning family therapy: race, culture, and gender in clinical practice. New York, NY: Guildford Press; 2008. p. 261–74.

    Google Scholar 

  164. Nichols MP. Family therapy: concepts and methods. 8th ed. Boston: Pearson/Allyn and Bacon; 2008.

    Google Scholar 

  165. Costantino G, Kalogiros I, Perez M, Borges M, Lardiere M, Malgady R, et al. Evidence-based treatments for postdisaster trauma symptoms in Latino children. San Francisco, CA: American Psychological Association; 2007.

    Book  Google Scholar 

  166. Costantino G, Malgady R, Rogler L. Cuento therapy: a culturally sensitive modality for Puerto Rican children. J Consult Clin Psychol. 1986;54:639–45.

    Article  CAS  PubMed  Google Scholar 

  167. Szapocznik J, Kurtines WM, Santisteban DA, Patin H, Scopetta M, Mancilla Y, Aisenberg S, Perez-Vidal A, Coatsworth JD. The evolution of a structural ecosystemic theory for working with Latino families. In: Garcia J, Zea M, editors. Psychological interventions and research with Latino populations. Boston, MA: Allyn & Bacon; 1997. p. 166–90.

    Google Scholar 

  168. Inclan J, Hernandez M. Cross-cultural perspectives and codependence: the case of poor Hispanics. Am J Orthopsychiatry. 1992;62(2):245–55.

    Article  CAS  PubMed  Google Scholar 

  169. Bernal G, Domenech Rodríguez M. Cultural adaptation: tools for evidence based practice with diverse populations. Washington, DC: APA Press; 2012.

    Book  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Aida L. Jiménez .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Jiménez, A.L., Alegría, M., Camino-Gaztambide, R.F., Zayas, L.V., Lisotto, M.J. (2019). Cultural Sensitivity: What Should We Understand About Latinos?. In: Parekh, R., Trinh, NH. (eds) The Massachusetts General Hospital Textbook on Diversity and Cultural Sensitivity in Mental Health. Current Clinical Psychiatry. Humana, Cham. https://doi.org/10.1007/978-3-030-20174-6_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-20174-6_11

  • Published:

  • Publisher Name: Humana, Cham

  • Print ISBN: 978-3-030-20173-9

  • Online ISBN: 978-3-030-20174-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics