Skip to main content

Chronic Disease and the Latinx Population: Threats, Challenges, and Opportunities

  • Chapter
  • First Online:
New and Emerging Issues in Latinx Health

Abstract

Compared with other ethnic/racial and socioeconomic groups, the US Latinx population is disproportionately affected by chronic diseases. In this chapter, we describe the epidemiology of chronic diseases and related health behaviors among this population. We then explore social, economic, cultural, and environmental factors and behaviors associated with the risks for cancer and chronic diseases for Latinx persons and the protective factors that can be harnessed to reverse the high prevalence of many diseases, such as cancer, asthma, and type 2 diabetes. We also propose and describe select health behavior theories that can inform the development of interventions and provide examples of effective interventions that have helped prevent and control cancer and chronic diseases in the Latinx population. Lastly, we discuss future priorities for research in the prevention of cancer and chronic diseases and interventions to address health disparities among Latinx persons.

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

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
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

Similar content being viewed by others

References

  • Acevedo-Garcia, D., Sanchez-Vaznaugh, E. V., Viruell-Fuentes, E. A., & Almeida, J. (2012). Integrating social epidemiology into immigrant health research: A cross-national framework. Social Science and Medicine, 75(12), 2060. https://doi.org/10.1016/j.socscimed.2012.04.040.

    Article  PubMed  Google Scholar 

  • Akinbami, L. (2010). Asthma prevalence, health care use and mortality: United States, 2003–05. Atlanta, GA: CDC. http://www.cdc.gov/nchs/data/hestat/asthma03-05/asthma03-05.htm.

  • American Cancer Society. (2015). Cancer facts & figures for Hispanics/Latinos 2015–2017. Atlanta, GA: American Cancer Society.

    Google Scholar 

  • American Cancer Society. (2016a). Cancer facts & figures 2016. Atlanta, GA: American Cancer Society.

    Google Scholar 

  • American Cancer Society. (2016b). Liver cancer. Atlanta, GA: American Cancer Society.

    Google Scholar 

  • American Diabetes Association. (2014). Diabetes among Hispanics: All are not equal. Alexandria, Virginia: American Diabetes Association.

    Google Scholar 

  • American Stroke Association. (2012). Stroke among Hispanics. Dallas, TX: American Stroke Association. http://www.strokeassociation.org/STROKEORG/AboutStroke/UnderstandingRisk/Stroke-Among-Hispanics_UCM_310393_Article.jsp-.WAAAyXqH-Sw.

  • Arredondo, E. M., Sotres-Alvarez, D., Stoutenberg, M., Davis, S. M., Crespo, N. C., Carnethon, M. R., … Evenson, K. R. (2015). Physical activity levels in U.S. Latino/Hispanic adults: Results from the Hispanic community health study/study of Latinos. American Journal of Preventive Medicine, 50(4), 500–508. https://doi.org/10.1016/j.amepre.2015.08.029.

    Article  Google Scholar 

  • Arrellano, L., Elder, J., Sosa, E., Baquero, B., & Alcantara, C. (2016). Health promotion among Latino adults: Conceptual frameworks, relevant pathways and future directions. Journal of Latina/o Psychology, 4(2), 83–87. https://doi.org/10.1037/lat0000051.

    Article  Google Scholar 

  • Ayala, G. X., Baquero, B., Laraia, B. A., Ji, M., & Linnan, L. (2013). Efficacy of a store-based environmental change intervention compared with a delayed treatment control condition on store customers’ intake of fruits and vegetables. Public Health Nutrition, 1. https://doi.org/10.1017/s1368980013000955.

    Article  Google Scholar 

  • Ayala, G. X., Elder, J. P., Campbell, N. R., Slymen, D. J., Roy, N., Engelberg, M., et al. (2004). Correlates of body mass index and waist-to-hip ratio among Mexican women in the United States: Implications for intervention development. Women’s Health Issues, 14(5), 155. https://doi.org/10.1016/j.whi.2004.07.003.

    Article  PubMed  Google Scholar 

  • Ayala, G. X., Vaz, L., Earp, J. A., Elder, J. P., & Cherrington, A. (2010). Outcome effectiveness of the lay health advisor model among Latinos in the United States: An examination by role. Health Education Research, 25(5), 815. https://doi.org/10.1093/her/cyq035.

    Article  PubMed  PubMed Central  Google Scholar 

  • Balcázar, H. G., & de Heer, H. D. (2015). Community health workers as partners in the management of non-communicable diseases. The Lancet Global Health, 3(9), e508–e509. https://doi.org/10.1016/S2214-109X(15)00142-4.

    Article  PubMed  Google Scholar 

  • Balfour, P. C., Ruiz, J. M., Talavera, G. A., Allison, M. A., & Rodriguez, C. J. (2016). Cardiovascular disease in Hispanics/Latinos in the United States. Journal of Latina/o Psychology, 4(2), 98–113. https://doi.org/10.1037/lat0000056.

    Article  PubMed  PubMed Central  Google Scholar 

  • Barcenas, C. H., Wilkinson, A. V., Strom, S. S., Cao, Y., Saunders, K. C., Mahabir, S., et al. (2007). Birthplace, years of residence in the United States, and obesity among Mexican-American adults. Obesity, 15(4), 1043–1052. https://doi.org/10.1038/oby.2007.537.

    Article  PubMed  Google Scholar 

  • Barnes, N. (2005). Transnational networks and community-based organizations: The dynamics of AIDS activism in Tijuana and Mexico City. (3167838 Ph.D.), University of California, San Diego, Ann Arbor. ProQuest Dissertations & Theses A&I; ProQuest Dissertations & Theses Full Text database.

    Google Scholar 

  • Barr, R. G., Avilés-Santa, L., Davis, S. M., Aldrich, T. K., Gonzalez, F., Henderson, A. G., … Loredo, J. S. (2016). Pulmonary disease and age at immigration among Hispanics. Results from the Hispanic community health study/study of Latinos. American Journal of Respiratory and Critical Care Medicine, 193(4), 386–395.

    Article  Google Scholar 

  • Barr, V. J., Robinson, S., Marin-Link, B., Underhill, L., Dotts, A., Ravensdale, D., & Salivaras, S. (2003). The expanded Chronic Care Model: An integration of concepts and strategies from population health promotion and the Chronic Care Model. Healthcare Quarterly, 7(1).

    Google Scholar 

  • Bauer, U. E., Briss, P. A., Goodman, R. A., & Bowman, B. A. (2014). Prevention of chronic disease in the 21st century: Elimination of the leading preventable causes of premature death and disability in the USA. The Lancet, 384(9937), 45–52.

    Article  Google Scholar 

  • Bowie, J. V., Juon, H.-S., Rodriguez, E. M., & Cho, J. (2007). Peer reviewed: Factors associated with overweight and obesity among Mexican Americans and Central Americans: Results from the 2001 California Health Interview Survey. Preventing Chronic Disease, 4(1).

    Google Scholar 

  • Brehm, J. M., & Celedón, J. C. (2008). Chronic obstructive pulmonary disease in Hispanics. American Journal of Respiratory and Critical Care Medicine, 177.

    Google Scholar 

  • Bronfenbrenner, U. (1981). Children and families: 1984? Society, 18(2), 38–41.

    Article  Google Scholar 

  • Carrion, A. F., Ghanta, R., Carrasquillo, O., & Martin, P. (2011). Chronic liver disease in the Hispanic population of the United States. Clinical Gastroenterology and Hepatology, 9(10), 834–853.

    Article  Google Scholar 

  • Centers for Disease Control and Prevention. (2011). CDC health disparities and inequalities report—United States, 2011. Atlanta, GA: Centers for Disease Control and Prevention.

    Google Scholar 

  • Centers for Disease Control and Prevention. (2012). Vital signs: Binge drinking prevalence, frequency, and intensity among adults-United States, 2010. Morbidity and Mortality Weekly Report, 61(1), 14.

    Google Scholar 

  • Centers for Disease Control and Prevention. (2015a). About heart disease. https://www.cdc.gov/heartdisease/about.htm.

  • Centers for Disease Control and Prevention. (2015b). CDC vital signs—Hispanic health. http://www.cdc.gov/vitalsigns/hispanic-health/.

  • Centers for Disease Control and Prevention. (2016a). Chronic diseases: The leading causes of death and disability in the United States. http://www.cdc.gov/chronicdisease/overview/.

  • Centers for Disease Control and Prevention. (2016b). Liver cancer. Atlanta, GA: Centers for Disease Control and Prevention.

    Google Scholar 

  • Centers for Disease Control and Prevention. (2016c). Lung cancer rates by race and ethnicity. Atlanta, GA: Centers for Disease Control and Prevention. http://www.cdc.gov/cancer/lung/statistics/race.htm.

  • Centers for Disease Control and Prevention. (2016d). Men and heart disease fact sheet. Atlanta, GA: Centers for Disease Control and Prevention.

    Google Scholar 

  • Centers for Disease Control and Prevention. (2017a). Adult obesity facts. Atlanta, GA: Centers for Disease Control and Prevention. https://www.cdc.gov/obesity/data/adult.html.

  • Centers for Disease Control and Prevention. (2017b). Cancers Associated with Overweigth and Obesity Make up 40 percent of Cancers Diagnosed in the United States. Retrieved from https://www.cdc.gov/media/releases/2017/p1003-vs-cancer-obesity.html.

  • Centers for Disease Control and Prevention. (2017c). Facts about physical activity|Physical Activity|CDC. Physical Activity. https://www.cdc.gov/physicalactivity/data/facts.htm.

  • Centers for Disease Control and Prevention. (2017d). Hispanics/Latinos and tobacco use. Retrieved from https://www.cdc.gov/tobacco/disparities/hispanics-latinos/index.htm.

  • Centers for Disease Control and Prevention. (2017e). How much physical activity do adults need?|Physical Activity|CDC. Physical Activity. https://www.cdc.gov/physicalactivity/basics/adults/index.htm.

  • Centers for Disease Control and Prevention. (2017f). Overweight and obesity. https://www.cdc.gov/obesity.

  • Corsino, L., Sotres-Alvarez, D., Butera, N. M., Siega-Riz, A. M., Palacios, C., Pérez, C. M., et al. (2017). Association of the DASH dietary pattern with insulin resistance and diabetes in US Hispanic/Latino adults: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). BMJ Open Diabetes Research and Care, 5(1), e000402.

    Article  Google Scholar 

  • Cuy Castellanos, D. (2015). Dietary acculturation in Latinos/Hispanics in the United States. American Journal of Lifestyle Medicine, 9(1), 31–36. https://doi.org/10.1177/1559827614552960.

    Article  Google Scholar 

  • Daniel-Ulloa, J., Reboussin, B. A., Gilbert, P. A., Mann, L., Alonzo, J., Downs, M., et al. (2014). Predictors of heavy episodic drinking and weekly drunkenness among immigrant Latinos in North Carolina. American Journal of Men’s Health, 8(4), 339–348.

    Article  Google Scholar 

  • Daviglus, M. L., Talavera, G. A., Avilés-Santa, M., et al. (2012). Prevalence of major cardiovascular risk factors and cardiovascular diseases among Hispanic/Latino individuals of diverse backgrounds in the United States. Journal of the American Medical Association, 308(17), 1775–1784. https://doi.org/10.1001/jama.2012.14517.

    Article  CAS  PubMed  Google Scholar 

  • de Heer, H. D., Balcazar, H. G., Wise, S., Redelfs, A. H., Rosenthal, E. L., & Duarte, M. O. (2015). Improved cardiovascular risk among Hispanic border participants of the Mi Corazón Mi Comunidad Promotores De Salud Model: The HEART II cohort intervention study 2009–2013. Frontiers in Public Health, 3.

    Google Scholar 

  • Dunn, R. A., Sharkey, J. R., & Horel, S. (2012). The effect of fast-food availability on fast-food consumption and obesity among rural residents: An analysis by race/ethnicity. Economics & Human Biology, 10(1), 1–13. https://doi.org/10.1016/j.ehb.2011.09.005.

    Article  Google Scholar 

  • Elder, J. P., Ayala, G. X., Parra-Medina, D., & Talavera, G. A. (2009). Health communication in the Latino community: Issues and approaches. Annual Review of Public Health, 30, 227. https://doi.org/10.1146/annurev.publhealth.031308.100300.

    Article  PubMed  Google Scholar 

  • Fryer, C. D., & Ervin, R. B. (2013). Caloric intake from fast food among adults: United States 2007–2010. https://www.cdc.gov/nchs/products/databriefs/db114.htm.

  • Geertz, C. (1973). The interpretation of cultures (Vol. 5019): Basic Books.

    Google Scholar 

  • Go, A. S., Mozaffarian, D., Roger, V. L., Benjamin, E. J., Berry, J. D., Borden, W. B., … Turner, M. B. (2013). Hispanics/Latinos & Cardiovascular Diseases: American Heart Association.

    Google Scholar 

  • Goldman, N., Kimbro, R. T., Turra, C. M., & Pebley, A. R. (2006). Socioeconomic gradients in health for white and Mexican-origin populations. American Journal of Public Health, 96(12), 2186–2193. https://doi.org/10.2105/ajph.2005.062752.

    Article  PubMed  PubMed Central  Google Scholar 

  • Harralson, T. L., Emig, J. C., Polansky, M., Walker, R. E., Cruz, J. O., & Garcia-Leeds, C. (2007). Un Corazon Saludable: Factors influencing outcomes of an exercise program designed to impact cardiac and metabolic risks among urban Latinas. Journal of Community Health, 32(6), 401. https://doi.org/10.1007/s10900-007-9059-3.

    Article  PubMed  Google Scholar 

  • Heron, M. (2016). Deaths: Leading Causes for 2014. National Vital Statistics Reports, 65, 1–95. https://www.cdc.gov/nchs/data/nvsr/nvsr65/nvsr65_05.pdf.

  • Isasi, C. R., Ayala, G. X., Sotres-Alvarez, D., Madanat, H., Penedo, F., Loria, C. M., … Siega-Riz, A. M. (2015). Is acculturation related to obesity in Hispanic/Latino adults? Results from the Hispanic community health study/study of Latinos. Journal of Obesity.

    Google Scholar 

  • Kant, A. K., Whitley, M. I., & Graubard, B. I. (2015). Away from home meals: associations with biomarkers of chronic disease and dietary intake in American adults, NHANES 2005–2010. International Journal of Obesity, 39(5), 820–827. https://doi.org/10.1038/ijo.2014.183.

    Article  CAS  PubMed  Google Scholar 

  • Khan, L., Sobal, J., & Martorell, R. (1997). Acculturation, socioeconomic status, and obesity in Mexican Americans, Cuban Americans, and Puerto Ricans. International Journal of Obesity & Related Metabolic Disorders, 21(2).

    Google Scholar 

  • Larsen, B. A., Pekmezi, D., Marquez, B., Benitez, T. J., & Marcus, B. H. (2013). Physical activity in Latinas: Social and environmental influences. Women’s Health (London, England), 9(2). https://doi.org/10.2217/whe.2213.2219. https://doi.org/10.2217/whe.13.9.

  • Lee, S. H., & Im, E.-O. (2010). Ethnic differences in exercise and leisure time physical activity among midlife women. Journal of Advanced Nursing, 66(4), 814–827. https://doi.org/10.1111/j.1365-2648.2009.05242.x.

    Article  PubMed  Google Scholar 

  • Lucio, R., Zuniga, G., Seol, Y., Garza, N., Mier, N., & Trevino, L. (2012). Incoporating what promotoras learn: Becoming role models to effect positive change. Journal of Community Health, 37(5), 1026–1031. https://doi.org/10.1007/s10900-011-9526-8.

    Article  PubMed  Google Scholar 

  • Marin, G., & Gamba, R. J. (1996). A new measurement of acculturation for Hispanics: The Bidimensional Acculturation Scale for Hispanics (BAS). Hispanic Journal of Behavioral Sciences, 18(3), 297. https://doi.org/10.1177/07399863960183002.

    Article  Google Scholar 

  • McAlister, A. L., Ramirez, A. G., Amezcua, C., Pulley, L., Stern, M. P., & Mercado, S. (1992). Smoking cessation in Texas-Mexico border communities: A quasi-experimental panel study. American Journal of Health Promotion, 6(4), 274–279.

    Article  CAS  Google Scholar 

  • Medina-Inojosa, J., Jean, N., Cortes-Bergoderi, M., & Lopez-Jimenez, F. (2014). The Hispanic paradox in cardiovascular disease and total mortality. Progress in Cardiovascular Diseases, 57(3), 286–292.

    Article  Google Scholar 

  • Morales, L. S., Lara, M., Kington, R. S., Valdez, R. O., & Escarce, J. J. (2002). Socioeconomic, cultural, and behavioral factors affecting Hispanic health outcomes. Journal of Health Care for the Poor and Underserved, 13(4), 477.

    Article  Google Scholar 

  • Mozaffarian, D., Benjamin E. J., Go, A. S., Arnett, D. K. Blaha, M. J., Cushman M., … Turner, M. B. (2016). Heart disease and stroke statistics–2016 update: a report from the American Heart Association. Circulation, 133(4), e38–e360.

    Google Scholar 

  • National Cancer Institute. (2017). Obesity and cancer. https://www.cancer.gov/about-cancer/causes-prevention/risk/obesity/obesity-fact-sheet.

  • National Heart, Lung, & Blood Institute. (1998). Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults–the evidence report. (98-4083). Washington, DC: U.S Department of Health and Human Services. https://www.nhlbi.nih.gov/files/docs/guidelines/obesity_guidelines_archive.pdf.

  • National Heart, Lung, & Blood Institute. (2017). What is COPD? https://www.nhlbi.nih.gov/health/health-topics/topics/copd/.

  • National Institute of Diabetes and Digestive and Kidney Diseases. (2016). What is diabetes? https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes.

  • Norris, S. L., Chowdhury, F. M., Van Le, K., Horsley, T., Brownstein, J. N., Zhang, X., et al. (2006). Effectiveness of community health workers in the care of persons with diabetes. Diabetic Medicine, 23(5), 544–556.

    Article  CAS  Google Scholar 

  • Office of Minority Health. (2016a). Asthma and Hispanic Americans. http://minorityhealth.hhs.gov/omh/browse.aspx?lvl=4&lvlid=60.

  • Office of Minority Health. (2016b). Diabetes and Hispanic Americans. http://minorityhealth.hhs.gov/omh/browse.aspx?lvl=4&lvlID=63.

  • Office of Minority Health. (2016c). Heart Disease and Hispanic Americans. http://minorityhealth.hhs.gov/omh/browse.aspx?lvl=4&lvlID=64.

  • Ornelas, I. J., Lapham, G. T., Salgado, H., Williams, E. C., Gotman, N., Womack, V., et al. (2016). Binge drinking and perceived ethnic discrimination among Hispanics/Latinos: Results from the Hispanic community health study/study of Latinos sociocultural ancillary study. Journal of Ethnicity in Substance Abuse, 15(3), 223–239. https://doi.org/10.1080/15332640.2015.1024374.

    Article  PubMed  Google Scholar 

  • Palta, P., McMurray, R. G., Gouskova, N. A., Sotres-Alvarez, D., Davis, S. M., Carnethon, M., et al. (2016). Self-reported and accelerometer-measured physical activity by body mass index in US Hispanic/Latino adults: HCHS/SOL. Preventive Medicine Reports, 2, 824–828. https://doi.org/10.1016/j.pmedr.2015.09.006.

    Article  Google Scholar 

  • Parra-Medina, D., Liang, Y., Yin, Z., Esparza, L., & Lopez, L. (2015). Weight outcomes of Latino adults and children participating in the Y Living Program, a family-focused lifestyle intervention, San Antonio, 2012–2013. Preventing Chronic Disease, 12, E219. https://doi.org/10.5888/pcd12.150219.

    Article  PubMed  PubMed Central  Google Scholar 

  • Penedo, F., Yanez, B., Castañeda, S., Gallo, L., Wortman, K., Gouskova, N., … Ramirez, A. (2016). Self-reported cancer prevalence among Hispanics in the US: Results from the Hispanic Community Health Study/Study of Latinos. PLoS One, 11(1).

    Article  Google Scholar 

  • Perez, L. G., Arredondo, E. M., Elder, J. P., Barquera, S., Nagle, B., & Holub, C. K. (2013). Evidence-based obesity treatment interventions for Latino adults in the U.S.: A systematic review. American Journal of Preventive Medicine, 44(5), 550. https://doi.org/10.1016/j.amepre.2013.01.016.

    Article  Google Scholar 

  • Pinheiro, P. S., Callahan, K. E., Siegel, R. L., Jin, H., Morris, C. R., Trapido, E. J., et al. (2017). Cancer mortality in Hispanic ethnic groups. Cancer Epidemiology and Prevention Biomarkers, 26(3), 376–382.

    Article  Google Scholar 

  • Ramirez, A. G., & McAlister, A. L. (1988). Mass media campaign—A su salud. Preventive Medicine, 17(5), 608–621.

    Article  CAS  Google Scholar 

  • Rhodes, S. D., Foley, K. L., Zomea, C. S., & Bloom, F. R. (2008). Lay health advisor interventions among Hispanics/Latinos: A qualitative systematic review. American Journal of Preventive Medicine, 33(6), 418.

    Google Scholar 

  • Rosser, F. J., Forno, E., Cooper, P. J., & Celedón, J. C. (2014). Asthma in Hispanics. An 8-year update. American Journal of Respiratory and Critical Care Medicine, 189(11), 1316–1327.

    Google Scholar 

  • Rowe, A. K., Rowe, S. Y., Peters, D. H., Holloway, K. A., Chalker, J., & Ross-Degnan, D. (2018). Effectiveness of strategies to improve health-care provider practices in low-income and middle-income countries: a systematic review. The Lancet Global Health.

    Google Scholar 

  • Sanchez-Vaznaugh, E. V., Kawachi, I., Subramanian, S. V., Sanchez, B. N., & Acevedo-Garcia, D. (2008). Differential effect of birthplace and length of residence on body mass index (BMI) by education, gender and race/ethnicity. Social Science and Medicine, 67(8), 1300–1310. https://doi.org/10.1016/j.socscimed.2008.06.015.

    Article  PubMed  Google Scholar 

  • Sanchez-Vaznaugh, E. V., Kawachi, I., Subramanian, S. V., Sanchez, B. N., & Acevedo-Garcia, D. (2009). Do socioeconomic gradients in body mass index vary by race/ethnicity, gender, and birthplace? American Journal of Epidemiology, 169(9), 1102–1112. https://doi.org/10.1093/aje/kwp027.

    Article  PubMed  Google Scholar 

  • Schneiderman, N., Llabre, M., Cowie, C. C., Barnhart, J., Carnethon, M., Gallo, L. C., et al. (2014). Prevalence of diabetes among Hispanics/Latinos from diverse backgrounds: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Diabetes Care, 37(8), 2233.

    Article  Google Scholar 

  • Siega-Riz, A. M., Sotres-Alvarez, D., Ayala, G. X., Ginsberg, M., Himes, J. H., Liu, K., … & Gellman, M. D. (2014). Food-group and nutrient-density intakes by Hispanic and Latino backgrounds in the Hispanic Community Health Study/Study of Latinos. https://doi.org/10.3945/ajcn.113.082685.

    Article  CAS  Google Scholar 

  • Siegel, R. L., Fedewa, S. A., Miller, K. D., Goding-Sauer, A., Pinheiro, P. S., Martinez-Tyson, D., et al. (2015). Cancer statistics for Hispanics/Latinos, 2015. Cancer Journal for Clinicians, 65(6), 457–480.

    Article  Google Scholar 

  • Staten, L. K., Cutshaw, C. A., Davidson, C., Reinschmidt, K., Stewart, R., & Roe, D. J. (2012). Effectiveness of the Pasos Adelante chronic disease prevention and control program in a US-Mexico border community, 2005–2008. Preventing Chronic Disease, 9, E08.

    PubMed  Google Scholar 

  • Stellefson, M., Dipnarine, K., & Stopka, C. (2013). Peer reviewed: The chronic care model and diabetes management in US primary care settings: A systematic review. Preventing Chronic Disease, 10.

    Google Scholar 

  • Stern, M., Fejerman, L., Das, R., Setiawan, V., Cruz-Correa, M., Perez-Stable, E., et al. (2016). Variability in cancer risk and outcomes within US Latinos by national origin and genetic ancestry. Current Epidemiology Reports, 3, 181–190.

    Article  Google Scholar 

  • Stoklos, D., Allen, J., & Bellingham, R. (1996). The social ecology of health promotion; Implications for research and practice. American Journal of Health Promotion, 10(4), 247–251.

    Article  Google Scholar 

  • Sundquist, J., & Winkleby, M. A. (1999). Cardiovascular risk factors in Mexican American adults: A transcultural analysis of NHANES III, 1988–1994. American Journal of Public Health, 89(5), 723–730.

    Article  CAS  Google Scholar 

  • Thomson, M. D., & Hoffman-Goetz, L. (2009). Defining and measuring acculturation: A systematic review of public health studies with Hispanic populations in the United States. Social Science and Medicine, 69(7), 983–991. https://doi.org/10.1016/j.socscimed.2009.05.011.

    Article  PubMed  Google Scholar 

  • Trust for America’s Health, & Robert Wood Johnson Foundation. (2014). The state of obesity: Racial and ethnic disparities in obesity. https://stateofobesity.org/disparities/latinos/.

  • Wang, Y., & Beydoun, M. A. (2007). The obesity epidemic in the United States–gender, age, socioeconomic, racial/ethnic, and geographic characteristics: A systematic review and meta-regression analysis. Epidemioogicl Reviews, 29, 6–28. https://doi.org/10.1093/epirev/mxm007.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Barbara Baquero .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Baquero, B., Parra-Medina, D.M. (2020). Chronic Disease and the Latinx Population: Threats, Challenges, and Opportunities. In: Martínez, A., Rhodes, S. (eds) New and Emerging Issues in Latinx Health. Springer, Cham. https://doi.org/10.1007/978-3-030-24043-1_2

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-24043-1_2

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-24042-4

  • Online ISBN: 978-3-030-24043-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics