Providing Health Services for Hispanic Americans

Hispanics—consisting of Mexican-Americans, Puerto Ricans, Cubans, and Central and South Americans—are among the fastest growing population segments in the U.S. today. In order to provide effective health services, physicians must become familiar with demographic, epidemiologic, and cultural differences that affect Hispanics. Although recent literature suggests that Hispanics may have a lower adjusted mortality rate for all causes of death than non-Hispanic whites, certain conditions have particular importance. These include diabetes mellitus, cirrhosis, and homicide. Cultural issues in working with Hispanics are reviewed, as are guidelines for the use of interpreters in clinical practice. Twelve recommendations are made to assist psychiatrists and other health professionals who treat Hispanic patients.