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Role of acculturation research in advancing science and practice in reducing health care disparities among latinos

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  • Zambrana, R.E.
  • Carter-Pokras, O.

Abstract

An impressive body of public health knowledge on health care disparities among Latinos has been produced. However, inconclusive and conflicting results on predictors of health care disparities remain. We examined the theoretical assumptions and methodological limitations of acculturation research in understanding Latino health caredisparities, the evidence for socioeconomic position as a predictor of health care disparities and the effectiveness of cultural competency practice. Persistent use of culture-driven acculturation models decenters social determinants of health as key factors in health disparities and diminishes the effectiveness of cultural competency practice. Social and economic determinants are more important predictors than isculture in understanding health care disparities. Improvements in the material conditions of low-income Latinos can effectively reduce health care disparities.

Suggested Citation

  • Zambrana, R.E. & Carter-Pokras, O., 2010. "Role of acculturation research in advancing science and practice in reducing health care disparities among latinos," American Journal of Public Health, American Public Health Association, vol. 100(1), pages 18-23.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2008.138826_2
    DOI: 10.2105/AJPH.2008.138826
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    Cited by:

    1. Jennifer Tabler & Matthew Painter, 2023. "Skin Tone, Racial/Ethnic, and Gender Differences in Self-Reported Mental and Physical Health among U.S. Lawful Permanent Resident Immigrants," Journal of International Migration and Integration, Springer, vol. 24(1), pages 249-269, March.
    2. Creighton, Mathew J. & Goldman, Noreen & Pebley, Anne R. & Chung, Chang Y., 2012. "Durational and generational differences in Mexican immigrant obesity: Is acculturation the explanation?," Social Science & Medicine, Elsevier, vol. 75(2), pages 300-310.
    3. Jose N. Martinez & Ernesto Aguayo-Tellez & Erick Rangel-Gonzalez, 2015. "Explaining the Mexican-American Health Paradox Using Selectivity Effects," International Migration Review, Wiley Blackwell, vol. 49(4), pages 878-906, December.
    4. Echeverría, Sandra E. & Gundersen, Daniel A. & Manderski, Michelle T.B. & Delnevo, Cristine D., 2015. "Social norms and its correlates as a pathway to smoking among young Latino adults," Social Science & Medicine, Elsevier, vol. 124(C), pages 187-195.
    5. Noreen Goldman & Anne Pebley & Mathew Creighton & Graciela Teruel & Luis Rubalcava & Chang Chung, 2014. "The Consequences of Migration to the United States for Short-Term Changes in the Health of Mexican Immigrants," Demography, Springer;Population Association of America (PAA), vol. 51(4), pages 1159-1173, August.
    6. Arévalo, Sandra P. & Tucker, Katherine L. & Falcón, Luis M., 2015. "Beyond cultural factors to understand immigrant mental health: Neighborhood ethnic density and the moderating role of pre-migration and post-migration factors," Social Science & Medicine, Elsevier, vol. 138(C), pages 91-100.
    7. Neil K. Mehta & Irma T. Elo & Michal Engelman & Diane S. Lauderdale & Bert M. Kestenbaum, 2016. "Life Expectancy Among U.S.-born and Foreign-born Older Adults in the United States: Estimates From Linked Social Security and Medicare Data," Demography, Springer;Population Association of America (PAA), vol. 53(4), pages 1109-1134, August.
    8. Levchenko, Yuliana, 2021. "Aging into disadvantage: Disability crossover among Mexican immigrants in America," Social Science & Medicine, Elsevier, vol. 285(C).
    9. Viruell-Fuentes, Edna A. & Miranda, Patricia Y. & Abdulrahim, Sawsan, 2012. "More than culture: Structural racism, intersectionality theory, and immigrant health," Social Science & Medicine, Elsevier, vol. 75(12), pages 2099-2106.
    10. Arévalo, Sandra P. & Tucker, Katherine L. & Falcón, Luis M., 2014. "Life events trajectories, allostatic load, and the moderating role of age at arrival from Puerto Rico to the US mainland," Social Science & Medicine, Elsevier, vol. 120(C), pages 301-310.

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