Rise of Latino Political Power in Sacramento Could Give New Momentum to Health Care
Big Rise in Psychiatric Hospitalizations for California's Latino Youth
Latino Children's Uninsured Rate Hits Record Low
UCLA Researchers Find Health Differences Within Ethnic Groups
Santa Cruz Students Track Working Poor with 'Census of the Invisible'
Mexican Indigenous Immigrants' Dire Need for Medical Interpreters
For Latinos, Medi-Cal Offers Insurance, But Few Doctors
Whooping Cough Infections Unusually High Among Latino Babies
Portrait of Health, Well-Being in California's Latino Children
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are living here illegally with coverage under Medi-Cal, the government program for people with low incomes.\u003c/p>\n\u003cp>“What we’re witnessing is a dramatic surge in power. I think it will be a new and dramatic change in California,” said Jaime Regalado, a political science professor emeritus at California State University Los Angeles.\u003c/p>\n\u003cp>The power of the Latino caucus in the state, he said, has reached a point where the top items on its agenda are becoming the top items on the legislature’s agenda.\u003c/p>\n\u003cp>That agenda is weighted toward health care and education, he noted — from Medi-Cal expansion to paid sick leave to health coverage for children of those in the United States illegally.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Aside from Rendon and de León, other Latino leaders in Sacramento also play a big role in Capitol health care politics, including Ed Hernandez, D-West Covina, who heads the Senate Committee on Health and has authored dozens of health-related bills; Lorena Gonzalez, D-San Diego, in Assembly Health, who spearheaded the mandate for paid sick leave; and Ricardo Lara, D-Bell Gardens, who wrote the bill to provide Medi-Cal coverage to children of people living in the United States.\u003c/p>\n\u003cp>“Everybody has been calling [the Latino community] the sleeping giant for so many years. But it has been awake for some time now,” Regalado said. “Latinos have always been concerned about their communities, and they have had the highest proportion of those without health care, so Latino leaders are going to rank those issues high on their list.”\u003c/p>\n\u003cp>Three years after the advent of Covered California and the expansion of Medi-Cal, nearly three-quarters of the roughly 3 million remaining uninsured in the state are Latino, according to a January 2015 \u003ca href=\"http://healthpolicy.ucla.edu/publications/Documents/PDF/2015/uninsuredbrief-jan2015.pdf\" target=\"_blank\">\u003cu>study by UCLA and UC Berkeley\u003c/u>\u003c/a> researchers.\u003c/p>\n\u003cfigure class=\"related\">\u003cfigcaption>\u003c/figcaption>\u003c/figure>\n\u003cp>This year the wish list of Latino leaders includes a bill sponsored by de León to provide housing and mental health treatment for the chronically homeless — many of whom suffer from mental illness. And following last year’s successful move to offer full Medi-Cal coverage to undocumented children in California, the next step is to extend it to their adult counterparts, according to Rendon.\u003c/p>\n\u003cp>“It’s important, and it’s important now,” said incoming Assembly Speaker Rendon in an interview at last Saturday’s state Democratic convention in San Jose. “Covering undocumented immigrants is certainly something that resonates with me from a personal point of view, and from the caucus point of view it’s really high on our list.”\u003c/p>\n\u003cp>Rendon noted that de León’s background also makes the Senate leader sympathetic to the goal of providing coverage for immigrants without legal documents. Because it requires heavy political lifting, he said, “it certainly needs to be near the top of the agenda to succeed.”\u003c/p>\n\u003cp>Before he joined the Assembly in 2012, Rendon was executive director of the nonprofit Plaza de la Raza Child Development Services, which provides social and medical services to children in Pico Rivera, east of Los Angeles. De León spent time as a community organizer for immigrant rights before becoming a member of the legislature in 2006.\u003c/p>\n\u003cp>Though Medi-Cal for immigrant children without papers was approved and will take effect in May, providing that coverage for adults with the same immigration status is highly controversial and promises to be a tough political slog.\u003c/p>\n\u003cp>“In general, the direction the legislature has taken over the past decade or two has been to serve people who are in California illegally, and that takes benefits from other people,” said Ira Mehlman, spokesman for the Washington, D.C.-based Federation for American Immigration Reform, which lobbied in Sacramento against “Medi-Cal for all” when it was first put before the legislature last year.\u003c/p>\n\u003cp>“We think that just encourages people who violate laws, and deprives other people in the state of needed resources,” Mehlman said.\u003c/p>\n\u003cp>Regalado said that despite strong opposition, Medi-Cal coverage for the adults could succeed with the expected political push from Rendon and de León.\u003c/p>\n\u003cp>“They will be emboldened,” Regalado said. “They have enormous political power right now.”\u003c/p>\n\u003cp>Rendon said access to health care, especially in rural areas, will also be a top legislative priority.\u003c/p>\n\u003cp>The amount spent on Medi-Cal could change too, said Gerald Kominski, director of the UCLA Center for Health Policy Research.\u003c/p>\n\u003cp>Since the expansion of Medi-Cal began under the Affordable Care Act, enrollment in the program has expanded significantly. Medi-Cal now covers 13.3 million Californians — one-third of the state’s population.\u003c/p>\n\u003cp>“California is now serving a huge percentage of Latinos in Medi-Cal,\" Kominski said, \"and that continues to be seen as underfunded. I think you’ll see increased attention on that.”\u003c/p>\n\u003cp>The Latino caucus, the largest political caucus in the state, flexed its political muscles last weekend at the state Democratic convention in San Jose.\u003c/p>\n\u003cp>In contrast to typically sedate, run-of-the-mill convention caucus meetings, the Latino caucus meeting last week was a high-energy event, more akin to a family reunion.\u003c/p>\n\u003cp>To one side of the front stage, a corner set aside for visiting dignitaries was packed with dozens of political heavyweights — a who’s who of legislators all waiting for their one minute at the microphone to address the crowded room.\u003c/p>\n\u003cp>“We are a blue state because of this community!” shouted former Los Angeles mayor Antonio Villaraigosa to the cheering crowd. “We are the future!”\u003c/p>\n\u003cp>While Latinos tend to share an interest in some issues, they are represented across the political spectrum.\u003c/p>\n\u003cp>A 2014 report by the Public Policy Institute of California showed likely Latino voters register in far higher numbers as Democrats (59 percent) than as Republicans (18 percent) or independents (17 percent). But it also noted that many Latino Democrats are politically conservative. And it found Latino voters are as likely to identify themselves as liberal (34 percent) as they are to call themselves middle of the road (33 percent) or conservative (33 percent).\u003c/p>\n\u003cp>U.S. Congressman Xavier Becerra, D-Los Angeles, chairman of the House Democratic Caucus and the fourth highest ranking Democrat in the House, said he’s been heartened by the growing political power of Latinos and what he characterized as their enormous legislative accomplishments.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“That wave you see on the horizon, it hasn’t hit the beach yet, but it’s coming,” Becerra said at the state Democratic convention. “You now have Latinos as the top two leaders in the state, behind the governor. There are moments that crystallize in the minds of people, and this is one of them. It’s coming.”\u003c/p>\n\n","blocks":[],"excerpt":"When Anthony Rendon is sworn in as Assembly speaker Monday, it will mark the first time the two top posts in the Legislature will be held by Latinos.","status":"publish","parent":0,"modified":1457137404,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":31,"wordCount":1247},"headData":{"title":"Rise of Latino Political Power in Sacramento Could Give New Momentum to Health Care | KQED","description":"When Anthony Rendon is sworn in as Assembly speaker Monday, it will mark the first time the two top posts in the Legislature will be held by Latinos.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Rise of Latino Political Power in Sacramento Could Give New Momentum to Health Care","datePublished":"2016-03-04T18:47:00.000Z","dateModified":"2016-03-05T00:23:24.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"156627 http://ww2.kqed.org/stateofhealth/?p=156627","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/03/04/latino-political-power-in-sacramento-health-care/","disqusTitle":"Rise of Latino Political Power in Sacramento Could Give New Momentum to Health Care","nprByline":"David Gorn, California Healthline","path":"/stateofhealth/156627/latino-political-power-in-sacramento-health-care","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>When Anthony Rendon, D-Paramount, is sworn in as Assembly Speaker Monday, it will mark a historic moment in California politics: For the first time, the two top posts in the state legislature will be held by Latinos.\u003c/p>\n\u003cp>Rendon will join Senate President Pro Tem Kevin de León, D-Los Angeles, at the top of the Capitol’s political pyramid, a development that could signal much brighter prospects for health care legislation — especially the effort to provide adult immigrants who are living here illegally with coverage under Medi-Cal, the government program for people with low incomes.\u003c/p>\n\u003cp>“What we’re witnessing is a dramatic surge in power. I think it will be a new and dramatic change in California,” said Jaime Regalado, a political science professor emeritus at California State University Los Angeles.\u003c/p>\n\u003cp>The power of the Latino caucus in the state, he said, has reached a point where the top items on its agenda are becoming the top items on the legislature’s agenda.\u003c/p>\n\u003cp>That agenda is weighted toward health care and education, he noted — from Medi-Cal expansion to paid sick leave to health coverage for children of those in the United States illegally.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Aside from Rendon and de León, other Latino leaders in Sacramento also play a big role in Capitol health care politics, including Ed Hernandez, D-West Covina, who heads the Senate Committee on Health and has authored dozens of health-related bills; Lorena Gonzalez, D-San Diego, in Assembly Health, who spearheaded the mandate for paid sick leave; and Ricardo Lara, D-Bell Gardens, who wrote the bill to provide Medi-Cal coverage to children of people living in the United States.\u003c/p>\n\u003cp>“Everybody has been calling [the Latino community] the sleeping giant for so many years. But it has been awake for some time now,” Regalado said. “Latinos have always been concerned about their communities, and they have had the highest proportion of those without health care, so Latino leaders are going to rank those issues high on their list.”\u003c/p>\n\u003cp>Three years after the advent of Covered California and the expansion of Medi-Cal, nearly three-quarters of the roughly 3 million remaining uninsured in the state are Latino, according to a January 2015 \u003ca href=\"http://healthpolicy.ucla.edu/publications/Documents/PDF/2015/uninsuredbrief-jan2015.pdf\" target=\"_blank\">\u003cu>study by UCLA and UC Berkeley\u003c/u>\u003c/a> researchers.\u003c/p>\n\u003cfigure class=\"related\">\u003cfigcaption>\u003c/figcaption>\u003c/figure>\n\u003cp>This year the wish list of Latino leaders includes a bill sponsored by de León to provide housing and mental health treatment for the chronically homeless — many of whom suffer from mental illness. And following last year’s successful move to offer full Medi-Cal coverage to undocumented children in California, the next step is to extend it to their adult counterparts, according to Rendon.\u003c/p>\n\u003cp>“It’s important, and it’s important now,” said incoming Assembly Speaker Rendon in an interview at last Saturday’s state Democratic convention in San Jose. “Covering undocumented immigrants is certainly something that resonates with me from a personal point of view, and from the caucus point of view it’s really high on our list.”\u003c/p>\n\u003cp>Rendon noted that de León’s background also makes the Senate leader sympathetic to the goal of providing coverage for immigrants without legal documents. Because it requires heavy political lifting, he said, “it certainly needs to be near the top of the agenda to succeed.”\u003c/p>\n\u003cp>Before he joined the Assembly in 2012, Rendon was executive director of the nonprofit Plaza de la Raza Child Development Services, which provides social and medical services to children in Pico Rivera, east of Los Angeles. De León spent time as a community organizer for immigrant rights before becoming a member of the legislature in 2006.\u003c/p>\n\u003cp>Though Medi-Cal for immigrant children without papers was approved and will take effect in May, providing that coverage for adults with the same immigration status is highly controversial and promises to be a tough political slog.\u003c/p>\n\u003cp>“In general, the direction the legislature has taken over the past decade or two has been to serve people who are in California illegally, and that takes benefits from other people,” said Ira Mehlman, spokesman for the Washington, D.C.-based Federation for American Immigration Reform, which lobbied in Sacramento against “Medi-Cal for all” when it was first put before the legislature last year.\u003c/p>\n\u003cp>“We think that just encourages people who violate laws, and deprives other people in the state of needed resources,” Mehlman said.\u003c/p>\n\u003cp>Regalado said that despite strong opposition, Medi-Cal coverage for the adults could succeed with the expected political push from Rendon and de León.\u003c/p>\n\u003cp>“They will be emboldened,” Regalado said. “They have enormous political power right now.”\u003c/p>\n\u003cp>Rendon said access to health care, especially in rural areas, will also be a top legislative priority.\u003c/p>\n\u003cp>The amount spent on Medi-Cal could change too, said Gerald Kominski, director of the UCLA Center for Health Policy Research.\u003c/p>\n\u003cp>Since the expansion of Medi-Cal began under the Affordable Care Act, enrollment in the program has expanded significantly. Medi-Cal now covers 13.3 million Californians — one-third of the state’s population.\u003c/p>\n\u003cp>“California is now serving a huge percentage of Latinos in Medi-Cal,\" Kominski said, \"and that continues to be seen as underfunded. I think you’ll see increased attention on that.”\u003c/p>\n\u003cp>The Latino caucus, the largest political caucus in the state, flexed its political muscles last weekend at the state Democratic convention in San Jose.\u003c/p>\n\u003cp>In contrast to typically sedate, run-of-the-mill convention caucus meetings, the Latino caucus meeting last week was a high-energy event, more akin to a family reunion.\u003c/p>\n\u003cp>To one side of the front stage, a corner set aside for visiting dignitaries was packed with dozens of political heavyweights — a who’s who of legislators all waiting for their one minute at the microphone to address the crowded room.\u003c/p>\n\u003cp>“We are a blue state because of this community!” shouted former Los Angeles mayor Antonio Villaraigosa to the cheering crowd. “We are the future!”\u003c/p>\n\u003cp>While Latinos tend to share an interest in some issues, they are represented across the political spectrum.\u003c/p>\n\u003cp>A 2014 report by the Public Policy Institute of California showed likely Latino voters register in far higher numbers as Democrats (59 percent) than as Republicans (18 percent) or independents (17 percent). But it also noted that many Latino Democrats are politically conservative. And it found Latino voters are as likely to identify themselves as liberal (34 percent) as they are to call themselves middle of the road (33 percent) or conservative (33 percent).\u003c/p>\n\u003cp>U.S. Congressman Xavier Becerra, D-Los Angeles, chairman of the House Democratic Caucus and the fourth highest ranking Democrat in the House, said he’s been heartened by the growing political power of Latinos and what he characterized as their enormous legislative accomplishments.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“That wave you see on the horizon, it hasn’t hit the beach yet, but it’s coming,” Becerra said at the state Democratic convention. “You now have Latinos as the top two leaders in the state, behind the governor. There are moments that crystallize in the minds of people, and this is one of them. It’s coming.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/156627/latino-political-power-in-sacramento-health-care","authors":["byline_stateofhealth_156627"],"categories":["stateofhealth_14"],"tags":["stateofhealth_368","stateofhealth_325","stateofhealth_99","stateofhealth_2519"],"featImg":"stateofhealth_156632","label":"stateofhealth"},"stateofhealth_155373":{"type":"posts","id":"stateofhealth_155373","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"155373","score":null,"sort":[1456858397000]},"guestAuthors":[],"slug":"big-rise-in-psychiatric-hospitalizations-for-californias-latino-youth","title":"Big Rise in Psychiatric Hospitalizations for California's Latino Youth","publishDate":1456858397,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Psychiatric hospitalizations of Latino children and young adults in California are rising dramatically — at a much faster pace than among their white and black peers, according to state data.\u003c/p>\n\u003cp>While mental health hospitalizations of young people of all ethnicities have climbed in recent years, Latino rates stand out. Among those 21 and younger, they shot up 86 percent, to 17,813, between 2007 and 2014, according to the Office of Statewide Health Planning and Development. That’s compared with a 21 percent increase among whites and 35 percent among African Americans.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Everybody’s trying to hire Spanish-speaking clinicians. There’s just not enough to meet that demand.”\u003ccite>Leslie Preston, the behavioral health director of La Clínica de La Raza \u003c/cite>\u003cbr>\n\u003c/aside>\n\u003cp>No one knows for certain what’s driving the trend. Policymakers and Latino community leaders offer varying and sometimes contradictory explanations. Some say the numbers reflect a lack of culturally and linguistically appropriate mental health services for Latinos and a pervasive stigma that prevents many from seeking help before a crisis hits.\u003c/p>\n\u003cp>“Often, they wait until they are falling apart,” said Dr. Sergio Aguilar-Gaxiola, a professor at the University of California, Davis Medical School and director of the university’s Center for Reducing Health Disparities.\u003c/p>\n\u003cp>Others blame stress from the recent recession, family disintegration and an influx of traumatized children fleeing poverty and violence in Central America.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Still others suggest the trend might actually be positive, reflecting an increasing willingness among Latino parents to seek treatment for themselves and their children, at least when they are in crisis.\u003c/p>\n\u003cp>Among Latino adults, psychiatric hospitalizations rose 38 percent during the same period. Similar hospitalizations of black adults increased 21 percent, while hospitalizations of white adults remained flat.\u003c/p>\n\u003cp>Margarita Rocha, the executive director of the nonprofit Centro la Familia in Fresno, said mental health issues are starting to be discussed more publicly in the Latino community.\u003c/p>\n\u003cp>“That’s helping people to come forward,” she said.\u003c/p>\n\u003cfigure id=\"attachment_155389\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-155389\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/03/nubia-flores-4-e1456857767311.jpg\" alt=\"Nubia Flores Miranda, 18, works part-time at Family Paths, a counseling and mental health organization in Oakland. Miranda said she became interested in a career in mental health after she started experiencing depression and anxiety her freshman year at Life Academy of Health and Bioscience. \" width=\"1920\" height=\"1281\">\u003cfigcaption class=\"wp-caption-text\">Nubia Flores Miranda, 18, works part-time at Family Paths, a counseling and mental health organization in Oakland. Miranda said she became interested in a career in mental health after she started experiencing depression and anxiety her freshman year at Life Academy of Health and Bioscience. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Ken Berrick, CEO of the Seneca Family of Agencies, which serves children with emotional disturbances in a dozen counties, agreed. Because more Latinos are now getting mental health services, children are more likely to be identified as requiring hospitalization, he said.\u003c/p>\n\u003cp>“I know for a fact that access to service is better now,” said Berrick, whose operation has a crisis stabilization unit in Alameda County, Calif.\u003c/p>\n\u003cp>Kids’ psychiatric hospitalizations overall rose nearly 45 percent between 2007 and 2014, regardless of ethnicity, a pattern experts attribute to various factors including a shortage of intensive outpatient and in-home services, schools’ struggles to pay for mental health services through special education and a decline in group home placements.\u003c/p>\n\u003cp>“Those kids have to be treated somewhere,” said Dawan Utecht, Fresno County’s mental health director, of the move to keep kids out of group homes.\u003c/p>\n\u003cp>“If they don’t get those services in a community setting, they’re going to go into crisis.”\u003c/p>\n\u003cp>The rise among Latino youths is remarkable in part because hospitalization rates for that population historically have been relatively low.\u003c/p>\n\u003cp>Latino children remain much less likely to receive mental health treatment through Medi-Cal, the state and federal coverage program for poor and disabled residents. Between 2010 and 2014, less than 4 percent of Latino children received specialty mental health services through the traditional Medi-Cal program. That’s compared with 7 percent of eligible black and white children, according to state data. The numbers don’t include those enrolled in managed care.\u003c/p>\n\u003cfigure id=\"attachment_155378\" class=\"wp-caption alignright\" style=\"max-width: 370px\">\u003cimg class=\"size-full wp-image-155378\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/03/latino-kids-1.jpg\" alt=\"Nubia Flores Miranda, 18, at her home in Oakland. After participating in the mental health program at Life Academy of Health and Bioscience, Miranda decided to major in psychology at San Francisco State University. \" width=\"370\" height=\"554\">\u003cfigcaption class=\"wp-caption-text\">Nubia Flores Miranda, 18, at her home in Oakland. After participating in the mental health program at Life Academy of Health and Bioscience, Miranda decided to major in psychology at San Francisco State University. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>(Asian Americans and Pacific Islanders seek treatment at a rate even lower than Latinos. Although hospitalizations are also increasing rapidly among that population, the raw numbers remain relatively small.)\u003c/p>\n\u003cp>Leslie Preston, the behavioral health director of La Clínica de La Raza, in East Oakland, says that the shortage of bilingual, bicultural mental health workers limits Latino kids’ access to preventive care, which could lead to crises later on.\u003c/p>\n\u003cp>“Everybody’s trying to hire the Spanish-speaking clinicians,” she said. “There’s just not enough clinicians to meet that demand.”\u003c/p>\n\u003cp>Access to care can be even harder for recent immigrants. Spanish-speaking children who have been referred for a special education assessment, which can help them become eligible for mental health services, sometimes wait months or years before someone tests them, she said.\u003c/p>\n\u003cp>“The families don’t know the system,” she added. “They don’t know their rights.”\u003c/p>\n\u003cp>Other clinicians point to relatively low health insurance coverage among Latinos, particularly those without legal status, and a cultural resistance to acknowledging mental illness.\u003c/p>\n\u003cp>Dr. Alok Banga, medical director at Sierra Vista Hospital in Sacramento, said some immigrant parents he encounters don’t believe in mental illness and have not grasped the urgency of their children’s depression and past suicide attempts. Many are working two or three jobs, he said. Some are undocumented immigrants afraid of coming to the hospital or having any interaction with Child Protective Services.\u003c/p>\n\u003cp>But the biggest problem, from his perspective, is the shortage of child psychiatrists and outpatient services to serve this population.\u003c/p>\n\u003cp>“The default course for treatment falls on institutions: hospitals, jails and prisons,” he said.\u003c/p>\n\u003cp>Jeff Rackmil, director of the children’s system of care in Alameda County, said sheer population growth — particularly, an increase in Latino children insured under Medi-Cal — may also be part of the explanation for the rise in hospitalizations.\u003c/p>\n\u003cp>Yet the state’s Latino population aged 24 and under increased less than 8 percent between 2007 and 2014, which doesn’t nearly explain an 86 percent increase in hospitalizations.\u003c/p>\n\u003cfigure id=\"attachment_155384\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-155384\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/03/students-4-e1456857496239.jpg\" alt=\"Elizabeth Ochoa, 17, and Victor Ramirez, 17, work on an assignment during their behavioral health training at La Clínica de la Raza in Oakland. \" width=\"1920\" height=\"1282\">\u003cfigcaption class=\"wp-caption-text\">Elizabeth Ochoa, 17, and Victor Ramirez, 17, work on an assignment during their behavioral health training at La Clínica de la Raza in Oakland. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Some California communities are working to bring more Latino children into care and to reduce the stigma associated with mental illness.\u003c/p>\n\u003cp>At Life Academy of Health and Bioscience, a small, mostly Latino high school in East Oakland, students grow up amid pervasive violence and poverty. “We’re just told to hold things in,” said 17-year-old Hilda Chavez, a senior.\u003c/p>\n\u003cp>Students often don’t seek help because they fear discussing mental health problems will earn them a label of “crazy,” Chavez said.\u003c/p>\n\u003cp>Last year, the school, in conjunction with the Oakland-based La Clínica de La Raza, started a program to interest students in careers in mental health care. The program provides training in “first aid” instruction to help people in crisis, and places students in internships with mental health organizations.\u003c/p>\n\u003cp>Nubia Flores Miranda, 18, participated in the program last year and now is majoring in psychology at San Francisco State University. Miranda said she became interested in a career in mental health after she experienced depression and anxiety during her freshman year at Life Academy.\u003c/p>\n\u003cp>Seeing a school counselor “changed my life around,” she said.\u003c/p>\n\u003cp>But she saw that her peers were wary of seeking help from counselors at the school, most of whom were white and lived in wealthier, safer neighborhoods. Once, when a classmate started acting out at school, Miranda suggested she talk to someone.\u003c/p>\n\u003cp>“She told me she didn’t feel like she could trust the person — they wouldn’t understand where she was coming from,” she said.\u003c/p>\n\u003cfigure id=\"attachment_155383\" class=\"wp-caption aligncenter\" style=\"max-width: 1921px\">\u003cimg class=\"size-full wp-image-155383\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/03/students-8-e1456857368930.jpg\" alt=\"Graciela Perez, 17, and Nayely Espinoza, 17, hold up their group assignment during a class presentation at La Clínica de la Raza in Oakland. The students are preparing for their mental health internships. \" width=\"1921\" height=\"1282\">\u003cfigcaption class=\"wp-caption-text\">Graciela Perez, 17, and Nayely Espinoza, 17, hold up their group assignment during a class presentation at La Clínica de la Raza in Oakland. The students are preparing for their mental health internships. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The shortage of services is especially evident in the Central Valley, where many agricultural workers are Latino. Juan Garcia, an emeritus professor at California State University, Fresno, who founded a counseling center in the city, says the drought and economic downturn have exacerbated depression, anxiety, substance abuse and psychotic breaks among Latinos of all ages.\u003c/p>\n\u003cp>“The services to this population lag decades behind where they should be,” he said.\u003c/p>\n\u003cp>In Fresno County, psychiatric hospitalizations of Latino youth more than tripled, to 432, between 2007 and 2014. Hospitalizations of their white and black peers about doubled.\u003c/p>\n\u003cp>Liliana Quintero Robles, a marriage and family therapy intern in rural Kings County, also in the state’s Central Valley, said she sees children whose mental health issues go untreated for so long that they end up cutting themselves and abusing alcohol, marijuana, crystal meth and OxyContin.\u003c/p>\n\u003cp>“There’s some really, really deep-rooted suffering,” she said.\u003c/p>\n\u003cp>Out in the unincorporated agricultural community of Five Points, about 45 minutes from Fresno, almost all of the students at Westside Elementary School are low-income Latinos. When principal Baldo Hernandez started there in 1981, he’d see maybe one child a year with a mental health issue. These days, he sees 15 to 30, he said.\u003c/p>\n\u003cp>He blames dry wells and barren fields, at least in part.\u003c/p>\n\u003cp>“I’ve had parents crying at school, begging me to find them a home, begging me to find them a job,” he said.\u003c/p>\n\u003cp>In some parts of the Valley and other places, the closest hospitals that accept children in psychiatric crises are hours away. Children can be stuck in emergency room hallways for days, waiting for a hospital bed.\u003c/p>\n\u003cp>“It makes for a very traumatized experience for both families and children,” said Shannyn McDonald, the chief of the Stanislaus County behavioral health department’s children’s system of care.\u003c/p>\n\u003cp>Recently, the county expanded its \u003cem>promotora\u003c/em> program, which enlists members of the Latino community to talk to their peers about mental health.\u003c/p>\n\u003cp>In the small town of Oakdale, a slim, energetic 51-year-old \u003cem>promotora\u003c/em> named Rossy Gomar spends 60 to 70 hours a week serving as cheerleader, educator and sounding board for many of the Latino women and children in the town.\u003c/p>\n\u003cfigure id=\"attachment_155382\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003cimg class=\"size-thumbnail wp-image-155382\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/03/students-9-400x267.jpg\" alt=\"Hilda Chavez, 17, at La Clinica de la Raza in Oakland. Chavez says students fear discussing mental health problems will earn them a label of “crazy.” \" width=\"400\" height=\"267\">\u003cfigcaption class=\"wp-caption-text\">Hilda Chavez, 17, at La Clinica de la Raza in Oakland. Chavez says students fear discussing mental health problems will earn them a label of “crazy.” \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Gomar’s office in the Oakdale Family Support Network Resource Center is cluttered with open boxes of diapers and donated children’s toys and clothing.\u003c/p>\n\u003cp>“Look at my office,” she laughs. “We don’t fit.”\u003c/p>\n\u003cp>Gomar says many of the women she works with don’t recognize that they are depressed or abused. Children see their parents’ problems and don’t know where to turn for help.\u003c/p>\n\u003cp>“There are many young people who don’t have any hope,” she said.\u003c/p>\n\u003cp>But little by little, she has seen some good results.\u003c/p>\n\u003cp>One 17-year-old client is a student at Oakdale High School. The girl, whose name is being withheld to protect her privacy, said that earlier this year, problems at school and a break-up with her boyfriend had her struggling to get out of bed each morning. She began drinking, using drugs and thinking about suicide. She was scared to talk to her parents, she said, and kept everything inside.\u003c/p>\n\u003cp>One day, she walked into Gomar’s office and started crying.\u003c/p>\n\u003cp>“She told me ‘Everything is ok. We want you here,’” the girl said. “When I was talking with her, I felt so much better.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This story was produced by \u003ca href=\"http://khn.org/\" target=\"_blank\">Kaiser Health News\u003c/a>, an editorially independent program of the \u003ca href=\"http://kff.org/\" target=\"\">Kaiser Family Foundation\u003c/a>.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"No one knows for sure what's driving the trend.","status":"publish","parent":0,"modified":1456859666,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":58,"wordCount":2058},"headData":{"title":"Big Rise in Psychiatric Hospitalizations for California's Latino Youth | KQED","description":"No one knows for sure what's driving the trend.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Big Rise in Psychiatric Hospitalizations for California's Latino Youth","datePublished":"2016-03-01T18:53:17.000Z","dateModified":"2016-03-01T19:14:26.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"155373 http://ww2.kqed.org/stateofhealth/?p=155373","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/03/01/big-rise-in-psychiatric-hospitalizations-for-californias-latino-youth/","disqusTitle":"Big Rise in Psychiatric Hospitalizations for California's Latino Youth","nprByline":"Jocelyn Wiener, California Healthline","path":"/stateofhealth/155373/big-rise-in-psychiatric-hospitalizations-for-californias-latino-youth","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Psychiatric hospitalizations of Latino children and young adults in California are rising dramatically — at a much faster pace than among their white and black peers, according to state data.\u003c/p>\n\u003cp>While mental health hospitalizations of young people of all ethnicities have climbed in recent years, Latino rates stand out. Among those 21 and younger, they shot up 86 percent, to 17,813, between 2007 and 2014, according to the Office of Statewide Health Planning and Development. That’s compared with a 21 percent increase among whites and 35 percent among African Americans.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Everybody’s trying to hire Spanish-speaking clinicians. There’s just not enough to meet that demand.”\u003ccite>Leslie Preston, the behavioral health director of La Clínica de La Raza \u003c/cite>\u003cbr>\n\u003c/aside>\n\u003cp>No one knows for certain what’s driving the trend. Policymakers and Latino community leaders offer varying and sometimes contradictory explanations. Some say the numbers reflect a lack of culturally and linguistically appropriate mental health services for Latinos and a pervasive stigma that prevents many from seeking help before a crisis hits.\u003c/p>\n\u003cp>“Often, they wait until they are falling apart,” said Dr. Sergio Aguilar-Gaxiola, a professor at the University of California, Davis Medical School and director of the university’s Center for Reducing Health Disparities.\u003c/p>\n\u003cp>Others blame stress from the recent recession, family disintegration and an influx of traumatized children fleeing poverty and violence in Central America.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Still others suggest the trend might actually be positive, reflecting an increasing willingness among Latino parents to seek treatment for themselves and their children, at least when they are in crisis.\u003c/p>\n\u003cp>Among Latino adults, psychiatric hospitalizations rose 38 percent during the same period. Similar hospitalizations of black adults increased 21 percent, while hospitalizations of white adults remained flat.\u003c/p>\n\u003cp>Margarita Rocha, the executive director of the nonprofit Centro la Familia in Fresno, said mental health issues are starting to be discussed more publicly in the Latino community.\u003c/p>\n\u003cp>“That’s helping people to come forward,” she said.\u003c/p>\n\u003cfigure id=\"attachment_155389\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-155389\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/03/nubia-flores-4-e1456857767311.jpg\" alt=\"Nubia Flores Miranda, 18, works part-time at Family Paths, a counseling and mental health organization in Oakland. Miranda said she became interested in a career in mental health after she started experiencing depression and anxiety her freshman year at Life Academy of Health and Bioscience. \" width=\"1920\" height=\"1281\">\u003cfigcaption class=\"wp-caption-text\">Nubia Flores Miranda, 18, works part-time at Family Paths, a counseling and mental health organization in Oakland. Miranda said she became interested in a career in mental health after she started experiencing depression and anxiety her freshman year at Life Academy of Health and Bioscience. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Ken Berrick, CEO of the Seneca Family of Agencies, which serves children with emotional disturbances in a dozen counties, agreed. Because more Latinos are now getting mental health services, children are more likely to be identified as requiring hospitalization, he said.\u003c/p>\n\u003cp>“I know for a fact that access to service is better now,” said Berrick, whose operation has a crisis stabilization unit in Alameda County, Calif.\u003c/p>\n\u003cp>Kids’ psychiatric hospitalizations overall rose nearly 45 percent between 2007 and 2014, regardless of ethnicity, a pattern experts attribute to various factors including a shortage of intensive outpatient and in-home services, schools’ struggles to pay for mental health services through special education and a decline in group home placements.\u003c/p>\n\u003cp>“Those kids have to be treated somewhere,” said Dawan Utecht, Fresno County’s mental health director, of the move to keep kids out of group homes.\u003c/p>\n\u003cp>“If they don’t get those services in a community setting, they’re going to go into crisis.”\u003c/p>\n\u003cp>The rise among Latino youths is remarkable in part because hospitalization rates for that population historically have been relatively low.\u003c/p>\n\u003cp>Latino children remain much less likely to receive mental health treatment through Medi-Cal, the state and federal coverage program for poor and disabled residents. Between 2010 and 2014, less than 4 percent of Latino children received specialty mental health services through the traditional Medi-Cal program. That’s compared with 7 percent of eligible black and white children, according to state data. The numbers don’t include those enrolled in managed care.\u003c/p>\n\u003cfigure id=\"attachment_155378\" class=\"wp-caption alignright\" style=\"max-width: 370px\">\u003cimg class=\"size-full wp-image-155378\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/03/latino-kids-1.jpg\" alt=\"Nubia Flores Miranda, 18, at her home in Oakland. After participating in the mental health program at Life Academy of Health and Bioscience, Miranda decided to major in psychology at San Francisco State University. \" width=\"370\" height=\"554\">\u003cfigcaption class=\"wp-caption-text\">Nubia Flores Miranda, 18, at her home in Oakland. After participating in the mental health program at Life Academy of Health and Bioscience, Miranda decided to major in psychology at San Francisco State University. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>(Asian Americans and Pacific Islanders seek treatment at a rate even lower than Latinos. Although hospitalizations are also increasing rapidly among that population, the raw numbers remain relatively small.)\u003c/p>\n\u003cp>Leslie Preston, the behavioral health director of La Clínica de La Raza, in East Oakland, says that the shortage of bilingual, bicultural mental health workers limits Latino kids’ access to preventive care, which could lead to crises later on.\u003c/p>\n\u003cp>“Everybody’s trying to hire the Spanish-speaking clinicians,” she said. “There’s just not enough clinicians to meet that demand.”\u003c/p>\n\u003cp>Access to care can be even harder for recent immigrants. Spanish-speaking children who have been referred for a special education assessment, which can help them become eligible for mental health services, sometimes wait months or years before someone tests them, she said.\u003c/p>\n\u003cp>“The families don’t know the system,” she added. “They don’t know their rights.”\u003c/p>\n\u003cp>Other clinicians point to relatively low health insurance coverage among Latinos, particularly those without legal status, and a cultural resistance to acknowledging mental illness.\u003c/p>\n\u003cp>Dr. Alok Banga, medical director at Sierra Vista Hospital in Sacramento, said some immigrant parents he encounters don’t believe in mental illness and have not grasped the urgency of their children’s depression and past suicide attempts. Many are working two or three jobs, he said. Some are undocumented immigrants afraid of coming to the hospital or having any interaction with Child Protective Services.\u003c/p>\n\u003cp>But the biggest problem, from his perspective, is the shortage of child psychiatrists and outpatient services to serve this population.\u003c/p>\n\u003cp>“The default course for treatment falls on institutions: hospitals, jails and prisons,” he said.\u003c/p>\n\u003cp>Jeff Rackmil, director of the children’s system of care in Alameda County, said sheer population growth — particularly, an increase in Latino children insured under Medi-Cal — may also be part of the explanation for the rise in hospitalizations.\u003c/p>\n\u003cp>Yet the state’s Latino population aged 24 and under increased less than 8 percent between 2007 and 2014, which doesn’t nearly explain an 86 percent increase in hospitalizations.\u003c/p>\n\u003cfigure id=\"attachment_155384\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-155384\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/03/students-4-e1456857496239.jpg\" alt=\"Elizabeth Ochoa, 17, and Victor Ramirez, 17, work on an assignment during their behavioral health training at La Clínica de la Raza in Oakland. \" width=\"1920\" height=\"1282\">\u003cfigcaption class=\"wp-caption-text\">Elizabeth Ochoa, 17, and Victor Ramirez, 17, work on an assignment during their behavioral health training at La Clínica de la Raza in Oakland. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Some California communities are working to bring more Latino children into care and to reduce the stigma associated with mental illness.\u003c/p>\n\u003cp>At Life Academy of Health and Bioscience, a small, mostly Latino high school in East Oakland, students grow up amid pervasive violence and poverty. “We’re just told to hold things in,” said 17-year-old Hilda Chavez, a senior.\u003c/p>\n\u003cp>Students often don’t seek help because they fear discussing mental health problems will earn them a label of “crazy,” Chavez said.\u003c/p>\n\u003cp>Last year, the school, in conjunction with the Oakland-based La Clínica de La Raza, started a program to interest students in careers in mental health care. The program provides training in “first aid” instruction to help people in crisis, and places students in internships with mental health organizations.\u003c/p>\n\u003cp>Nubia Flores Miranda, 18, participated in the program last year and now is majoring in psychology at San Francisco State University. Miranda said she became interested in a career in mental health after she experienced depression and anxiety during her freshman year at Life Academy.\u003c/p>\n\u003cp>Seeing a school counselor “changed my life around,” she said.\u003c/p>\n\u003cp>But she saw that her peers were wary of seeking help from counselors at the school, most of whom were white and lived in wealthier, safer neighborhoods. Once, when a classmate started acting out at school, Miranda suggested she talk to someone.\u003c/p>\n\u003cp>“She told me she didn’t feel like she could trust the person — they wouldn’t understand where she was coming from,” she said.\u003c/p>\n\u003cfigure id=\"attachment_155383\" class=\"wp-caption aligncenter\" style=\"max-width: 1921px\">\u003cimg class=\"size-full wp-image-155383\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/03/students-8-e1456857368930.jpg\" alt=\"Graciela Perez, 17, and Nayely Espinoza, 17, hold up their group assignment during a class presentation at La Clínica de la Raza in Oakland. The students are preparing for their mental health internships. \" width=\"1921\" height=\"1282\">\u003cfigcaption class=\"wp-caption-text\">Graciela Perez, 17, and Nayely Espinoza, 17, hold up their group assignment during a class presentation at La Clínica de la Raza in Oakland. The students are preparing for their mental health internships. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The shortage of services is especially evident in the Central Valley, where many agricultural workers are Latino. Juan Garcia, an emeritus professor at California State University, Fresno, who founded a counseling center in the city, says the drought and economic downturn have exacerbated depression, anxiety, substance abuse and psychotic breaks among Latinos of all ages.\u003c/p>\n\u003cp>“The services to this population lag decades behind where they should be,” he said.\u003c/p>\n\u003cp>In Fresno County, psychiatric hospitalizations of Latino youth more than tripled, to 432, between 2007 and 2014. Hospitalizations of their white and black peers about doubled.\u003c/p>\n\u003cp>Liliana Quintero Robles, a marriage and family therapy intern in rural Kings County, also in the state’s Central Valley, said she sees children whose mental health issues go untreated for so long that they end up cutting themselves and abusing alcohol, marijuana, crystal meth and OxyContin.\u003c/p>\n\u003cp>“There’s some really, really deep-rooted suffering,” she said.\u003c/p>\n\u003cp>Out in the unincorporated agricultural community of Five Points, about 45 minutes from Fresno, almost all of the students at Westside Elementary School are low-income Latinos. When principal Baldo Hernandez started there in 1981, he’d see maybe one child a year with a mental health issue. These days, he sees 15 to 30, he said.\u003c/p>\n\u003cp>He blames dry wells and barren fields, at least in part.\u003c/p>\n\u003cp>“I’ve had parents crying at school, begging me to find them a home, begging me to find them a job,” he said.\u003c/p>\n\u003cp>In some parts of the Valley and other places, the closest hospitals that accept children in psychiatric crises are hours away. Children can be stuck in emergency room hallways for days, waiting for a hospital bed.\u003c/p>\n\u003cp>“It makes for a very traumatized experience for both families and children,” said Shannyn McDonald, the chief of the Stanislaus County behavioral health department’s children’s system of care.\u003c/p>\n\u003cp>Recently, the county expanded its \u003cem>promotora\u003c/em> program, which enlists members of the Latino community to talk to their peers about mental health.\u003c/p>\n\u003cp>In the small town of Oakdale, a slim, energetic 51-year-old \u003cem>promotora\u003c/em> named Rossy Gomar spends 60 to 70 hours a week serving as cheerleader, educator and sounding board for many of the Latino women and children in the town.\u003c/p>\n\u003cfigure id=\"attachment_155382\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003cimg class=\"size-thumbnail wp-image-155382\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/03/students-9-400x267.jpg\" alt=\"Hilda Chavez, 17, at La Clinica de la Raza in Oakland. Chavez says students fear discussing mental health problems will earn them a label of “crazy.” \" width=\"400\" height=\"267\">\u003cfigcaption class=\"wp-caption-text\">Hilda Chavez, 17, at La Clinica de la Raza in Oakland. Chavez says students fear discussing mental health problems will earn them a label of “crazy.” \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Gomar’s office in the Oakdale Family Support Network Resource Center is cluttered with open boxes of diapers and donated children’s toys and clothing.\u003c/p>\n\u003cp>“Look at my office,” she laughs. “We don’t fit.”\u003c/p>\n\u003cp>Gomar says many of the women she works with don’t recognize that they are depressed or abused. Children see their parents’ problems and don’t know where to turn for help.\u003c/p>\n\u003cp>“There are many young people who don’t have any hope,” she said.\u003c/p>\n\u003cp>But little by little, she has seen some good results.\u003c/p>\n\u003cp>One 17-year-old client is a student at Oakdale High School. The girl, whose name is being withheld to protect her privacy, said that earlier this year, problems at school and a break-up with her boyfriend had her struggling to get out of bed each morning. She began drinking, using drugs and thinking about suicide. She was scared to talk to her parents, she said, and kept everything inside.\u003c/p>\n\u003cp>One day, she walked into Gomar’s office and started crying.\u003c/p>\n\u003cp>“She told me ‘Everything is ok. We want you here,’” the girl said. “When I was talking with her, I felt so much better.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>This story was produced by \u003ca href=\"http://khn.org/\" target=\"_blank\">Kaiser Health News\u003c/a>, an editorially independent program of the \u003ca href=\"http://kff.org/\" target=\"\">Kaiser Family Foundation\u003c/a>.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/155373/big-rise-in-psychiatric-hospitalizations-for-californias-latino-youth","authors":["byline_stateofhealth_155373"],"categories":["stateofhealth_11"],"tags":["stateofhealth_325","stateofhealth_68","stateofhealth_2519"],"featImg":"stateofhealth_155379","label":"stateofhealth"},"stateofhealth_139374":{"type":"posts","id":"stateofhealth_139374","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"139374","score":null,"sort":[1452883896000]},"guestAuthors":[],"slug":"latino-childrens-uninsured-rate-hits-record-low","title":"Latino Children's Uninsured Rate Hits Record Low","publishDate":1452883896,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{},"content":"\u003cp>The rate of Latino children without health insurance fell to a historic low in 2014, the first year that key parts of Obamacare took effect, but they still represent a disproportionate share of the nation’s uninsured youth, according to a new \u003ca href=\"http://ccf.georgetown.edu/ccf-resources/health-coverage-hispanic-children-affordable-care-act-first-year/\" target=\"_blank\">study\u003c/a>.\u003c/p>\n\u003cp>About 300,000 Latino children gained insurance in 2014 from 2013, dropping the number of uninsured to 1.7 million, researchers said. Nearly half of those now insured -- more than 130,000 children -- were in California\u003c/p>\n\u003cp>Their uninsured rate fell to 9.7 percent, almost 2 percentage points below the year before. The rate for all U.S. children fell to 6.0 percent from 7.1 percent.\u003c/p>\n\u003cp>The report released Friday was co-authored by the Georgetown University Health Policy Institute’s Center for Children and Families and the National Council of La Raza, a civil rights and advocacy group for Hispanic Americans.\u003c/p>\n\u003cfigure class=\"related\">\u003cfigcaption>\u003c/figcaption>\u003c/figure>\n\u003cp>One reason for the improvement, researchers said, is that the Affordable Care Act produced opportunities for Latino adults to get health coverage, such as providing premium subsidies for buying health insurance in federal and state marketplaces and expanding Medicaid programs in many states. When parents enrolled, they generally signed up their children, too.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>States that extended Medicaid to low-income adults had an average 7 percent uninsured rate for Latino children, about half the average 13.7 percent uninsured rate of states that did not expand Medicaid.\u003c/p>\n\u003cp>Twenty states had rates of uninsured Latino children that were lower than the national average in 2014, the Georgetown-La Raza report said.\u003c/p>\n\u003cp>Still, Latino children made up 39.5 percent of the nation’s uninsured children in 2014, but only 24.4 percent of the overall child population under 18, according to the report.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Other findings:\u003c/p>\n\u003cul>\n\u003cli>Of 10 states with the largest populations of Latino children, California, New York, Illinois and New Jersey were the only ones with uninsured rates below the 9.7 percent national average for 2014. New York’s was 3.8 percent; Illinois, 4.5 percent; California, 6.8 percent; and New Jersey, 7.0 percent.\u003c/li>\n\u003cli>Four other states in that top 10 group had the highest rates of uninsured Latino children. Georgia and Texas were at 15.3 percent; Arizona, 12.7 percent; and Florida, 12.1 percent.\u003c/li>\n\u003cli>Colorado and North Carolina, the other two states in the top 10, posted uninsured rates of 9.6 percent and 10.5 percent, respectively. Those were not statistically different from the national average, the report said.\u003c/li>\n\u003cli>Two-thirds of the nation’s uninsured Latino children lived in Texas, California, Florida, Arizona and Georgia in 2014.\u003c/li>\n\u003cli>In Texas, 15.3 percent of Latino children were uninsured in 2014, representing 30.6 percent of all uninsured Latino children in the U.S.\u003c/li>\n\u003c/ul>\n\n","blocks":[],"excerpt":"In California, more than 130,000 previously uninsured Latino children gained coverage in 2014 -- the first year of Obamacare.","status":"publish","parent":0,"modified":1452884697,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":11,"wordCount":476},"headData":{"title":"Latino Children's Uninsured Rate Hits Record Low | KQED","description":"In California, more than 130,000 previously uninsured Latino children gained coverage in 2014 -- the first year of Obamacare.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Latino Children's Uninsured Rate Hits Record Low","datePublished":"2016-01-15T18:51:36.000Z","dateModified":"2016-01-15T19:04:57.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"139374 http://ww2.kqed.org/stateofhealth/?p=139374","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/01/15/latino-childrens-uninsured-rate-hits-record-low/","disqusTitle":"Latino Children's Uninsured Rate Hits Record Low","source":"Kaiser Health News","sourceUrl":"http://khn.org/news/hispanic-childrens-uninsured-rate-hits-record-low-study-finds/","nprByline":"Lisa Gillespie","path":"/stateofhealth/139374/latino-childrens-uninsured-rate-hits-record-low","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The rate of Latino children without health insurance fell to a historic low in 2014, the first year that key parts of Obamacare took effect, but they still represent a disproportionate share of the nation’s uninsured youth, according to a new \u003ca href=\"http://ccf.georgetown.edu/ccf-resources/health-coverage-hispanic-children-affordable-care-act-first-year/\" target=\"_blank\">study\u003c/a>.\u003c/p>\n\u003cp>About 300,000 Latino children gained insurance in 2014 from 2013, dropping the number of uninsured to 1.7 million, researchers said. Nearly half of those now insured -- more than 130,000 children -- were in California\u003c/p>\n\u003cp>Their uninsured rate fell to 9.7 percent, almost 2 percentage points below the year before. The rate for all U.S. children fell to 6.0 percent from 7.1 percent.\u003c/p>\n\u003cp>The report released Friday was co-authored by the Georgetown University Health Policy Institute’s Center for Children and Families and the National Council of La Raza, a civil rights and advocacy group for Hispanic Americans.\u003c/p>\n\u003cfigure class=\"related\">\u003cfigcaption>\u003c/figcaption>\u003c/figure>\n\u003cp>One reason for the improvement, researchers said, is that the Affordable Care Act produced opportunities for Latino adults to get health coverage, such as providing premium subsidies for buying health insurance in federal and state marketplaces and expanding Medicaid programs in many states. When parents enrolled, they generally signed up their children, too.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>States that extended Medicaid to low-income adults had an average 7 percent uninsured rate for Latino children, about half the average 13.7 percent uninsured rate of states that did not expand Medicaid.\u003c/p>\n\u003cp>Twenty states had rates of uninsured Latino children that were lower than the national average in 2014, the Georgetown-La Raza report said.\u003c/p>\n\u003cp>Still, Latino children made up 39.5 percent of the nation’s uninsured children in 2014, but only 24.4 percent of the overall child population under 18, according to the report.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Other findings:\u003c/p>\n\u003cul>\n\u003cli>Of 10 states with the largest populations of Latino children, California, New York, Illinois and New Jersey were the only ones with uninsured rates below the 9.7 percent national average for 2014. New York’s was 3.8 percent; Illinois, 4.5 percent; California, 6.8 percent; and New Jersey, 7.0 percent.\u003c/li>\n\u003cli>Four other states in that top 10 group had the highest rates of uninsured Latino children. Georgia and Texas were at 15.3 percent; Arizona, 12.7 percent; and Florida, 12.1 percent.\u003c/li>\n\u003cli>Colorado and North Carolina, the other two states in the top 10, posted uninsured rates of 9.6 percent and 10.5 percent, respectively. Those were not statistically different from the national average, the report said.\u003c/li>\n\u003cli>Two-thirds of the nation’s uninsured Latino children lived in Texas, California, Florida, Arizona and Georgia in 2014.\u003c/li>\n\u003cli>In Texas, 15.3 percent of Latino children were uninsured in 2014, representing 30.6 percent of all uninsured Latino children in the U.S.\u003c/li>\n\u003c/ul>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/139374/latino-childrens-uninsured-rate-hits-record-low","authors":["byline_stateofhealth_139374"],"categories":["stateofhealth_11","stateofhealth_15"],"tags":["stateofhealth_96","stateofhealth_325","stateofhealth_99"],"featImg":"stateofhealth_22150","label":"source_stateofhealth_139374"},"stateofhealth_106635":{"type":"posts","id":"stateofhealth_106635","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"106635","score":null,"sort":[1447285857000]},"guestAuthors":[],"slug":"ucla-finds-health-differences-within-ethnic-groups","title":"UCLA Researchers Find Health Differences Within Ethnic Groups","publishDate":1447285857,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{},"content":"\u003cp>There are major differences in health care status among different types of Asians and Latinos in California -- and yet the state so far has resisted treating those subgroups differently, according to UCLA researchers who released an \u003ca href=\"http://healthpolicy.ucla.edu/newsroom/press-releases/pages/details.aspx?NewsID=231\" target=\"_blank\">updated version of health survey data \u003c/a>last month.\u003c/p>\n\u003cp>\"Data clearly show the need to disaggregate the Asian community and to some degree the Latino community,\" said David Grant, director of the \u003ca href=\"http://healthpolicy.ucla.edu/chis/about/Pages/about.aspx\" target=\"_blank\">California Health Interview Survey.\u003c/a>\u003c/p>\n\u003cp>For instance, he said, the state categorizes \"Asian\" as an ethnic group, but there are major differences between various Asian subgroups, and a similar trend has developed among various Latino cultures, as well.\u003c/p>\n\u003cp>\"Looking at different groups in the survey information busts a lot of myths,\" Grant said. \"Most people think about Asians as having health insurance and doing well, but if you break out the subgroups, you see that Koreans have a high uninsured rate of about 47 percent. Also, obesity levels among Asians in general are lower than the state averages, but Filipinos have a higher rate [of obesity] and double the diabetes rate.\"\u003c/p>\n\u003cp>Similar disparities in care and health crop up in the Latino population, too. Different subgroups experience the health care system differently, he said, depending on country of origin.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Their health needs are far from homogeneous,\" Grant said. \"And in terms of policy-making it's clear that different needs apply to different groups.\"\u003c/p>\n\u003cp>One bill dealing with the issue of ethnic subgroups was passed by the Legislature this year, but Gov. Jerry Brown vetoed it.\u003c/p>\n\u003cp>Brown called the bill \"unnecessary\" in his \u003ca href=\"https://www.gov.ca.gov/docs/AB_176_Veto_Message.pdf\" target=\"_blank\">veto message\u003c/a> for \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB176\" target=\"_blank\">AB 176\u003c/a> by Assembly member Rob Bonta, D-Oakland.\u003c/p>\n\u003cp>\"I am wary of the ever growing desire to stratify,\" Brown wrote. \"Dividing people into ethnic or other subcategories may yield more information, but not necessarily greater wisdom about what actions should follow.\"\u003c/p>\n\u003cp>To researchers who believe more information better informs policy, them's fighting words.\u003c/p>\n\u003cp>\"As long as the state puts its head in the sand and fails to acknowledge these differences,\" Grant said, \"they won't be able to address the disparities in health care within those groups.\"\u003c/p>\n\u003cp>Grant said the October release of updated survey data could help inform the discussion, for example, about insuring the undocumented population in California or addressing health disparities of specific ethnic population subsets.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"The idea behind the profiles is to highlight information for groups that don't have a lot of data associated with them,\" Grant said. \"What's really unique here is the detailed breakdown of the variety of Latino and other ethnic groups. The power of these data is that we can show ... how the communities are different.\"\u003c/p>\n\n","blocks":[],"excerpt":"For starters, the obesity rate for Asians is lower than the state average, but for Filipinos specifically, it's much higher.","status":"publish","parent":0,"modified":1447285857,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":15,"wordCount":446},"headData":{"title":"UCLA Researchers Find Health Differences Within Ethnic Groups | KQED","description":"For starters, the obesity rate for Asians is lower than the state average, but for Filipinos specifically, it's much higher.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"UCLA Researchers Find Health Differences Within Ethnic Groups","datePublished":"2015-11-11T23:50:57.000Z","dateModified":"2015-11-11T23:50:57.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"106635 http://ww2.kqed.org/stateofhealth/?p=106635","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/11/11/ucla-finds-health-differences-within-ethnic-groups/","disqusTitle":"UCLA Researchers Find Health Differences Within Ethnic Groups","source":"California Healthline","nprByline":"David Gorn","path":"/stateofhealth/106635/ucla-finds-health-differences-within-ethnic-groups","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>There are major differences in health care status among different types of Asians and Latinos in California -- and yet the state so far has resisted treating those subgroups differently, according to UCLA researchers who released an \u003ca href=\"http://healthpolicy.ucla.edu/newsroom/press-releases/pages/details.aspx?NewsID=231\" target=\"_blank\">updated version of health survey data \u003c/a>last month.\u003c/p>\n\u003cp>\"Data clearly show the need to disaggregate the Asian community and to some degree the Latino community,\" said David Grant, director of the \u003ca href=\"http://healthpolicy.ucla.edu/chis/about/Pages/about.aspx\" target=\"_blank\">California Health Interview Survey.\u003c/a>\u003c/p>\n\u003cp>For instance, he said, the state categorizes \"Asian\" as an ethnic group, but there are major differences between various Asian subgroups, and a similar trend has developed among various Latino cultures, as well.\u003c/p>\n\u003cp>\"Looking at different groups in the survey information busts a lot of myths,\" Grant said. \"Most people think about Asians as having health insurance and doing well, but if you break out the subgroups, you see that Koreans have a high uninsured rate of about 47 percent. Also, obesity levels among Asians in general are lower than the state averages, but Filipinos have a higher rate [of obesity] and double the diabetes rate.\"\u003c/p>\n\u003cp>Similar disparities in care and health crop up in the Latino population, too. Different subgroups experience the health care system differently, he said, depending on country of origin.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Their health needs are far from homogeneous,\" Grant said. \"And in terms of policy-making it's clear that different needs apply to different groups.\"\u003c/p>\n\u003cp>One bill dealing with the issue of ethnic subgroups was passed by the Legislature this year, but Gov. Jerry Brown vetoed it.\u003c/p>\n\u003cp>Brown called the bill \"unnecessary\" in his \u003ca href=\"https://www.gov.ca.gov/docs/AB_176_Veto_Message.pdf\" target=\"_blank\">veto message\u003c/a> for \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB176\" target=\"_blank\">AB 176\u003c/a> by Assembly member Rob Bonta, D-Oakland.\u003c/p>\n\u003cp>\"I am wary of the ever growing desire to stratify,\" Brown wrote. \"Dividing people into ethnic or other subcategories may yield more information, but not necessarily greater wisdom about what actions should follow.\"\u003c/p>\n\u003cp>To researchers who believe more information better informs policy, them's fighting words.\u003c/p>\n\u003cp>\"As long as the state puts its head in the sand and fails to acknowledge these differences,\" Grant said, \"they won't be able to address the disparities in health care within those groups.\"\u003c/p>\n\u003cp>Grant said the October release of updated survey data could help inform the discussion, for example, about insuring the undocumented population in California or addressing health disparities of specific ethnic population subsets.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"The idea behind the profiles is to highlight information for groups that don't have a lot of data associated with them,\" Grant said. \"What's really unique here is the detailed breakdown of the variety of Latino and other ethnic groups. The power of these data is that we can show ... how the communities are different.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/106635/ucla-finds-health-differences-within-ethnic-groups","authors":["byline_stateofhealth_106635"],"categories":["stateofhealth_11"],"tags":["stateofhealth_551","stateofhealth_325","stateofhealth_2519"],"featImg":"stateofhealth_106662","label":"source_stateofhealth_106635"},"stateofhealth_96312":{"type":"posts","id":"stateofhealth_96312","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"96312","score":null,"sort":[1447268411000]},"guestAuthors":[],"slug":"santa-cruz-students-track-working-poor-census-invisible","title":"Santa Cruz Students Track Working Poor with 'Census of the Invisible'","publishDate":1447268411,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{},"content":"\u003cp>Some days, Celia Díaz doesn’t want to get out of bed. But since she’s the major wage earner in her household, she doesn’t have much choice. Six days a week, she drags herself to the Santa Cruz restaurant where she works 10- and 12-hour days as head prep cook. She rarely gets a break and often goes the entire shift without sitting down. She’s developed arthritis in her fingers.\u003c/p>\n\u003caside class=\"pullquote alignright\">“Here in California, in America, people still aren’t making enough money to survive.\"\u003cbr>\n\u003ccite>Lizeth Vizcaya, UCSC student interviewer\u003c/cite>\u003c/aside>\n\u003cp>“There are times I want to quit,” she says in Spanish, while eating a breakfast of tortillas and frijoles in the dim light of her tiny kitchen. “But I can’t, because many jobs pay less for more work.”\u003c/p>\n\u003cp>Díaz, whose name has been changed to protect her privacy, has to work more than 60 hours a week in order to make ends meet on her $11.50 per hour wage. Still, her paycheck — which never includes overtime pay (she’s paid in cash for anything above 40 hours) —doesn’t come close to covering the cost of living in this coastal California town. She, her husband, their two small children and four other adults share a cramped two-bedroom apartment. A metal-framed bunk bed dominates the living room. The other adults in the house earn less money per hour than Díaz.\u003c/p>\n\u003cp>They are all members of Santa Cruz County’s working poor. This population of low-wage earners was the focus of a recent UC Santa Cruz study, “\u003ca href=\"http://workingfordignity.sites.ucsc.edu/wp-content/uploads/sites/192/2015/09/Final-Report-Working-for-Dignity-9-21-15.pdf\" target=\"_blank\">Working for Dignity\u003c/a>.\" Based on interviews with more than 1,300 people, researchers looked at working conditions of the county’s lowest-paid workers, and put a human face on the unseen labor force that supports the base of the Central Coast’s economy.\u003c/p>\n\u003cp>“This was a ‘census of the invisible,’ ” says lead author Steve McKay, an associate professor of sociology who also directs the UC Santa Cruz Center for Labor Studies. “Our goal was to look at the numbers, but also tell the stories of low-wage workers in Santa Cruz County.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The report’s release is timely. The Santa Cruz City Council is debating raising the minimum wage and recently commissioned a study looking at the impact of an increase. Other California cities have already begun raising their local minimum wage with San Francisco planning to reach $15 an hour by 2018 and Los Angeles planning to do the same by 2020.\u003c/p>\n\u003cp>\u003cstrong>Bridging the Town-Gown Gap\u003c/strong>\u003c/p>\n\u003cp>McKay conceived of the \"Working for Dignity\" study after he was contacted by the Watsonville office of California Rural Legal Assistance. The agency was looking for data on the low-wage earners of Santa Cruz County.\u003c/p>\n\u003cp>No such data existed.\u003c/p>\n\u003cp>So McKay launched the project, with an idea to use students to survey low-wage workers. He connected with the Chicano Latino Research Center on campus to train students how to conduct surveys and collect data. He also redesigned his “Work and Society” class into a research-based course. Students learned research methods, and then McKay sent them off on interviews.\u003c/p>\n\u003cfigure id=\"attachment_106567\" class=\"wp-caption alignleft\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/11/Veteran2-e1447269509837.jpg\">\u003cimg class=\"wp-image-106567 size-thumbnail\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/11/Veteran2-400x500.jpg\" alt=\"Mario, a day laborer, looks for work at the Day Worker Center in Santa Cruz. \" width=\"400\" height=\"500\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Mario, photographed while looking for work at the Day Worker Center in Santa Cruz. \u003ccite>(Edward Ramirez)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“There is often a town-gown split in university towns,” says McKay, referring to the divide that can exist between a campus that generally has money and people in the surrounding community who may not. “This project epitomizes the role that the university should play in the state, building new knowledge and training people to identify and respond to the needs of the local community.”\u003c/p>\n\u003cp>Students met with interviewees at bus stops, parks, laundromats and the farmer’s market in Watsonville’s central plaza. In addition to interviewing workers, students handed out information about workers' rights and where they could go for help if they suspect their rights are being violated.\u003c/p>\n\u003cp>More than 100 students were involved in different aspects of the two-year project.\u003c/p>\n\u003cp>“It was an eye-opening experience,” says Lizeth Vizcaya, a community studies major. She described interviewing a strawberry picker who was paid $9 for each box he filled with smaller cartons of fruit. After sorting through berries and discarding unripe or rotten fruit, labor he didn’t get paid for, Vizcaya says his average wage amounted to $4 an hour. “Here in California — in America — people still aren’t making enough money to survive,\" Vizcaya said.\u003c/p>\n\u003cp>To define low-wage worker, the study used the \u003ca href=\"http://web.stanford.edu/group/scspi/cpm_overview.html\" target=\"_blank\">California Poverty Measure\u003c/a> (CPM), an index designed by the Stanford Center on Poverty and Inequality to factor cost of living into the measure of poverty. By that measure, the poverty line for a family of four living in Santa Cruz County is $32,884, or an hourly wage of $15.81. Twenty-two percent of county residents live below the CPM.\u003c/p>\n\u003cp>“That’s not a living wage – it’s subsistence level,” says McKay. “People will be in real trouble if they fall below that.”\u003c/p>\n\u003cp>The median wage of those surveyed fell short of that poverty measure -- $10 an hour. And, like Díaz, nearly two-thirds of the surveyed group (62 percent) said they were the major earner for their household.\u003c/p>\n\u003cp>“Just try to imagine living in Santa Cruz on $10 an hour,” says McKay. “It would be really, really tough.”\u003c/p>\n\u003cp>The result is a vulnerable workforce, living paycheck to paycheck, dependent upon the whim of employers. Interviewees reported a high rate of labor violations, including wage theft, health and safety violations, sexual harassment and racial discrimination. Forty-one percent said they worked overtime hours and, of those, 38 percent did not receive overtime wages. More than seven in 10 (71 percent) said they either did not get breaks or did not get paid for breaks.\u003c/p>\n\u003cp>There was also racial disparity between the experiences of low-wage white workers versus low-wage Latino workers, the two main racial groups in Santa Cruz County. Of those who worked overtime, 28 percent of whites reported not receiving overtime pay, and 58 percent of Latinos reported not receiving overtime pay.\u003c/p>\n\u003cp>\u003cstrong>Putting a human face on labor\u003c/strong>\u003c/p>\n\u003cp>A primary goal of the “Working for Dignity” project was to document the human experience behind low-wage labor -- and to put a face on the often-invisible working poor. McKay partnered with the university’s Everett Program, which helps students develop skills to generate social change, \u003ca href=\"https://workingfordignity.ucsc.edu/about/\" target=\"_blank\">to create a website\u003c/a> that would feature digital stories and photographs of low-wage workers.\u003c/p>\n\u003cfigure id=\"attachment_106566\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/11/Stirringg2-e1447269431836.jpg\">\u003cimg class=\"size-thumbnail wp-image-106566\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/11/Stirringg2-400x322.jpg\" alt=\"James stirs a vat of kettle corn at the Watsonville Farmer's Market.\" width=\"400\" height=\"322\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">James stirs a vat of kettle corn at the Watsonville Farmer's Market. \u003ccite>(Edward Ramirez)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Student Edward Ramirez led the project’s documentary team during his senior year at UC Santa Cruz. Ramirez, a Los Angeles native, was attracted to the project because his parents, who immigrated to the U.S. from El Salvador during its Civil War, had scraped by as low-wage workers throughout his entire life. “I always wanted to give them honor, because society didn’t honor them,” he says.\u003c/p>\n\u003cp>Working with the local \u003ca href=\"http://dayworkercentersc.org\" target=\"_blank\">day labor center\u003c/a>, Ramirez set out to photograph people who sought day work in various jobs in the area.\u003c/p>\n\u003cp>One of the biggest rewards for Ramirez was giving the workers their portraits, mounted in wooden frames that he made by hand. “It was great seeing their faces looking at images of themselves,” he says. “They were filled with pride.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>A version of this story first appeared in the \u003ca href=\"http://www.healthycal.org\" target=\"_blank\">California Health Report.\u003c/a> \u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"A UC Santa Cruz professor and his students interviewed 1,380 low-wage workers, finding reports of wage violations and vulnerable lives.","status":"publish","parent":0,"modified":1447373894,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":28,"wordCount":1329},"headData":{"title":"Santa Cruz Students Track Working Poor with 'Census of the Invisible' | KQED","description":"A UC Santa Cruz professor and his students interviewed 1,380 low-wage workers, finding reports of wage violations and vulnerable lives.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Santa Cruz Students Track Working Poor with 'Census of the Invisible'","datePublished":"2015-11-11T19:00:11.000Z","dateModified":"2015-11-13T00:18:14.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"96312 http://ww2.kqed.org/stateofhealth/?p=96312","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/11/11/santa-cruz-students-track-working-poor-census-invisible/","disqusTitle":"Santa Cruz Students Track Working Poor with 'Census of the Invisible'","source":"California Health Report","sourceUrl":"http://www.healthycal.org/2015/10/15/census-of-the-invisible-documents-the-plight-of-the-working-poor-in-coastal-california/","nprByline":"Lily Dayton","path":"/stateofhealth/96312/santa-cruz-students-track-working-poor-census-invisible","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Some days, Celia Díaz doesn’t want to get out of bed. But since she’s the major wage earner in her household, she doesn’t have much choice. Six days a week, she drags herself to the Santa Cruz restaurant where she works 10- and 12-hour days as head prep cook. She rarely gets a break and often goes the entire shift without sitting down. She’s developed arthritis in her fingers.\u003c/p>\n\u003caside class=\"pullquote alignright\">“Here in California, in America, people still aren’t making enough money to survive.\"\u003cbr>\n\u003ccite>Lizeth Vizcaya, UCSC student interviewer\u003c/cite>\u003c/aside>\n\u003cp>“There are times I want to quit,” she says in Spanish, while eating a breakfast of tortillas and frijoles in the dim light of her tiny kitchen. “But I can’t, because many jobs pay less for more work.”\u003c/p>\n\u003cp>Díaz, whose name has been changed to protect her privacy, has to work more than 60 hours a week in order to make ends meet on her $11.50 per hour wage. Still, her paycheck — which never includes overtime pay (she’s paid in cash for anything above 40 hours) —doesn’t come close to covering the cost of living in this coastal California town. She, her husband, their two small children and four other adults share a cramped two-bedroom apartment. A metal-framed bunk bed dominates the living room. The other adults in the house earn less money per hour than Díaz.\u003c/p>\n\u003cp>They are all members of Santa Cruz County’s working poor. This population of low-wage earners was the focus of a recent UC Santa Cruz study, “\u003ca href=\"http://workingfordignity.sites.ucsc.edu/wp-content/uploads/sites/192/2015/09/Final-Report-Working-for-Dignity-9-21-15.pdf\" target=\"_blank\">Working for Dignity\u003c/a>.\" Based on interviews with more than 1,300 people, researchers looked at working conditions of the county’s lowest-paid workers, and put a human face on the unseen labor force that supports the base of the Central Coast’s economy.\u003c/p>\n\u003cp>“This was a ‘census of the invisible,’ ” says lead author Steve McKay, an associate professor of sociology who also directs the UC Santa Cruz Center for Labor Studies. “Our goal was to look at the numbers, but also tell the stories of low-wage workers in Santa Cruz County.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The report’s release is timely. The Santa Cruz City Council is debating raising the minimum wage and recently commissioned a study looking at the impact of an increase. Other California cities have already begun raising their local minimum wage with San Francisco planning to reach $15 an hour by 2018 and Los Angeles planning to do the same by 2020.\u003c/p>\n\u003cp>\u003cstrong>Bridging the Town-Gown Gap\u003c/strong>\u003c/p>\n\u003cp>McKay conceived of the \"Working for Dignity\" study after he was contacted by the Watsonville office of California Rural Legal Assistance. The agency was looking for data on the low-wage earners of Santa Cruz County.\u003c/p>\n\u003cp>No such data existed.\u003c/p>\n\u003cp>So McKay launched the project, with an idea to use students to survey low-wage workers. He connected with the Chicano Latino Research Center on campus to train students how to conduct surveys and collect data. He also redesigned his “Work and Society” class into a research-based course. Students learned research methods, and then McKay sent them off on interviews.\u003c/p>\n\u003cfigure id=\"attachment_106567\" class=\"wp-caption alignleft\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/11/Veteran2-e1447269509837.jpg\">\u003cimg class=\"wp-image-106567 size-thumbnail\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/11/Veteran2-400x500.jpg\" alt=\"Mario, a day laborer, looks for work at the Day Worker Center in Santa Cruz. \" width=\"400\" height=\"500\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Mario, photographed while looking for work at the Day Worker Center in Santa Cruz. \u003ccite>(Edward Ramirez)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“There is often a town-gown split in university towns,” says McKay, referring to the divide that can exist between a campus that generally has money and people in the surrounding community who may not. “This project epitomizes the role that the university should play in the state, building new knowledge and training people to identify and respond to the needs of the local community.”\u003c/p>\n\u003cp>Students met with interviewees at bus stops, parks, laundromats and the farmer’s market in Watsonville’s central plaza. In addition to interviewing workers, students handed out information about workers' rights and where they could go for help if they suspect their rights are being violated.\u003c/p>\n\u003cp>More than 100 students were involved in different aspects of the two-year project.\u003c/p>\n\u003cp>“It was an eye-opening experience,” says Lizeth Vizcaya, a community studies major. She described interviewing a strawberry picker who was paid $9 for each box he filled with smaller cartons of fruit. After sorting through berries and discarding unripe or rotten fruit, labor he didn’t get paid for, Vizcaya says his average wage amounted to $4 an hour. “Here in California — in America — people still aren’t making enough money to survive,\" Vizcaya said.\u003c/p>\n\u003cp>To define low-wage worker, the study used the \u003ca href=\"http://web.stanford.edu/group/scspi/cpm_overview.html\" target=\"_blank\">California Poverty Measure\u003c/a> (CPM), an index designed by the Stanford Center on Poverty and Inequality to factor cost of living into the measure of poverty. By that measure, the poverty line for a family of four living in Santa Cruz County is $32,884, or an hourly wage of $15.81. Twenty-two percent of county residents live below the CPM.\u003c/p>\n\u003cp>“That’s not a living wage – it’s subsistence level,” says McKay. “People will be in real trouble if they fall below that.”\u003c/p>\n\u003cp>The median wage of those surveyed fell short of that poverty measure -- $10 an hour. And, like Díaz, nearly two-thirds of the surveyed group (62 percent) said they were the major earner for their household.\u003c/p>\n\u003cp>“Just try to imagine living in Santa Cruz on $10 an hour,” says McKay. “It would be really, really tough.”\u003c/p>\n\u003cp>The result is a vulnerable workforce, living paycheck to paycheck, dependent upon the whim of employers. Interviewees reported a high rate of labor violations, including wage theft, health and safety violations, sexual harassment and racial discrimination. Forty-one percent said they worked overtime hours and, of those, 38 percent did not receive overtime wages. More than seven in 10 (71 percent) said they either did not get breaks or did not get paid for breaks.\u003c/p>\n\u003cp>There was also racial disparity between the experiences of low-wage white workers versus low-wage Latino workers, the two main racial groups in Santa Cruz County. Of those who worked overtime, 28 percent of whites reported not receiving overtime pay, and 58 percent of Latinos reported not receiving overtime pay.\u003c/p>\n\u003cp>\u003cstrong>Putting a human face on labor\u003c/strong>\u003c/p>\n\u003cp>A primary goal of the “Working for Dignity” project was to document the human experience behind low-wage labor -- and to put a face on the often-invisible working poor. McKay partnered with the university’s Everett Program, which helps students develop skills to generate social change, \u003ca href=\"https://workingfordignity.ucsc.edu/about/\" target=\"_blank\">to create a website\u003c/a> that would feature digital stories and photographs of low-wage workers.\u003c/p>\n\u003cfigure id=\"attachment_106566\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/11/Stirringg2-e1447269431836.jpg\">\u003cimg class=\"size-thumbnail wp-image-106566\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/11/Stirringg2-400x322.jpg\" alt=\"James stirs a vat of kettle corn at the Watsonville Farmer's Market.\" width=\"400\" height=\"322\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">James stirs a vat of kettle corn at the Watsonville Farmer's Market. \u003ccite>(Edward Ramirez)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Student Edward Ramirez led the project’s documentary team during his senior year at UC Santa Cruz. Ramirez, a Los Angeles native, was attracted to the project because his parents, who immigrated to the U.S. from El Salvador during its Civil War, had scraped by as low-wage workers throughout his entire life. “I always wanted to give them honor, because society didn’t honor them,” he says.\u003c/p>\n\u003cp>Working with the local \u003ca href=\"http://dayworkercentersc.org\" target=\"_blank\">day labor center\u003c/a>, Ramirez set out to photograph people who sought day work in various jobs in the area.\u003c/p>\n\u003cp>One of the biggest rewards for Ramirez was giving the workers their portraits, mounted in wooden frames that he made by hand. “It was great seeing their faces looking at images of themselves,” he says. “They were filled with pride.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>A version of this story first appeared in the \u003ca href=\"http://www.healthycal.org\" target=\"_blank\">California Health Report.\u003c/a> \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/96312/santa-cruz-students-track-working-poor-census-invisible","authors":["byline_stateofhealth_96312"],"categories":["stateofhealth_11"],"tags":["stateofhealth_325","stateofhealth_2519"],"featImg":"stateofhealth_106565","label":"source_stateofhealth_96312"},"stateofhealth_83818":{"type":"posts","id":"stateofhealth_83818","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"83818","score":null,"sort":[1443451543000]},"guestAuthors":[],"slug":"need-a-medical-interpreter-try-looking-in-californias-strawberry-fields","title":"Mexican Indigenous Immigrants' Dire Need for Medical Interpreters","publishDate":1443451543,"format":"image","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Imagine you are rushed to the hospital as pain radiates through your chest. Doctors whirl around you, but you don’t know what's happening because everyone is speaking a foreign language.\u003c/p>\n\u003cp>That’s what happened to farmworker Angelina Diaz-Ramirez, 50, after she had a heart attack in a Monterey County green bean field in 2012.\u003c/p>\n\u003cp>The foreman of her work crew took her to the main road and put her in an ambulance, alone. Diaz-Ramirez is an immigrant from Mexico, and while there were Spanish-speaking staff, she was still isolated by a language barrier.\u003c/p>\n\u003cp>That's because Diaz-Ramirez, like a third of California farmworkers, speaks a language indigenous to southern Mexico. She doesn’t understand Spanish. Her language, Triqui, is as different from Spanish as Navajo is from English.\u003c/p>\n\u003cp>https://vimeo.com/140479930\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>At the hospital, without a Triqui interpreter, “no one explained anything to me,” said Diaz-Ramirez.\u003c/p>\n\u003cp>“I was scared, but I didn’t have a choice,\" she said.\u003c/p>\n\u003cp>As anesthesia blotted out the operating room, Diaz-Ramirez had no idea a surgeon was about to cut open her chest to implant a pacemaker.\u003c/p>\n\u003cp>\u003cstrong>Medical Interpreters Are Key\u003c/strong>\u003c/p>\n\u003cp>Diaz-Ramirez’s case highlights the importance of trained medical interpreters, researchers say.\u003c/p>\n\u003caside class=\"pullquote alignright\">'No one explained anything to me. I was scared but I didn't have a choice.'\u003ccite>Angelina Diaz-Ramirez, Triqui farmworker who had heart surgery without an interpreter\u003c/cite>\u003c/aside>\n\u003cp>Interpreters are “absolutely necessary,” said Alicia Fernandez, a medical interpretation expert at UC San Francisco, because quality health care and basic informed consent are nearly impossible without one.\u003c/p>\n\u003cp>Interpreters “enormously increase patient understanding and satisfaction,” said Fernandez. She adds that interpreters also “increase physician satisfaction with the care they deliver.”\u003c/p>\n\u003cp>Medicine, she said, is not an antiseptic, scientific process. Doctors can’t just scan, medicate and operate. Clear communication is essential for accurate diagnosis and effective treatment.\u003c/p>\n\u003cp>[contextly_sidebar id=\"2KQd30QKKYZZL3bwvUkl6icTu31wfvST\"]\u003c/p>\n\u003cp>That’s why using improvised sign language, or asking a child to interpret -- just \"getting by\" -- is simply not good enough, said Fernandez.\u003c/p>\n\u003cp>“Getting by leads to mistakes,” she said. “And mistakes can be tragic, for both the patient and the physician.”\u003c/p>\n\u003cp>\u003cstrong>Indigenous Farmworkers Without Interpreters\u003c/strong>\u003c/p>\n\u003cp>Erica Gastelum, a pediatrician in Fresno, regrets that she rarely has access to an interpreter for her Mixteco-speaking patients. She says without one, “You're not able to provide equal care to all comers.”\u003c/p>\n\u003cfigure id=\"attachment_83923\" class=\"wp-caption alignleft\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/09/Lagnuage-map.png\">\u003cimg class=\"wp-image-83923 size-thumbnail\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/09/Lagnuage-map-400x225.png\" alt=\"This map shows where Mexican indigenous languages originate. Triqui and Mixteco belong to the oto-mangue family, in southwest of the country (Jeremy Raff/KQED). \" width=\"400\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">This map shows where Mexican indigenous languages originate. Triqui and Mixteco belong to the oto-mangue family, in the southwest of the country. (Jeremy Raff/KQED).\u003c/figcaption>\u003c/figure>\n\u003cp>She remembers a 1-year-old boy with fatal congenital heart disease. Doctors had exhausted every option, and the family was gathered in the intensive care unit.\u003c/p>\n\u003cp>“This is it, this is the moment where we’re going to disconnect the tubes,” said Gastelum. “It seemed like they understood. But in such a crucial moment like that, it would have been so much better to have a culturally sensitive, in-person interpreter.”\u003c/p>\n\u003cp>Most hospitals, including Gastelum’s, have telephone services that should let doctors call up an interpreter for any language. In practice, though, the system doesn’t always work for more unusual languages.\u003c/p>\n\u003cp>“When you try to use the phone interpreter line to get the indigenous speaker, you’ll be on hold for like two hours,” said Jasmine Walker, also a pediatrician in Fresno. “Then when you get them, they don't actually speak the language that you need.”\u003c/p>\n\u003cp>Seth Holmes is a physician who lived and worked alongside Triqui migrant farmworkers for 10 years and wrote about his experiences in the book \"\u003ca href=\"http://www.ucpress.edu/book.php?isbn=9780520275140\" target=\"_blank\">Fresh Fruit, Broken Bodies\u003c/a>.\" As the migrants followed crops up and down the West Coast, they often asked Holmes to accompany them to health clinics.\u003c/p>\n\u003cp>In dozens of clinics throughout California, Washington and Oregon, he said, “I have never seen any Triqui person get a medical interpreter.”\u003c/p>\n\u003cp>Hospitals may underestimate how many indigenous patients they have -- and how many interpreters they need -- because many providers assume all Mexicans speak Spanish. Some indigenous people may be afraid to call attention to themselves by asking for an interpreter because they are undocumented.\u003c/p>\n\u003cp>“They don't know that they’re entitled to someone who speaks their language,” said Leoncio Vasquez, who has been training interpreters for 15 years.\u003c/p>\n\u003cp>Any health care facility receiving public money has a legal obligation under both state and federal law to provide an interpreter to every patient who needs one. But only a few health care providers have made\u003ca href=\"http://www.indigenousfarmworkers.org/\" target=\"_blank\"> California’s 120,000 indigenous farmworkers\u003c/a> an explicit priority.\u003c/p>\n\u003cp>\u003cstrong>Interpreting a Big Opportunity for Some Farmworkers\u003c/strong>\u003c/p>\n\u003cp>Brigida Gonzalez, wearing a big \"Qualified Interpreter\" badge, hustles around Natividad Medical Center in Salinas. It's a big building and she’s needed all over.\u003c/p>\n\u003cp>Today she’s a professional employee at a big hospital. A year ago, she was picking strawberries nearby.\u003c/p>\n\u003cfigure id=\"attachment_83917\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/09/Brigida-Patient3-e1443272915487.png\">\u003cimg class=\"wp-image-83917 size-thumbnail\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/09/Brigida-Patient3-400x225.png\" alt=\"Interpreter Brigida Gonzalez\" width=\"400\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Before interpreter training, Brigida Gonzalez (R) worked in the strawberry fields nearby. \u003ccite>(Jeremy Raff/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In the fields one day, another picker noticed Gonzalez spoke English -- a rarity in agriculture -- and suggested she look into Natividad’s training program.\u003c/p>\n\u003cp>Staff at Natividad were thrilled to hear from Gonzalez, “because it was so hard to find someone who spoke English, Spanish and an indigenous language like Mixteco and Triqui,” she said.\u003c/p>\n\u003cp>Gonzalez completed Natividad's six-month training program for indigenous interpreters, the first of its kind, and now works there part time.\u003c/p>\n\u003cp>\u003cstrong>Not Just Hospitals\u003c/strong>\u003c/p>\n\u003cp>The need for trilingual interpreters like Gonzalez is growing, and it's not just hospitals.\u003c/p>\n\u003cp>Four hours down the coast in Oxnard, all three school districts have hired Mixteco interpreters, and the police have one on contract.\u003c/p>\n\u003cp>Altogether, there are about 20 Mixteco speakers making a good living with their language skills in Ventura County.\u003c/p>\n\u003cp>These opportunities are one reason why Argelia Zarate, the Oxnard school district’s first full-time Mixteco interpreter, encourages students to practice their Mixteco so they don’t lose it.\u003c/p>\n\u003cfigure id=\"attachment_83919\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/09/Argelia-1-of-1-e1443466270661.jpg\">\u003cimg class=\"size-full wp-image-83919\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/09/Argelia-1-of-1-e1443466270661.jpg\" alt=\"Argelia Zarate, a Mixteco interpreter at the Oxnard School District, encourages students to practice their native languages.\" width=\"1920\" height=\"1280\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Argelia Zarate, a Mixteco interpreter at the Oxnard School District, encourages students to practice their native languages. \u003ccite>(Jeremy Raff/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I didn't go to college, yet I have this job,” said Zarate, “because the community is growing so big that they don't need bilinguals-- they need trilinguals.”\u003c/p>\n\u003cp>The U.S. Bureau of Labor Statistics expects employment of interpreters and translators to grow by\u003ca href=\"http://www.bls.gov/ooh/media-and-communication/interpreters-and-translators.htm\" target=\"_blank\"> 46 percent between 2012 and 2022.\u003c/a> Driving that demand is the \u003ca href=\"http://www.census.gov/content/dam/Census/library/publications/2013/acs/acs-22.pdf\" target=\"_blank\">158 percent increase since 1980 \u003c/a>in the number of people who speak a language other than English at home.\u003c/p>\n\u003cp>Nationally, the median hourly wage for interpreters is $25, compared with $9.09 for farm work.\u003c/p>\n\u003cp>Zarate says the better pay, stable hours and a chance to serve her community all make interpreting a big step up from field work.\u003c/p>\n\u003cp>“Here everybody is nice to you: they talk to you, appreciate what you do,” Zarate said at the elementary school where she works. “In the fields, they treat you like you’re nothing, a slave working for a little bit of money.”\u003c/p>\n\u003cp>The Mixteco/Indigena Community Organizing Project has trained dozens of interpreters in Ventura County and has pressured public agencies to make use of them.\u003c/p>\n\u003cfigure id=\"attachment_83920\" class=\"wp-caption alignright\" style=\"max-width: 5010px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/09/Argelia-2-of-2.jpg\">\u003cimg class=\"size-full wp-image-83920\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/09/Argelia-2-of-2.jpg\" alt=\"Maria, 6, arrived in Oxnard, CA, from the Mexican state of Oaxaca recently and speaks only Mixteco (Jeremy Raff/KQED).\" width=\"5010\" height=\"3340\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/09/Argelia-2-of-2.jpg 5010w, https://ww2.kqed.org/app/uploads/sites/27/2015/09/Argelia-2-of-2-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/09/Argelia-2-of-2-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/09/Argelia-2-of-2-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/09/Argelia-2-of-2-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/09/Argelia-2-of-2-960x640.jpg 960w\" sizes=\"(max-width: 5010px) 100vw, 5010px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Maria, 6, arrived in Oxnard, CA, from the Mexican state of Oaxaca recently and speaks only Mixteco. (Jeremy Raff/KQED).\u003c/figcaption>\u003c/figure>\n\u003cp>Today, “Ventura County has invested in having better language access than most parts of California, and honestly most parts of Oaxaca,” said Margaret Sawyer, the group’s development director, referring to the Mexican state that many Mixteco migrants are from.\u003c/p>\n\u003cp>\u003cstrong>Barriers Remain\u003c/strong>\u003c/p>\n\u003cp>Not everyone trilingual can make the switch from farm work, though, because there are only a few full-time jobs.\u003c/p>\n\u003cp>Instead, most hospitals rely on freelance part-time interpreters, who have a hard time making a living.\u003c/p>\n\u003cp>“They will have you for two or three hours, then you’re done for the whole day,” said Israel Vasquez, a trilingual interpreter. “You can’t really live off that.” He eventually quit because he couldn’t get enough hours.\u003c/p>\n\u003cp>“Making a living specifically in health care interpreting right now is not really going to happen,” said Don Schinske, executive director of the California Healthcare Interpreting Association.\u003c/p>\n\u003cp>Part of the problem, Schinske said, is that even though federal law requires hospitals to provide interpreters, there is not a direct federal funding stream to pay for those services.\u003c/p>\n\u003cp>“You get a lot of this sentiment from hospitals: ‘Look, we’re trying to get people services in their language, but it is a nicety, not a necessity,’ ” said Schinske.\u003c/p>\n\u003cp>The indigenous interpretation programs at Natividad Medical Center are funded by private donations from agricultural businesses in the area, who have contributed $1.7 million since 2010.\u003c/p>\n\u003cp>Meanwhile, \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201520160AB635\" target=\"_blank\">a bill \u003c/a>that would make it easier for hospitals to get federal money for medical interpreters has stalled in the California Legislature.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/225965640\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>\u003cstrong>Wasted Resource\u003c/strong>\u003c/p>\n\u003cp>Farmworker Angelina Diaz-Ramirez returned home after her surgery with a new pacemaker ticking in her chest -- and a stack of printed instructions that she couldn’t read.\u003c/p>\n\u003cp>“I didn’t know what to do,\" she said, through an interpreter. \"I had strong pain. Should I call them back?”\u003c/p>\n\u003cp>Diaz-Ramirez didn’t know who her cardiologist was, how to get an appointment or which medications to take. It's just the kind of confusion that a trained medical interpreter can prevent.\u003c/p>\n\u003cp>\"I just felt very sad,\" she said.\u003c/p>\n\u003cp>Every week, indigenous people with these same questions visit Leoncio Vasquez, the interpreter trainer in Fresno.\u003c/p>\n\u003cp>He looks through their paperwork, pieces together a backstory, and helps them figure out what to do next -- something that should have happened at the hospital or clinic, with one of the dozens of interpreters Vasquez has already trained.\u003c/p>\n\u003cp>But those interpreters “can’t find jobs related to interpreting,” said Vasquez. What do they do instead? “Some go back to the fields to do farm work.”\u003c/p>\n\u003cp>To Vasquez, it's a waste. He says that until more hospitals recognize these immigrants’ valuable language skills, trained interpreters will stay in the fields, picking strawberries.\u003c/p>\n\u003cp>\u003cem>This piece was produced with support from the Institute for Justice and Journalism.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003ci>California has the seventh-largest economy in the world, and immigrants have a long history in building that prosperity. Today one out of every three working people in California is an immigrant — a share that has grown in recent decades. Our state is shaped by these workers and entrepreneurs — 6 million people who’ve found a job in the Golden State. In our series “\u003ca href=\"http://ww2.kqed.org/news/series/california-immigrants-at-work\">Immigrant Shift\u003c/a>,” KQED and The California Report explore the impact they have, the challenges they face and the policies that affect them.\u003c/i>\u003c/p>\n\n","blocks":[],"excerpt":"One in three California farmworkers speaks an indigenous language and barely understands Spanish. ","status":"publish","parent":0,"modified":1443477793,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":67,"wordCount":1896},"headData":{"title":"Mexican Indigenous Immigrants' Dire Need for Medical Interpreters | KQED","description":"One in three California farmworkers speaks an indigenous language and barely understands Spanish. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Mexican Indigenous Immigrants' Dire Need for Medical Interpreters","datePublished":"2015-09-28T14:45:43.000Z","dateModified":"2015-09-28T22:03:13.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"83818 http://ww2.kqed.org/stateofhealth/?p=83818","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/09/28/need-a-medical-interpreter-try-looking-in-californias-strawberry-fields/","disqusTitle":"Mexican Indigenous Immigrants' Dire Need for Medical Interpreters","path":"/stateofhealth/83818/need-a-medical-interpreter-try-looking-in-californias-strawberry-fields","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Imagine you are rushed to the hospital as pain radiates through your chest. Doctors whirl around you, but you don’t know what's happening because everyone is speaking a foreign language.\u003c/p>\n\u003cp>That’s what happened to farmworker Angelina Diaz-Ramirez, 50, after she had a heart attack in a Monterey County green bean field in 2012.\u003c/p>\n\u003cp>The foreman of her work crew took her to the main road and put her in an ambulance, alone. Diaz-Ramirez is an immigrant from Mexico, and while there were Spanish-speaking staff, she was still isolated by a language barrier.\u003c/p>\n\u003cp>That's because Diaz-Ramirez, like a third of California farmworkers, speaks a language indigenous to southern Mexico. She doesn’t understand Spanish. Her language, Triqui, is as different from Spanish as Navajo is from English.\u003c/p>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"vimeoLink","attributes":{"named":{"vimeoId":"140479930"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>At the hospital, without a Triqui interpreter, “no one explained anything to me,” said Diaz-Ramirez.\u003c/p>\n\u003cp>“I was scared, but I didn’t have a choice,\" she said.\u003c/p>\n\u003cp>As anesthesia blotted out the operating room, Diaz-Ramirez had no idea a surgeon was about to cut open her chest to implant a pacemaker.\u003c/p>\n\u003cp>\u003cstrong>Medical Interpreters Are Key\u003c/strong>\u003c/p>\n\u003cp>Diaz-Ramirez’s case highlights the importance of trained medical interpreters, researchers say.\u003c/p>\n\u003caside class=\"pullquote alignright\">'No one explained anything to me. I was scared but I didn't have a choice.'\u003ccite>Angelina Diaz-Ramirez, Triqui farmworker who had heart surgery without an interpreter\u003c/cite>\u003c/aside>\n\u003cp>Interpreters are “absolutely necessary,” said Alicia Fernandez, a medical interpretation expert at UC San Francisco, because quality health care and basic informed consent are nearly impossible without one.\u003c/p>\n\u003cp>Interpreters “enormously increase patient understanding and satisfaction,” said Fernandez. She adds that interpreters also “increase physician satisfaction with the care they deliver.”\u003c/p>\n\u003cp>Medicine, she said, is not an antiseptic, scientific process. Doctors can’t just scan, medicate and operate. Clear communication is essential for accurate diagnosis and effective treatment.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>That’s why using improvised sign language, or asking a child to interpret -- just \"getting by\" -- is simply not good enough, said Fernandez.\u003c/p>\n\u003cp>“Getting by leads to mistakes,” she said. “And mistakes can be tragic, for both the patient and the physician.”\u003c/p>\n\u003cp>\u003cstrong>Indigenous Farmworkers Without Interpreters\u003c/strong>\u003c/p>\n\u003cp>Erica Gastelum, a pediatrician in Fresno, regrets that she rarely has access to an interpreter for her Mixteco-speaking patients. She says without one, “You're not able to provide equal care to all comers.”\u003c/p>\n\u003cfigure id=\"attachment_83923\" class=\"wp-caption alignleft\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/09/Lagnuage-map.png\">\u003cimg class=\"wp-image-83923 size-thumbnail\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/09/Lagnuage-map-400x225.png\" alt=\"This map shows where Mexican indigenous languages originate. Triqui and Mixteco belong to the oto-mangue family, in southwest of the country (Jeremy Raff/KQED). \" width=\"400\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">This map shows where Mexican indigenous languages originate. Triqui and Mixteco belong to the oto-mangue family, in the southwest of the country. (Jeremy Raff/KQED).\u003c/figcaption>\u003c/figure>\n\u003cp>She remembers a 1-year-old boy with fatal congenital heart disease. Doctors had exhausted every option, and the family was gathered in the intensive care unit.\u003c/p>\n\u003cp>“This is it, this is the moment where we’re going to disconnect the tubes,” said Gastelum. “It seemed like they understood. But in such a crucial moment like that, it would have been so much better to have a culturally sensitive, in-person interpreter.”\u003c/p>\n\u003cp>Most hospitals, including Gastelum’s, have telephone services that should let doctors call up an interpreter for any language. In practice, though, the system doesn’t always work for more unusual languages.\u003c/p>\n\u003cp>“When you try to use the phone interpreter line to get the indigenous speaker, you’ll be on hold for like two hours,” said Jasmine Walker, also a pediatrician in Fresno. “Then when you get them, they don't actually speak the language that you need.”\u003c/p>\n\u003cp>Seth Holmes is a physician who lived and worked alongside Triqui migrant farmworkers for 10 years and wrote about his experiences in the book \"\u003ca href=\"http://www.ucpress.edu/book.php?isbn=9780520275140\" target=\"_blank\">Fresh Fruit, Broken Bodies\u003c/a>.\" As the migrants followed crops up and down the West Coast, they often asked Holmes to accompany them to health clinics.\u003c/p>\n\u003cp>In dozens of clinics throughout California, Washington and Oregon, he said, “I have never seen any Triqui person get a medical interpreter.”\u003c/p>\n\u003cp>Hospitals may underestimate how many indigenous patients they have -- and how many interpreters they need -- because many providers assume all Mexicans speak Spanish. Some indigenous people may be afraid to call attention to themselves by asking for an interpreter because they are undocumented.\u003c/p>\n\u003cp>“They don't know that they’re entitled to someone who speaks their language,” said Leoncio Vasquez, who has been training interpreters for 15 years.\u003c/p>\n\u003cp>Any health care facility receiving public money has a legal obligation under both state and federal law to provide an interpreter to every patient who needs one. But only a few health care providers have made\u003ca href=\"http://www.indigenousfarmworkers.org/\" target=\"_blank\"> California’s 120,000 indigenous farmworkers\u003c/a> an explicit priority.\u003c/p>\n\u003cp>\u003cstrong>Interpreting a Big Opportunity for Some Farmworkers\u003c/strong>\u003c/p>\n\u003cp>Brigida Gonzalez, wearing a big \"Qualified Interpreter\" badge, hustles around Natividad Medical Center in Salinas. It's a big building and she’s needed all over.\u003c/p>\n\u003cp>Today she’s a professional employee at a big hospital. A year ago, she was picking strawberries nearby.\u003c/p>\n\u003cfigure id=\"attachment_83917\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/09/Brigida-Patient3-e1443272915487.png\">\u003cimg class=\"wp-image-83917 size-thumbnail\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/09/Brigida-Patient3-400x225.png\" alt=\"Interpreter Brigida Gonzalez\" width=\"400\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Before interpreter training, Brigida Gonzalez (R) worked in the strawberry fields nearby. \u003ccite>(Jeremy Raff/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In the fields one day, another picker noticed Gonzalez spoke English -- a rarity in agriculture -- and suggested she look into Natividad’s training program.\u003c/p>\n\u003cp>Staff at Natividad were thrilled to hear from Gonzalez, “because it was so hard to find someone who spoke English, Spanish and an indigenous language like Mixteco and Triqui,” she said.\u003c/p>\n\u003cp>Gonzalez completed Natividad's six-month training program for indigenous interpreters, the first of its kind, and now works there part time.\u003c/p>\n\u003cp>\u003cstrong>Not Just Hospitals\u003c/strong>\u003c/p>\n\u003cp>The need for trilingual interpreters like Gonzalez is growing, and it's not just hospitals.\u003c/p>\n\u003cp>Four hours down the coast in Oxnard, all three school districts have hired Mixteco interpreters, and the police have one on contract.\u003c/p>\n\u003cp>Altogether, there are about 20 Mixteco speakers making a good living with their language skills in Ventura County.\u003c/p>\n\u003cp>These opportunities are one reason why Argelia Zarate, the Oxnard school district’s first full-time Mixteco interpreter, encourages students to practice their Mixteco so they don’t lose it.\u003c/p>\n\u003cfigure id=\"attachment_83919\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/09/Argelia-1-of-1-e1443466270661.jpg\">\u003cimg class=\"size-full wp-image-83919\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/09/Argelia-1-of-1-e1443466270661.jpg\" alt=\"Argelia Zarate, a Mixteco interpreter at the Oxnard School District, encourages students to practice their native languages.\" width=\"1920\" height=\"1280\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Argelia Zarate, a Mixteco interpreter at the Oxnard School District, encourages students to practice their native languages. \u003ccite>(Jeremy Raff/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I didn't go to college, yet I have this job,” said Zarate, “because the community is growing so big that they don't need bilinguals-- they need trilinguals.”\u003c/p>\n\u003cp>The U.S. Bureau of Labor Statistics expects employment of interpreters and translators to grow by\u003ca href=\"http://www.bls.gov/ooh/media-and-communication/interpreters-and-translators.htm\" target=\"_blank\"> 46 percent between 2012 and 2022.\u003c/a> Driving that demand is the \u003ca href=\"http://www.census.gov/content/dam/Census/library/publications/2013/acs/acs-22.pdf\" target=\"_blank\">158 percent increase since 1980 \u003c/a>in the number of people who speak a language other than English at home.\u003c/p>\n\u003cp>Nationally, the median hourly wage for interpreters is $25, compared with $9.09 for farm work.\u003c/p>\n\u003cp>Zarate says the better pay, stable hours and a chance to serve her community all make interpreting a big step up from field work.\u003c/p>\n\u003cp>“Here everybody is nice to you: they talk to you, appreciate what you do,” Zarate said at the elementary school where she works. “In the fields, they treat you like you’re nothing, a slave working for a little bit of money.”\u003c/p>\n\u003cp>The Mixteco/Indigena Community Organizing Project has trained dozens of interpreters in Ventura County and has pressured public agencies to make use of them.\u003c/p>\n\u003cfigure id=\"attachment_83920\" class=\"wp-caption alignright\" style=\"max-width: 5010px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/09/Argelia-2-of-2.jpg\">\u003cimg class=\"size-full wp-image-83920\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/09/Argelia-2-of-2.jpg\" alt=\"Maria, 6, arrived in Oxnard, CA, from the Mexican state of Oaxaca recently and speaks only Mixteco (Jeremy Raff/KQED).\" width=\"5010\" height=\"3340\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/09/Argelia-2-of-2.jpg 5010w, https://ww2.kqed.org/app/uploads/sites/27/2015/09/Argelia-2-of-2-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/09/Argelia-2-of-2-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/09/Argelia-2-of-2-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/09/Argelia-2-of-2-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/09/Argelia-2-of-2-960x640.jpg 960w\" sizes=\"(max-width: 5010px) 100vw, 5010px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Maria, 6, arrived in Oxnard, CA, from the Mexican state of Oaxaca recently and speaks only Mixteco. (Jeremy Raff/KQED).\u003c/figcaption>\u003c/figure>\n\u003cp>Today, “Ventura County has invested in having better language access than most parts of California, and honestly most parts of Oaxaca,” said Margaret Sawyer, the group’s development director, referring to the Mexican state that many Mixteco migrants are from.\u003c/p>\n\u003cp>\u003cstrong>Barriers Remain\u003c/strong>\u003c/p>\n\u003cp>Not everyone trilingual can make the switch from farm work, though, because there are only a few full-time jobs.\u003c/p>\n\u003cp>Instead, most hospitals rely on freelance part-time interpreters, who have a hard time making a living.\u003c/p>\n\u003cp>“They will have you for two or three hours, then you’re done for the whole day,” said Israel Vasquez, a trilingual interpreter. “You can’t really live off that.” He eventually quit because he couldn’t get enough hours.\u003c/p>\n\u003cp>“Making a living specifically in health care interpreting right now is not really going to happen,” said Don Schinske, executive director of the California Healthcare Interpreting Association.\u003c/p>\n\u003cp>Part of the problem, Schinske said, is that even though federal law requires hospitals to provide interpreters, there is not a direct federal funding stream to pay for those services.\u003c/p>\n\u003cp>“You get a lot of this sentiment from hospitals: ‘Look, we’re trying to get people services in their language, but it is a nicety, not a necessity,’ ” said Schinske.\u003c/p>\n\u003cp>The indigenous interpretation programs at Natividad Medical Center are funded by private donations from agricultural businesses in the area, who have contributed $1.7 million since 2010.\u003c/p>\n\u003cp>Meanwhile, \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201520160AB635\" target=\"_blank\">a bill \u003c/a>that would make it easier for hospitals to get federal money for medical interpreters has stalled in the California Legislature.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/225965640&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/225965640'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Wasted Resource\u003c/strong>\u003c/p>\n\u003cp>Farmworker Angelina Diaz-Ramirez returned home after her surgery with a new pacemaker ticking in her chest -- and a stack of printed instructions that she couldn’t read.\u003c/p>\n\u003cp>“I didn’t know what to do,\" she said, through an interpreter. \"I had strong pain. Should I call them back?”\u003c/p>\n\u003cp>Diaz-Ramirez didn’t know who her cardiologist was, how to get an appointment or which medications to take. It's just the kind of confusion that a trained medical interpreter can prevent.\u003c/p>\n\u003cp>\"I just felt very sad,\" she said.\u003c/p>\n\u003cp>Every week, indigenous people with these same questions visit Leoncio Vasquez, the interpreter trainer in Fresno.\u003c/p>\n\u003cp>He looks through their paperwork, pieces together a backstory, and helps them figure out what to do next -- something that should have happened at the hospital or clinic, with one of the dozens of interpreters Vasquez has already trained.\u003c/p>\n\u003cp>But those interpreters “can’t find jobs related to interpreting,” said Vasquez. What do they do instead? “Some go back to the fields to do farm work.”\u003c/p>\n\u003cp>To Vasquez, it's a waste. He says that until more hospitals recognize these immigrants’ valuable language skills, trained interpreters will stay in the fields, picking strawberries.\u003c/p>\n\u003cp>\u003cem>This piece was produced with support from the Institute for Justice and Journalism.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ci>California has the seventh-largest economy in the world, and immigrants have a long history in building that prosperity. Today one out of every three working people in California is an immigrant — a share that has grown in recent decades. Our state is shaped by these workers and entrepreneurs — 6 million people who’ve found a job in the Golden State. In our series “\u003ca href=\"http://ww2.kqed.org/news/series/california-immigrants-at-work\">Immigrant Shift\u003c/a>,” KQED and The California Report explore the impact they have, the challenges they face and the policies that affect them.\u003c/i>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/83818/need-a-medical-interpreter-try-looking-in-californias-strawberry-fields","authors":["230"],"categories":["stateofhealth_11"],"tags":["stateofhealth_280","stateofhealth_249","stateofhealth_407","stateofhealth_325","stateofhealth_53","stateofhealth_2519","stateofhealth_251"],"featImg":"stateofhealth_83922","label":"stateofhealth"},"stateofhealth_59811":{"type":"posts","id":"stateofhealth_59811","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"59811","score":null,"sort":[1439243955000]},"guestAuthors":[],"slug":"for-latinos-medi-cal-offers-insurance-but-few-doctors","title":"For Latinos, Medi-Cal Offers Insurance, But Few Doctors","publishDate":1439243955,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>SACRAMENTO, Calif. (AP) -- Miriam Uribe enrolled in Medi-Cal, California's low-income health insurance program, last November. But 10 months later, she still hasn't found a primary care doctor who can see her.\u003c/p>\n\u003cp>\"Once you have (insurance), you actually still don't have it because it's still a struggle to find someone,\" the 20-year-old college student from Bellflower said.\u003c/p>\n\u003cp>Uribe isn't alone. Even though Latinos make up nearly half of California's 12.5 million Medi-Cal enrollees, \u003ca href=\"http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/M/PDF%20MediCalAccessComparedUCLA.pdf\" target=\"_blank\">a report \u003c/a>by the independent California HealthCare Foundation found that 36 percent of the Spanish-speaking Medi-Cal population has been told that a physician won't take them, compared to 7 percent of the overall Medi-Cal population. Even those who speak both English and Spanish reported similar difficulty accessing doctors.\u003c/p>\n\u003cp>\"The numbers are very, very shocking,\" said Sarah de Guia, executive director of the California Pan-Ethnic Health Network, a multicultural health advocacy group.\u003c/p>\n\u003cp>De Guia said the study doesn't explain why Latinos — whether they speak English or Spanish — are being turned away at higher rates, but public policy officials say the biggest obstacle is finding doctors who are willing to take the lower payments offered by Medi-Cal. Language barriers also play a role.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The study, which compared people on Medi-Cal to those with employer-sponsored health insurance, found Latinos and Asian-Americans reported the highest rate of needing language assistance to understand their doctor. Specifically, 28 percent of Asian-Americans said their doctor does not listen carefully, compared to 15 percent of all Medi-Cal enrollees.\u003c/p>\n\u003cp>Shana Alex Charles, a research scientist at the UCLA Center for Health Policy Research who helped conduct the study, said there may not be enough providers who speak Spanish — or there could be an overall shortage of providers in communities of color.\u003c/p>\n\u003cp>Miriam Lagos, 53, a recent Medi-Cal enrollee who lives in Sherman Oaks, said she was told she has to wait a year just to see a specialist for hearing trouble in her right ear.\u003c/p>\n\u003cp>\"We are not well-regarded by the doctors. They don't want to see us,\" Lagos said in an interview in Spanish.\u003c/p>\n\u003cp>Medi-Cal, which is California's version of Medicaid, has grown rapidly in recent years as the state embraced an optional expansion under the Affordable Care Act. That surge has already led to widespread complaints about delays in patients being able to see doctors, specialists and dentists.\u003c/p>\n\u003cp>[contextly_sidebar id=\"KAFIl6XdCpNjavq1j56T3GJSiyALel8g\"]Doctors and hospitals say the state pays much less for medical services than private insurance or Medicare, which means fewer primary care doctors and specialists are willing to treat Medi-Cal patients. Lawmakers have convened a special legislative session to discuss increasing provider payments but there is no agreement yet on how to pay for them.\u003c/p>\n\u003cp>California's regulators says the state is committed to giving Medi-Cal recipients full and equal access to health care. The Department of Health Care Services says it works with health plans to monitor and reduce disparities in health care, and Medi-Cal provides materials and offers hotline assistance in 13 spoken and 12 written languages.\u003c/p>\n\u003cp>The California Medical Association, which represents the state's doctors, encourages its members to be sensitive to language and cultural differences as millions more residents gain access to health care, said spokeswoman Molly Weedn. The group is part of a coalition pushing for higher Medi-Cal provider payments and supports a bill by Assembly Speaker Toni Atkins, D-San Diego, seeking federal funding for medical interpreters in Medi-Cal.\u003c/p>\n\u003cp>The industry could also do more to train a more diverse medical and clinical workforce, said Xavier Morales, executive director of the Latino Coalition for A Healthy California. A 2014 review by the California HealthCare Foundation found Latinos are \u003ca href=\"http://www.chcf.org/publications/2014/03/california-physicians\" target=\"_blank\">underrepresented in the physician workforce\u003c/a>: 38 percent of the state's population is Latino but only 4 percent of physicians were Latino.\u003c/p>\n\u003cp>\"When you look at graduates from medical schools, they don't really match the population,\" Morales said.\u003c/p>\n\u003cp>Andrea Castillo, 21, a Medi-Cal recipient from McFarland, said it would be nice to see more Latino doctors. Growing up the oldest daughter of farm laborers, Castillo recalls driving long distances to translate for relatives at the doctor's office.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"You don't often see a provider who looks like you, who understands you,\" Castillo said.\u003c/p>\n\n","blocks":[],"excerpt":"36 percent of the Spanish-speaking Medi-Cal population has been told that a physician won't take them, compared to 7 percent of the overall Medi-Cal population. ","status":"publish","parent":0,"modified":1439251450,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":737},"headData":{"title":"For Latinos, Medi-Cal Offers Insurance, But Few Doctors | KQED","description":"36 percent of the Spanish-speaking Medi-Cal population has been told that a physician won't take them, compared to 7 percent of the overall Medi-Cal population. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"For Latinos, Medi-Cal Offers Insurance, But Few Doctors","datePublished":"2015-08-10T21:59:15.000Z","dateModified":"2015-08-11T00:04:10.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"59811 http://ww2.kqed.org/stateofhealth/?p=59811","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/08/10/for-latinos-medi-cal-offers-insurance-but-few-doctors/","disqusTitle":"For Latinos, Medi-Cal Offers Insurance, But Few Doctors","nprByline":"Judy Lin","path":"/stateofhealth/59811/for-latinos-medi-cal-offers-insurance-but-few-doctors","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>SACRAMENTO, Calif. (AP) -- Miriam Uribe enrolled in Medi-Cal, California's low-income health insurance program, last November. But 10 months later, she still hasn't found a primary care doctor who can see her.\u003c/p>\n\u003cp>\"Once you have (insurance), you actually still don't have it because it's still a struggle to find someone,\" the 20-year-old college student from Bellflower said.\u003c/p>\n\u003cp>Uribe isn't alone. Even though Latinos make up nearly half of California's 12.5 million Medi-Cal enrollees, \u003ca href=\"http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/M/PDF%20MediCalAccessComparedUCLA.pdf\" target=\"_blank\">a report \u003c/a>by the independent California HealthCare Foundation found that 36 percent of the Spanish-speaking Medi-Cal population has been told that a physician won't take them, compared to 7 percent of the overall Medi-Cal population. Even those who speak both English and Spanish reported similar difficulty accessing doctors.\u003c/p>\n\u003cp>\"The numbers are very, very shocking,\" said Sarah de Guia, executive director of the California Pan-Ethnic Health Network, a multicultural health advocacy group.\u003c/p>\n\u003cp>De Guia said the study doesn't explain why Latinos — whether they speak English or Spanish — are being turned away at higher rates, but public policy officials say the biggest obstacle is finding doctors who are willing to take the lower payments offered by Medi-Cal. Language barriers also play a role.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The study, which compared people on Medi-Cal to those with employer-sponsored health insurance, found Latinos and Asian-Americans reported the highest rate of needing language assistance to understand their doctor. Specifically, 28 percent of Asian-Americans said their doctor does not listen carefully, compared to 15 percent of all Medi-Cal enrollees.\u003c/p>\n\u003cp>Shana Alex Charles, a research scientist at the UCLA Center for Health Policy Research who helped conduct the study, said there may not be enough providers who speak Spanish — or there could be an overall shortage of providers in communities of color.\u003c/p>\n\u003cp>Miriam Lagos, 53, a recent Medi-Cal enrollee who lives in Sherman Oaks, said she was told she has to wait a year just to see a specialist for hearing trouble in her right ear.\u003c/p>\n\u003cp>\"We are not well-regarded by the doctors. They don't want to see us,\" Lagos said in an interview in Spanish.\u003c/p>\n\u003cp>Medi-Cal, which is California's version of Medicaid, has grown rapidly in recent years as the state embraced an optional expansion under the Affordable Care Act. That surge has already led to widespread complaints about delays in patients being able to see doctors, specialists and dentists.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Doctors and hospitals say the state pays much less for medical services than private insurance or Medicare, which means fewer primary care doctors and specialists are willing to treat Medi-Cal patients. Lawmakers have convened a special legislative session to discuss increasing provider payments but there is no agreement yet on how to pay for them.\u003c/p>\n\u003cp>California's regulators says the state is committed to giving Medi-Cal recipients full and equal access to health care. The Department of Health Care Services says it works with health plans to monitor and reduce disparities in health care, and Medi-Cal provides materials and offers hotline assistance in 13 spoken and 12 written languages.\u003c/p>\n\u003cp>The California Medical Association, which represents the state's doctors, encourages its members to be sensitive to language and cultural differences as millions more residents gain access to health care, said spokeswoman Molly Weedn. The group is part of a coalition pushing for higher Medi-Cal provider payments and supports a bill by Assembly Speaker Toni Atkins, D-San Diego, seeking federal funding for medical interpreters in Medi-Cal.\u003c/p>\n\u003cp>The industry could also do more to train a more diverse medical and clinical workforce, said Xavier Morales, executive director of the Latino Coalition for A Healthy California. A 2014 review by the California HealthCare Foundation found Latinos are \u003ca href=\"http://www.chcf.org/publications/2014/03/california-physicians\" target=\"_blank\">underrepresented in the physician workforce\u003c/a>: 38 percent of the state's population is Latino but only 4 percent of physicians were Latino.\u003c/p>\n\u003cp>\"When you look at graduates from medical schools, they don't really match the population,\" Morales said.\u003c/p>\n\u003cp>Andrea Castillo, 21, a Medi-Cal recipient from McFarland, said it would be nice to see more Latino doctors. Growing up the oldest daughter of farm laborers, Castillo recalls driving long distances to translate for relatives at the doctor's office.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"You don't often see a provider who looks like you, who understands you,\" Castillo said.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/59811/for-latinos-medi-cal-offers-insurance-but-few-doctors","authors":["byline_stateofhealth_59811"],"categories":["stateofhealth_11","stateofhealth_2442"],"tags":["stateofhealth_249","stateofhealth_325","stateofhealth_99"],"featImg":"stateofhealth_59839","label":"stateofhealth"},"stateofhealth_23054":{"type":"posts","id":"stateofhealth_23054","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"23054","score":null,"sort":[1418889792000]},"guestAuthors":[],"slug":"whooping-cough-infections-unusually-high-among-latino-babies","title":"Whooping Cough Infections Unusually High Among Latino Babies","publishDate":1418889792,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_23074\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"https://www.flickr.com/photos/worldbank/6358613209/in/photolist-aFTybe-9RUyFY-7Cwfbd-9kHVqA-9kERNV-9kHVoY-9kERPv-9kHVos-9kHVr9-9kHVtU-6FwV1P-6FB1HW-6FB1Zu-6FB2hj-fascRr-4RyPa4-8fgBCW-fasfXX-LfUf1-jtAnM8-6wGNPi-4RyMov-daAp25-Biunh-8U7Hrn-daAmXF-daAo6V-9HToam-9HTo1Y-9pj6J1-6vHWT9-9AL5wb-9AHaSX-9AHaPH-9AL5vd-9AL5CS-9AHaSa-9AHb7R-9AL5Hy-9AL5sW-9AL5u5-9pj69q-9pj6Ws-9pg3Lc-9pg3rT-9pj6rW-8Uawwf-4hyLna-gXRZmR-gXS3P1\">\u003cimg class=\"size-large wp-image-23074\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/6358613209_ee1a0662ef_o2-640x440.jpg\" alt=\"Babies get their first whooping cough vaccine at 2 months. (Kenneth Pornillos/World Bank via Flickr)\" width=\"640\" height=\"440\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Babies get their first whooping cough vaccine at 2 months. (Kenneth Pornillos/World Bank via Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By April Dembosky\u003c/strong>\u003c/p>\n\u003cp>Public health officials are trying to understand why Latino babies are contracting whooping cough at much higher rates than other babies.\u003c/p>\n\u003cp>California is battling the worst whooping cough epidemic in 70 years. Nearly 10,000 cases have been reported in the state \u003ca title=\"Pertussis Report\" href=\"http://www.cdph.ca.gov/programs/immunize/Documents/Pertussis_report11-26-2014.pdf\" target=\"_blank\">so far this year\u003c/a>, and babies are especially prone to hospitalization or even death.\u003c/p>\n\u003cp>Six out of 10 infants who have become ill during the current outbreak are Latino. Evidence explaining this is inconclusive, but experts have a few theories that range from a lack of Spanish language outreach to Latino cultural practices.\u003c!--more-->\u003c/p>\n\u003cp>“Hispanics have larger household sizes and there may be cultural practices around visiting new infants that increase the number of contacts,” says Dr. Gil Chavez, deputy director of California’s department of public health.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Babies cannot get their first dose of the vaccine until they are two months old. Some adults may be infected and not know it. The more siblings and extended family members that babies live or visit with, the more exposure they may have to whooping cough.\u003c/p>\n\u003cp>\"Aunts, uncles, grandparents who may not have had a booster shot. They may be passing it on that way,\" says Michael Rodriguez, a family physician at UCLA.\u003c/p>\n\u003cp>However, he points out that several other ethnic groups have large family sizes or live together because financial resources are limited. These factors alone cannot explain why Latino babies are disproportionately impacted.\u003c/p>\n\u003cp>“It really speaks to the lack of access to health insurance that’s particularly predominant within the Latino community,” says Sarah de Guia, executive director of the California Pan-Ethnic Health Network, an advocacy group.\u003c/p>\n\u003cp>Latinos make up 62 percent of the uninsured, she says, either because they cannot afford to pay for health insurance, or because they are afraid that signing up for coverage will expose family members who are not lawfully present in the U.S. Many undocumented parents are afraid they will be discovered and deported if they enroll their children, who are legal immigrants or citizens, into government coverage, like Medi-Cal.\u003c/p>\n\u003cp>“That’s the primary reason why people are not getting the preventive care that they need,” she says –- like whooping cough vaccinations. “And then that impacts everyone.”\u003c/p>\n\u003cp>Public health officials attribute the ongoing epidemic to several factors.\u003c/p>\n\u003cp>Whooping cough is cyclical in nature and tends to peak every three to five years. The last outbreak of the disease in California was in 2010.\u003c/p>\n\u003cp>But doctors are discovering that immunity from the \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/02/10/whooping-cough-vaccine-does-its-effectiveness-wear-off-faster/#more-17595\" href=\"http://ww2.kqed.org/stateofhealth/2014/02/10/whooping-cough-vaccine-does-its-effectiveness-wear-off-faster/#more-17595\" target=\"_blank\">current vaccine may be wearing off\u003c/a> on a similar timeline. Medical recommendations suggest booster shots after eight years, but doctors are seeing kids who received a booster three years ago getting sick. Public health officials are currently considering an update to the recommendations to account for the dip in immunity after three years.\u003c/p>\n\u003cp>Compounding the problem of the vaccine is the fact that many kids in some areas are not getting vaccinated at all. The highest rates of whooping cough are found in the Bay Area counties of Sonoma, Napa, and Marin, which also have some of the highest rates of parents who opt-out of vaccinating their children.\u003c/p>\n\u003cp>Doctors believe these kids are the root of the current and recent epidemics.\u003c/p>\n\u003cp>“We had a lot of unvaccinated children that acted as the kindling to start an outbreak,” said Dr. Paul Katz, a pediatrician at Kaiser Permanente in San Rafael. “Those children were able to infect all the other children who were vaccinated but were too early for a booster –- they became the rest of the wood to start the fire.”\u003c/p>\n\u003cp>All of these factors combine to put babies at risk, especially babies who are not old enough to be vaccinated.\u003c/p>\n\u003cp>And if Latino children and adults do not have health coverage, they are less likely to be visiting the doctor regularly and getting their booster shots, says Rodriguez.\u003c/p>\n\u003cp>California's public health department has done some outreach to encourage pregnant women to get vaccinated in the third trimester, in order to pass immunity on to the fetus. But little outreach has been done in Spanish, and most materials are distributed directly to doctors’ offices –- materials Latinos won't see if they don't have insurance and aren't going to the doctor.\u003c/p>\n\u003cp>Advocate Sarah de Guia says more work needs to be done so pregnant women –- and adults -– in Latino communities know they need to renew their vaccinations.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“It’s important for public officials to provide culturally and linguistically appropriate outreach to make sure people are getting the message in their language, and in a way they will understand,” she says.\u003c/p>\n\n","blocks":[],"excerpt":"Six out of 10 infants who have become ill during the current whooping cough epidemic are Latino.","status":"publish","parent":0,"modified":1418930932,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":809},"headData":{"title":"Whooping Cough Infections Unusually High Among Latino Babies | KQED","description":"Six out of 10 infants who have become ill during the current whooping cough epidemic are Latino.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Whooping Cough Infections Unusually High Among Latino Babies","datePublished":"2014-12-18T08:03:12.000Z","dateModified":"2014-12-18T19:28:52.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"23054 http://blogs.kqed.org/stateofhealth/?p=23054","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/12/18/whooping-cough-infections-unusually-high-among-latino-babies/","disqusTitle":"Whooping Cough Infections Unusually High Among Latino Babies","path":"/stateofhealth/23054/whooping-cough-infections-unusually-high-among-latino-babies","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_23074\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"https://www.flickr.com/photos/worldbank/6358613209/in/photolist-aFTybe-9RUyFY-7Cwfbd-9kHVqA-9kERNV-9kHVoY-9kERPv-9kHVos-9kHVr9-9kHVtU-6FwV1P-6FB1HW-6FB1Zu-6FB2hj-fascRr-4RyPa4-8fgBCW-fasfXX-LfUf1-jtAnM8-6wGNPi-4RyMov-daAp25-Biunh-8U7Hrn-daAmXF-daAo6V-9HToam-9HTo1Y-9pj6J1-6vHWT9-9AL5wb-9AHaSX-9AHaPH-9AL5vd-9AL5CS-9AHaSa-9AHb7R-9AL5Hy-9AL5sW-9AL5u5-9pj69q-9pj6Ws-9pg3Lc-9pg3rT-9pj6rW-8Uawwf-4hyLna-gXRZmR-gXS3P1\">\u003cimg class=\"size-large wp-image-23074\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/6358613209_ee1a0662ef_o2-640x440.jpg\" alt=\"Babies get their first whooping cough vaccine at 2 months. (Kenneth Pornillos/World Bank via Flickr)\" width=\"640\" height=\"440\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Babies get their first whooping cough vaccine at 2 months. (Kenneth Pornillos/World Bank via Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By April Dembosky\u003c/strong>\u003c/p>\n\u003cp>Public health officials are trying to understand why Latino babies are contracting whooping cough at much higher rates than other babies.\u003c/p>\n\u003cp>California is battling the worst whooping cough epidemic in 70 years. Nearly 10,000 cases have been reported in the state \u003ca title=\"Pertussis Report\" href=\"http://www.cdph.ca.gov/programs/immunize/Documents/Pertussis_report11-26-2014.pdf\" target=\"_blank\">so far this year\u003c/a>, and babies are especially prone to hospitalization or even death.\u003c/p>\n\u003cp>Six out of 10 infants who have become ill during the current outbreak are Latino. Evidence explaining this is inconclusive, but experts have a few theories that range from a lack of Spanish language outreach to Latino cultural practices.\u003c!--more-->\u003c/p>\n\u003cp>“Hispanics have larger household sizes and there may be cultural practices around visiting new infants that increase the number of contacts,” says Dr. Gil Chavez, deputy director of California’s department of public health.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Babies cannot get their first dose of the vaccine until they are two months old. Some adults may be infected and not know it. The more siblings and extended family members that babies live or visit with, the more exposure they may have to whooping cough.\u003c/p>\n\u003cp>\"Aunts, uncles, grandparents who may not have had a booster shot. They may be passing it on that way,\" says Michael Rodriguez, a family physician at UCLA.\u003c/p>\n\u003cp>However, he points out that several other ethnic groups have large family sizes or live together because financial resources are limited. These factors alone cannot explain why Latino babies are disproportionately impacted.\u003c/p>\n\u003cp>“It really speaks to the lack of access to health insurance that’s particularly predominant within the Latino community,” says Sarah de Guia, executive director of the California Pan-Ethnic Health Network, an advocacy group.\u003c/p>\n\u003cp>Latinos make up 62 percent of the uninsured, she says, either because they cannot afford to pay for health insurance, or because they are afraid that signing up for coverage will expose family members who are not lawfully present in the U.S. Many undocumented parents are afraid they will be discovered and deported if they enroll their children, who are legal immigrants or citizens, into government coverage, like Medi-Cal.\u003c/p>\n\u003cp>“That’s the primary reason why people are not getting the preventive care that they need,” she says –- like whooping cough vaccinations. “And then that impacts everyone.”\u003c/p>\n\u003cp>Public health officials attribute the ongoing epidemic to several factors.\u003c/p>\n\u003cp>Whooping cough is cyclical in nature and tends to peak every three to five years. The last outbreak of the disease in California was in 2010.\u003c/p>\n\u003cp>But doctors are discovering that immunity from the \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/02/10/whooping-cough-vaccine-does-its-effectiveness-wear-off-faster/#more-17595\" href=\"http://ww2.kqed.org/stateofhealth/2014/02/10/whooping-cough-vaccine-does-its-effectiveness-wear-off-faster/#more-17595\" target=\"_blank\">current vaccine may be wearing off\u003c/a> on a similar timeline. Medical recommendations suggest booster shots after eight years, but doctors are seeing kids who received a booster three years ago getting sick. Public health officials are currently considering an update to the recommendations to account for the dip in immunity after three years.\u003c/p>\n\u003cp>Compounding the problem of the vaccine is the fact that many kids in some areas are not getting vaccinated at all. The highest rates of whooping cough are found in the Bay Area counties of Sonoma, Napa, and Marin, which also have some of the highest rates of parents who opt-out of vaccinating their children.\u003c/p>\n\u003cp>Doctors believe these kids are the root of the current and recent epidemics.\u003c/p>\n\u003cp>“We had a lot of unvaccinated children that acted as the kindling to start an outbreak,” said Dr. Paul Katz, a pediatrician at Kaiser Permanente in San Rafael. “Those children were able to infect all the other children who were vaccinated but were too early for a booster –- they became the rest of the wood to start the fire.”\u003c/p>\n\u003cp>All of these factors combine to put babies at risk, especially babies who are not old enough to be vaccinated.\u003c/p>\n\u003cp>And if Latino children and adults do not have health coverage, they are less likely to be visiting the doctor regularly and getting their booster shots, says Rodriguez.\u003c/p>\n\u003cp>California's public health department has done some outreach to encourage pregnant women to get vaccinated in the third trimester, in order to pass immunity on to the fetus. But little outreach has been done in Spanish, and most materials are distributed directly to doctors’ offices –- materials Latinos won't see if they don't have insurance and aren't going to the doctor.\u003c/p>\n\u003cp>Advocate Sarah de Guia says more work needs to be done so pregnant women –- and adults -– in Latino communities know they need to renew their vaccinations.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“It’s important for public officials to provide culturally and linguistically appropriate outreach to make sure people are getting the message in their language, and in a way they will understand,” she says.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/23054/whooping-cough-infections-unusually-high-among-latino-babies","authors":["8344"],"categories":["stateofhealth_11"],"tags":["stateofhealth_325","stateofhealth_725","stateofhealth_152"],"featImg":"stateofhealth_23074","label":"stateofhealth"},"stateofhealth_22145":{"type":"posts","id":"stateofhealth_22145","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"22145","score":null,"sort":[1413922616000]},"guestAuthors":[],"slug":"portrait-of-health-well-being-in-californias-latino-children","title":"Portrait of Health, Well-Being in California's Latino Children","publishDate":1413922616,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_22150\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"https://www.flickr.com/photos/kkseema/2042946052/sizes/o/\">\u003cimg class=\"size-large wp-image-22150\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/2042946052_a22ba72884_o1-640x426.jpg\" alt=\"(Seema Krishnakumar/Flickr)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Seema Krishnakumar/Flickr) \u003ccite>(Seema Krishnakumar via Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Just over half of all children in California are Latino -- that's more than 4.7 million kids under age 18. In a \u003ca title=\"http://www.kidsdata.org/blog/?p=7110\" href=\"http://www.kidsdata.org/blog/?p=7110\" target=\"_blank\">major new analysis\u003c/a>, researchers found a diverse picture of their health and well-being, not just when compared against white children, but also within the Latino population itself.\u003c/p>\n\u003cp>More than 94 percent of California's Latino children were born in the U.S., and most of them were born in California.\u003c/p>\n\u003cp>Fewer Latino children overall achieve a minimum standard of basic health care or family and community environment when compared against white children, and children in households where Spanish is spoken at home have even lower rates.\u003c!--more-->\u003c/p>\n\u003cp>Still, most parents of these children report that their children are in \"good\" or \"excellent\" health.\u003c/p>\n\u003cp>The study was commissioned by the Lucile Packard Foundation for Children's Health in Palo Alto and was conducted by the \u003ca title=\"http://www.cahmi.org\" href=\"http://www.cahmi.org\" target=\"_blank\">Child and Adolescent Health Measurement Initiative\u003c/a> based at Johns Hopkins University.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Researchers found that about a fourth of Spanish-speaking households are considered \"linguistically isolated,\" meaning no one in the household who is 14 or older speaks English well.\u003c/p>\n\u003cp>Other findings:\u003c/p>\n\u003cul>\n\u003cli>370,000 Latino children in California do not have health insurance, even though they are eligible for government programs such as Medi-Cal, the state's health insurance program for people who are low income.\u003c/li>\n\u003cli>Nearly a third (30 percent) of Latino children living in a primarily Spanish-speaking home lives in a working poor household, where parents work full time, but earn less than 100 percent of the federal poverty level.\u003c/li>\n\u003cli>58 percent of children in primarily Spanish-speaking homes use a community clinic or hospital or a government clinic as their usual source of health care, significantly higher than white children do (15 percent) off Latino children in primarily English-speaking families (18 percent).\u003c/li>\n\u003cli>While nearly all Latino children were born in the U.S., nearly half (46 percent) of their mothers were born outside of the U.S.\u003c/li>\n\u003c/ul>\n\u003cp>The researchers said their California findings were consistent with a recent \u003ca title=\"http://www.childtrends.org/?publications=americas-hispanic-children-gaining-ground-looking-forward\" href=\"http://www.childtrends.org/?publications=americas-hispanic-children-gaining-ground-looking-forward\" target=\"_blank\">national study \u003c/a>of Latino children, which also found lower rates of health insurance as well as health disparities.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>To address disparities, the researchers recommended the following policies:\u003c/p>\n\u003cul>\n\u003cli>Improved access to and quality of health care\u003c/li>\n\u003cli>Improved early childhood education for every Latino child \"as a pathway to school readiness.\"\u003c/li>\n\u003c/ul>\n\n","blocks":[],"excerpt":"370,000 Latino children in California lack health insurance, despite being eligible for government programs. ","status":"publish","parent":0,"modified":1414089622,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":11,"wordCount":399},"headData":{"title":"Portrait of Health, Well-Being in California's Latino Children | KQED","description":"370,000 Latino children in California lack health insurance, despite being eligible for government programs. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Portrait of Health, Well-Being in California's Latino Children","datePublished":"2014-10-21T20:16:56.000Z","dateModified":"2014-10-23T18:40:22.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"22145 http://blogs.kqed.org/stateofhealth/?p=22145","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/10/21/portrait-of-health-well-being-in-californias-latino-children/","disqusTitle":"Portrait of Health, Well-Being in California's Latino Children","path":"/stateofhealth/22145/portrait-of-health-well-being-in-californias-latino-children","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_22150\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"https://www.flickr.com/photos/kkseema/2042946052/sizes/o/\">\u003cimg class=\"size-large wp-image-22150\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/2042946052_a22ba72884_o1-640x426.jpg\" alt=\"(Seema Krishnakumar/Flickr)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Seema Krishnakumar/Flickr) \u003ccite>(Seema Krishnakumar via Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Just over half of all children in California are Latino -- that's more than 4.7 million kids under age 18. In a \u003ca title=\"http://www.kidsdata.org/blog/?p=7110\" href=\"http://www.kidsdata.org/blog/?p=7110\" target=\"_blank\">major new analysis\u003c/a>, researchers found a diverse picture of their health and well-being, not just when compared against white children, but also within the Latino population itself.\u003c/p>\n\u003cp>More than 94 percent of California's Latino children were born in the U.S., and most of them were born in California.\u003c/p>\n\u003cp>Fewer Latino children overall achieve a minimum standard of basic health care or family and community environment when compared against white children, and children in households where Spanish is spoken at home have even lower rates.\u003c!--more-->\u003c/p>\n\u003cp>Still, most parents of these children report that their children are in \"good\" or \"excellent\" health.\u003c/p>\n\u003cp>The study was commissioned by the Lucile Packard Foundation for Children's Health in Palo Alto and was conducted by the \u003ca title=\"http://www.cahmi.org\" href=\"http://www.cahmi.org\" target=\"_blank\">Child and Adolescent Health Measurement Initiative\u003c/a> based at Johns Hopkins University.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Researchers found that about a fourth of Spanish-speaking households are considered \"linguistically isolated,\" meaning no one in the household who is 14 or older speaks English well.\u003c/p>\n\u003cp>Other findings:\u003c/p>\n\u003cul>\n\u003cli>370,000 Latino children in California do not have health insurance, even though they are eligible for government programs such as Medi-Cal, the state's health insurance program for people who are low income.\u003c/li>\n\u003cli>Nearly a third (30 percent) of Latino children living in a primarily Spanish-speaking home lives in a working poor household, where parents work full time, but earn less than 100 percent of the federal poverty level.\u003c/li>\n\u003cli>58 percent of children in primarily Spanish-speaking homes use a community clinic or hospital or a government clinic as their usual source of health care, significantly higher than white children do (15 percent) off Latino children in primarily English-speaking families (18 percent).\u003c/li>\n\u003cli>While nearly all Latino children were born in the U.S., nearly half (46 percent) of their mothers were born outside of the U.S.\u003c/li>\n\u003c/ul>\n\u003cp>The researchers said their California findings were consistent with a recent \u003ca title=\"http://www.childtrends.org/?publications=americas-hispanic-children-gaining-ground-looking-forward\" href=\"http://www.childtrends.org/?publications=americas-hispanic-children-gaining-ground-looking-forward\" target=\"_blank\">national study \u003c/a>of Latino children, which also found lower rates of health insurance as well as health disparities.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>To address disparities, the researchers recommended the following policies:\u003c/p>\n\u003cul>\n\u003cli>Improved access to and quality of health care\u003c/li>\n\u003cli>Improved early childhood education for every Latino child \"as a pathway to school readiness.\"\u003c/li>\n\u003c/ul>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/22145/portrait-of-health-well-being-in-californias-latino-children","authors":["240"],"categories":["stateofhealth_11","stateofhealth_14"],"tags":["stateofhealth_96","stateofhealth_325"],"featImg":"stateofhealth_22150","label":"stateofhealth"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. 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