Latino child health: need for inclusion in the US national discourse.
The "rediscovery" of poverty, as echoed in concepts of social inequality, has contributed to the goal of eliminating racial/ethnic and social class disparities in the United States. This commentary focuses on what we know about the pressing health care needs and issues relevant to Latino children and families and how extant knowledge can be linked to priority policy recommendations to ensure the inclusion of Latino health issues in the national discourse. A systematic review of the literature on Latino children and of expert opinion revealed 4 evidence-based themes focused on poverty: economic factors, family and community resources, health system factors, and pitfalls in Latino subgroup data collection. Consensus was found on 4 priority policy recommendations: (1) reduce poverty and increase access to health care coverage, (2) increase funding in targeted primary and preventive health care services, (3) provide funds needed to fully implement relevant health legislation, and (4) improve measurement and quality of data collection. If these recommendations are not instituted, the goals of Healthy People 2010 will not be achieved for the Latino population.
Zambrana
R E
RE
Department of Women's Studies, University of Maryland, College Park 20742, USA. rz23@umail.umd.edu
Logie
L A
LA
D002648:Child; D002662:Child Health Services / Q000458:organization & administration*; D003625:Data Collection; D019317:Evidence-Based Medicine; D005380:Financing, Government / Q000458:organization & administration; D006291:Health Policy / Q000331:legislation & jurisprudence; D006292:Health Priorities / Q000458:organization & administration*; D006297:Health Services Accessibility / Q000458:organization & administration*; D006305:Health Status Indicators; D006630:Hispanic or Latino; D006801:Humans; D020380:Needs Assessment / Q000458:organization & administration*; D011203:Poverty / Q000208:ethnology* / Q000517:prevention & control* / Q000706:statistics & numerical data; D011314:Preventive Health Services / Q000458:organization & administration; D011320:Primary Health Care / Q000458:organization & administration; D014481:United States