Latino outlook: good health, uncertain prognosis.

Abstract

This article presents a profile of the health status of Hispanic (Latino) populations in the United States. The review is issue oriented and identifies those factors that have a continuing int1uence on Hispanic health. Hetero­ geneity is perhaps the most salient characteristic that defines Hispanic populations of the United States. Hispanic populations include native born, migrant, and immigrant peoples with distinctive national origins and regional settlement patterns (85). This multi-generational migratory and social ad­ justment process has produced important cultural variations within and among the respective Hispanic ethnic groups. Moreover, the demographic structure of Hispanic populations is also varied and complex (7). These historical, demographic, and sociocultural features shape the health and disease experience of Hispanics. Logically, respective Hispanic ethnic groups can be expected to vary in health status and to have differing needs for health services. This review provides a demographic comparison of Hispanic ethnic groups in the United States, an assessment of health status for the largest Hispanic groups, a brief summary of services utilization issues, and a discussion of health promotion and disease prevention. Framing the overall presentation is a controversial issue that deserves careful consideration. Historically, the absence of comprehensive epidemiologic information on Hispanic morbidity