Latino elders reframing familismo: implications for health and caregiving support.

Abstract: This study explores Latino elders' perceptions of familismo and the extent to which a familistic orientation translates into health support. Latinos have traditionally been portrayed as adhering to a familistic orientation with the presumption of duty and obligation to care or aging parents. Latino elders participated in focus groups that became the basis of this study. These elders shared ways they are reframing the familismo construct. Despite a greater need for support, elders reported infrequent contact with family. In the absence of family, family boundaries have been extended, so that others become "like family to me. The findings call into question the present state of familismo and the presumption that the Latino family is able to care for its own.

Health care-seeking among Latino immigrants: blocked access, use of traditional medicine, and the role of religion.

Barriers to health care and use of cultural alternatives are studied from open-ended interviews of 96 Latino immigrants, 12 hometown association leaders, and five pastors and health outreach workers. Frequently mentioned barriers to approaching hospitals and clinics included problems in communication, establishing financial eligibility, and extremely long waits for service. We found frequent use of cultural alternatives, such as herbal medications, obtaining care from Mexican doctors, and some use of traditional healers. The role of religiosity is studied: prayer is viewed as fundamental to health, but the church is not perceived as an aid in physical health-seeking. Health care for Latino immigrants often involves a blend of mainstream and traditional medicine; the study discusses examples of respondents who navigate between the two systems within the interplay of culture and structure.