State of Connecticut

Total Page:16

File Type:pdf, Size:1020Kb

State of Connecticut State of Connecticut Comprehensive Jurisdictional Plan for HIV Care and Prevention 2012-2015 June 8, 2012 State of Connecticut / Page 2 Table of Contents Acknowledgements ............................................................................................................... 4 Executive Summary ............................................................................................................... 6 The Connecticut HIV Planning Consortium (CHPC) ............................................................... 15 Section I: Where are we now? ......................................................................................... 20 A. Description of local HIV/AIDS epidemic ........................................................................ 20 1. Epidemiological profile (Calendar Year 2010) .............................................................. 29 2. Unmet Need Estimate (2010) ....................................................................................... 31 3. EIIHA/Unaware Estimate (2009) ................................................................................... 32 B. Current continuum of care and prevention .................................................................. 32 1. Ryan White funded HIV care service inventory ............................................................ 37 2. Non-Ryan White funded – HIV care and prevention service inventory ........................ 46 3. Interaction between Ryan White-funded and non-Ryan White-funded services ......... 47 4. Impact of budget cuts ................................................................................................... 48 C. Description of need .................................................................................................... 48 1. Care and prevention needs ........................................................................................... 50 2. Capacity development needs: underserved communities and rural communities ...... 50 3. Gaps in care and prevention ......................................................................................... 52 D. Description of priorities for allocation of funds ......................................................... 53 1. Size and demographics of the population living with HIV/AIDS ................................... 53 2. Future scope of prevention services ............................................................................. 56 E. Description of barriers to care and prevention .......................................................... 59 1. Routine testing .............................................................................................................. 59 2. Program related barriers ............................................................................................... 60 3. Provider related barriers ............................................................................................... 60 4. Client related barriers ................................................................................................... 60 F. Evaluation of 2009 Comprehensive Plan .................................................................... 61 Section II: Where do we need to go? ..................................................................................65 A. Plan to meet 2009 challenges .................................................................................... 65 B. 2012 proposed care and prevention goals ................................................................. 74 C. Goals regarding Awares but not in care (unmet need) .............................................. 75 D. Goals regarding EIIHA (unaware) ............................................................................... 76 E. Proposed solutions to close the gaps in care ............................................................. 77 F. Proposed solutions for addressing overlaps in care ................................................... 78 G. Proposed coordinating efforts ................................................................................... 78 Connecticut Comprehensive Jurisdictional Plan for HIV Care and Prevention 2012 to 2015 State of Connecticut / Page 3 Table of Contents (continued) Section III: How will we get there? .....................................................................................82 A. Addressing closing gaps in care and prevention ........................................................ 82 B. Addressing the needs of individuals aware of their HIV status, but not in care ........ 83 C. Addressing the needs of individuals unaware of their HIV status ............................. 84 D. Addressing the needs of special populations ............................................................ 85 E. Activities to implement the proposed coordinating efforts ....................................... 87 F. How the Plan addresses healthy People 2020 ........................................................... 91 G. How the Plan reflects the Statewide Coordinated Statement of Need ..................... 92 H. How the Plan is coordinated with and adapts to the ACA ......................................... 93 I. How the Plan addresses the goals of NHAS ................................................................ 95 J. Response to unanticipated changes and budget cuts ................................................ 96 Section IV: Monitoring and Evaluation ...............................................................................97 A. Assessing Connecticut’s goals and challenges ........................................................... 97 1. Improved use of Ryan White client level data .............................................................. 108 2. Use of data in monitoring service utilization ................................................................ 109 3. Measurement of care and prevention outcomes ......................................................... 110 4. Future endeavors .......................................................................................................... 119 Appendices Statewide Coordinated Statement of Need Service Matrix Glossary of Terms CHPC Membership Diversity Chart Youth Advisory Group Magazine HIV Newsletter CHPC Meeting Dash Board Connecticut Comprehensive Jurisdictional Plan for HIV Care and Prevention 2012 to 2015 State of Connecticut / Page 4 Acknowledgements Connecticut’s 2012-2015 Comprehensive Jurisdictional Plan for HIV Care and Prevention represents a collaborative effort by various representatives of Ryan White Parts, the State of Connecticut Department of Public Health (DPH), the Connecticut HIV Planning Consortium (CHPC), State agencies, provider agencies, PLWHA, and public participants from across the Connecticut. These partners all share a profound commitment to ensuring that a comprehensive continuum of care and prevention exists for residents of Connecticut. We dedicate this plan to Janis Spurlock (1955 - 2011). Janis, a Health Program Supervisor in the HIV Prevention Unit at the Connecticut Department of Public Health, will forever be known as one of Connecticut’s leading champions of and ambassadors for reducing the spread and impact of HIV/AIDS. Peace be her journey. Department of Public Health Infectious Diseases Section Chris Andresen, Section Chief Barbara Mase, Health Program Supervisor, Part B Health Care and Support Services (HCSS) Unit Aaron Roome, Epidemiologist 4, Supervisor HIV/AIDS Surveillance Unit Rory Angulo, Epidemiologist 3, HIV Surveillance Unit Laura Aponte, Health Program Associate, HCSS Marianne Buchelli, Health Program Associate, HIV Prevention Unit Kenneth Carley, Epidemiologist 3, HIV/AIDS Surveillance Unit Gina D’Angelo, Health Program Associate, HIV Prevention Unit Deborah Gosselin, Nurse Consultant, HCSS Unit Dulce Dones Mendez, Health Program Associate, HIV Prevention Unit Michael Ostapoff, Health Program Associate, HCSS Unit Christine Romanik, Health Program Associate, HCSS Unit Ramon Rodriguez-Santana, Health Program Assistant II, HIV Prevention Unit David Wagner, Health Program Assistant 2, HIV Prevention Unit Consultant Cross Sector Consulting, LLP Connecticut Comprehensive Jurisdictional Plan for HIV Care and Prevention 2012 to 2015 State of Connecticut / Page 5 Connecticut HIV Planning Consortium (CHPC), 2012 * denotes leadership position *Paul Agogliati, Litchfield County (Membership and Awareness Committee Co-Chair Elect) Lorna Bocachica, Waterbury Hospital ID Clinic, New Haven County Tom Butcher, New Haven/Fairfield Ryan White Office, New Haven County Janier Caban-Hernandez, Greater Hartford AIDS Legal Network Jose Castillo-Caban Irma Colon, Hispanos Unidos, New Haven County Carmen Cruz, New Haven County Brian Datcher, Statewide Community Advisory Board, Fairfield County Richard Dumas, New Haven County Ann Galloway Johnson, Waterbury Health Department, New Haven County Blaise Gilchrist, CT Children’s Medical Center, Hartford County, Youth Advisory Group Miguel Gonzalez, Hartford Gay and Lesbian Health Collective Linda Guillorn, CT Department of Mental Health and Addiction Services, Statewide Michael Hawkins, New Haven County Rebecca Hopko, CT Department of Social Services Robert Houser, Southwest Community Health Center, Fairfield County Nancy Kingwood, GBAPP, Fairfield County William Knox, New London County *Shawn Lang, CT AIDS Resource Coalition, Statewide (CHPC Co-Chair) *George Lawson, Middlesex County (CHPC Co-Chair elect) Beverly Leach, Waterbury Hospital *Ronald Lee, New Haven County
Recommended publications
  • Dangerously Free: Outlaws and Nation-Making in Literature of the Indian Territory
    DANGEROUSLY FREE: OUTLAWS AND NATION-MAKING IN LITERATURE OF THE INDIAN TERRITORY by Jenna Hunnef A thesis submitted in conformity with the requirements for the degree of Doctor of Philosophy Graduate Department of English University of Toronto © Copyright by Jenna Hunnef 2016 Dangerously Free: Outlaws and Nation-Making in Literature of the Indian Territory Jenna Hunnef Doctor of Philosophy Department of English University of Toronto 2016 Abstract In this dissertation, I examine how literary representations of outlaws and outlawry have contributed to the shaping of national identity in the United States. I analyze a series of texts set in the former Indian Territory (now part of the state of Oklahoma) for traces of what I call “outlaw rhetorics,” that is, the political expression in literature of marginalized realities and competing visions of nationhood. Outlaw rhetorics elicit new ways to think the nation differently—to imagine the nation otherwise; as such, I demonstrate that outlaw narratives are as capable of challenging the nation’s claims to territorial or imaginative title as they are of asserting them. Borrowing from Abenaki scholar Lisa Brooks’s definition of “nation” as “the multifaceted, lived experience of families who gather in particular places,” this dissertation draws an analogous relationship between outlaws and domestic spaces wherein they are both considered simultaneously exempt from and constitutive of civic life. In the same way that the outlaw’s alternately celebrated and marginal status endows him or her with the power to support and eschew the stories a nation tells about itself, so the liminality and centrality of domestic life have proven effective as a means of consolidating and dissenting from the status quo of the nation-state.
    [Show full text]
  • Hispanic/Latino American Older Adults
    Ethno MEd Health and Health Care of Hispanic/Latino American Older Adults http://geriatrics.stanford.edu/ethnomed/latino Course Director and Editor in Chief: VJ Periyakoil, Md Stanford University School of Medicine [email protected] 650-493-5000 x66209 http://geriatrics.stanford.edu Authors: Melissa talamantes, MS University of Texas Health Science Center, San Antonio Sandra Sanchez-Reilly, Md, AGSF GRECC South Texas Veterans Health Care System; University of Texas Health Science Center, San Antonio eCampus Geriatrics IN THE DIVISION OF GENERAL INTERNAL MEDICINE http://geriatrics.stanford.edu © 2010 eCampus Geriatrics eCampus Geriatrics hispanic/latino american older adults | pg 2 CONTENTS Description 3 Culturally Appropriate Geriatric Care: Learning Resources: Learning Objectives 4 Fund of Knowledge 28 Instructional Strategies 49 Topics— Topics— Introduction & Overview 5 Historical Background, Assignments 49 Topics— Mexican American 28 Case Studies— Terminology, Puerto Rican, Communication U.S. Census Definitions 5 Cuban American, & Language, Geographic Distribution 6 Cultural Traditions, Case of Mr. M 50 Population Size and Trends 7 Beliefs & Values 29 Depression, Gender, Marital Status & Acculturation 31 Case of Mrs. R 51 Living Arrangements 11 Culturally Appropriate Geriatric Care: Espiritismo, Language, Literacy Case of Mrs. J 52 & Education 13 Assessment 32 Topics— Ethical Issues, Employment, End-of-Life Communication 33 Case of Mr. B 53 Income & Retirement 16 Background Information, Hospice, Eliciting Patients’ Perception
    [Show full text]
  • Hispanic Heritage Month by Jane Runyon
    Name Date Hispanic Heritage Month By Jane Runyon What does it mean to be Hispanic? Does it have to do with the color of a person's skin? Does it have to do with the place where they live? Just who are Hispanic people? The answers to these questions are varied. The word Hispanic has to do with the culture of a people. Hispanic culture takes in more than 20 countries and nationalities. It started with the Spanish who came from Europe in the 1500's. It now includes people of Aztec, Mayan, and Mexican ancestry. Every ten years the United States counts its citizens. This count is called a census. Not only does this census count the people, it also places them into different groups according to their ethnic background. There are white/Caucasians, African-Americans, and Hispanics to name a few. Hispanics are divided into groups by ancestry. There are Indo-Hispanics, Afro-Hispanics, Cuban-Americans, and Mexican-Americans. Those ethnic groups can also be broken down into other groups. Hispanic is a term used by Cubans, Puerto Ricans, and people from other Caribbean islands. They are descended from the Spanish. Latinos trace their families to Central America and South America. Chicanos are people of Mexican ancestry. Today, many of them call themselves Mexican-Americans. Hispanos are descended from the conquistadors who traveled to the southwest part of the United States. It doesn't matter the color of the skin. It doesn't matter where they live. If part of their heritage came from the Spanish, they are Hispanic.
    [Show full text]
  • Latinos Are Shaping the Future of the United States How the United States and Mexico Are Growing Together
    AP PHOTO/NATI HARNIK PHOTO/NATI AP Latinos Are Shaping the Future of the United States How the United States and Mexico Are Growing Together By the Center for American Progress and Centro de Investigación y Docencia Económicas November 2015 WWW.AMERICANPROGRESS.ORG Latinos Are Shaping the Future of the United States How the United States and Mexico Are Growing Together By the Center for American Progress and Centro de Investigación y Docencia Económicas November 2015 Contents 1 Introduction and summary 3 The demographics of Latinos in the United States 5 The geographic distribution of Latinos in the United States 7 The growing economic power of U.S. Latinos 11 The Latino vote: Growing influence and electoral power 13 Top issues for Latino voters 17 Latino representation in national elected office 19 The evolving Latino role in U.S. relations with Mexico 21 Conclusion 25 Endnotes 29 Cómo los Latinos están configurando el futuro de Estados Unidos Introduction and summary The Latino community is becoming increasingly important to the economy, cul- ture, and politics of the United States. Today, more than 55 million people—almost one-fifth of the U.S. population—are Hispanic, two-thirds of whom are of Mexican origin.1 Latinos in the United States are reaching new heights in educational attain- ment, making significant economic gains, and dramatically changing the political landscape. Within the next two decades, these developments will have profound implications for the United States, Mexico, and the rest of the Americas. As the nature of the Latino diaspora populations has changed, so have the per- spectives in their countries of origin.
    [Show full text]
  • Analyzing the Use and Function of Mock Spanish in the Picturebook Collection Skippyjon Jones
    MASTER IN ENGLISH LINGUISTICS FACULTY OF ENGLISH PHILOLOGY UNIVERSIDAD COMPLUTENSE DE MADRID, SPAIN Analyzing the Use and Function of Mock Spanish in the Picturebook Collection Skippyjon Jones MASTER DISSERTATION Presented by: Alicia Juncos Zori Supervisor: Dr. María Ángeles Martínez Martínez Date: September 2013 i Resumen en Español Las lenguas en contacto entre poblaciones hispanas y americanas han sido notables desde la segunda mitad del siglo dieciocho. La lengua española se convirtió en la más significativa después del inglés, debido al tratado de Guadalupe Hidalgo (1848), en el que Méjico cedería más de la mitad de su territorio, que comprende la totalidad de lo que hoy son los estados de California, Nevada, Utah, Nuevo México y Texas, y parte de los estados de Arizona, Colorado, Wyoming, Kansas y Oklahoma. Hoy en día la cultura y lengua hispana sigue teniendo una gran influencia sobre los Estados Unidos, principalmente debido a la inmigración y al número elevado de comunidades hispanas que residen en los Estado Unidos. Estos factores también se han reflejado en la lengua inglesa con la incorporación de préstamos provenientes del español. En la segunda mitad del siglo veinte, hubo una expansión de términos españoles jocosos asociados con la vagancia, la falta de seriedad y la vulgaridad. Desde 1980 hasta los 90 esta forma de uso del español era muy habitual en todo tipo de medios de comunicación con el fin de construir un ambiente cómico y humorístico. Pero en muchos de los casos este uso del español estaba asignando estereotipos negativos a las comunidades hispanas. Esta nueva tipología del español ha sido denominado por Jane Hill (1993a, 1995, 2008) como Mock Spanish o “Español Jocoso”.
    [Show full text]
  • Puerto Ricans in Orlando and Central Florida
    Centro de Estudios Puertorriqueños Hunter College (CUNY) Policy rePort | VOLUMe 1 | No. 1 |sPriNg 2006 Puerto Ricans in Orlando and Central Florida Jorge Duany Félix V. Matos-roDríguez Puerto Ricans in Orlando and Central Florida Jorge Duany Department of sociology and Anthropology University of Puerto rico, río Piedras This report was sponsored by the Orlando Regional Chamber of Commerce and Orange County Government. Félix V. Matos-roDríguez centro de estudios Puertorriqueños Hunter college, city University of New york Contents Summary of Main Findings . 2 Acknowledgments . 5 Introduction . 5 Changing Settlement Patterns . 8 Historical Background . 12 Centro de Estudios Puertorriqueños A Contemporary Socioeconomic Portrait . 15 Hunter College (CUNY) Political Incorporation . 22 695 Park Avenue, Room E-1429 New York, New York 10021 Cultural Identities . 24 212.772.5686 Toward a New Research Agenda . 26 www.centropr.org Conclusion . 29 Notes . 30 References . 33 Biographical Sketches . 39 ...2... ...1... SUMMARY OF MAIN FINDINGS • Between 1990 and 2000, the city of orlando experienced the largest increase (142 percent) in the number of Puerto ricans • During the 1990s, Florida displaced New Jersey as the second largest stateside. today, orlando is the fourth-largest metropolitan concentration of Puerto ricans in the U.s. mainland (after New york). area for Puerto ricans in the United states, after New york city, Florida’s Puerto rican population grew from slightly more than 2 percent Philadelphia, and chicago. of all stateside Puerto ricans in 1960 to more than 14 percent in the year • Puerto rican migration to central Florida is not highly selective by sex. 2000. Furthermore, the number of Puerto rican residents in Florida island-born and mainland-born residents have very similar proportions rose from 482,027 in 2000 to 571,755 persons in 2003.
    [Show full text]
  • El VIH/SIDA Entre Hispanos/Latinos En Los Estados Unidos
    El VIH/SIDA entre Hispanos/Latinos en los Estados Unidos 9,798 DIAGNÓSTICOS CATEGORÍAS DE DEL NÚMERO DE CASOS DE VIH TRANSMISIÓN DE VIH DE VIH ENTRE HISPANOS/ LATINOS EN EL 2015 número de Hispanos/Latinos que hombres que tienen dieron un resultado positivo de VIH en los sexo con hombres EE.UU. y 6 estados asociados en el 2015 incluyendo UDI 87% (usuarios de drogras fueron hombres intravenosas) contacto heterosexual = 500 casos 12% 77% 18% fueron mujeres MUCHOS NO ESTAN RECIBIENDO HISPANOS/ CUIDADO MÉDICO LATINOS SON EL 18% LA POBLACIÓN de un estimado de 215,721 Hispanos/ DE LOS EE.UU. Latinos viviendo con VIH en los EE.UU.of 2015 85% han sido diagnosticados 27% lograron supresión HISPANOS/LATINOS REPRESENTAN viral* EL 24% DE LAS INFECCIONES DE VIH *nivel bajo de carga viral en la EN EL 2015 sangre FACTORES QUE LIMITAN HISPANOS/LATINOS DESDE EL INICIO DE LA EL ACCESO A SERVICIOS TIENDEN A TENER UN EPIDEMIA DE SALUD A HISPANOS/ DIAGNÓSTICO TARDIO LATINOS • falta de seguro médico postergamiento en 129,295 • barreras de lenguaje atención médica Latinos han • estigma incrementa el riesgo muerto de • pobreza de desarrollar SIDA • falta de familiaridad con SIDA el sistema de salud 1981 2014 Día Nacional Latino Para la Concientización del SIDA | www.nlaad.org EL VIH/SIDA ENTRE HISPANOS/LATINOS EN LOS ESTADOS UNIDOS Los Hispanos/Latinos en los Estados Unidos se encuen- • La segunda categoría de transmisión más alta fue atri- tran desproporcionadamente afectados por el VIH/SIDA. buida al contacto heterosexual entre adultos y adoles- Representan el 18% de la población de los Estados Unidos, centes, Hispanos/Latinos, hombres y mujeres (17.5%; pero representaron casi 1 de cada 4 (24%) infecciones entre 1,715).1 adultos y adolescentes en el 2015.1 Factores como la falta de seguro médico, las barreras de idioma, la falta de famil- • Muchos Hispanos/Latinos diagnosticados con VIH no iaridad con el sistema de salud en los Estados Unidos y el están recibiendo el cuidado que necesitan.
    [Show full text]
  • Hispanic Inmigrantes Hispanos En Boston Da Formaanuestraciudad
    imagine all the La población hispana de Boston people A nivel nacional los hispanos han representado más de la mitad del crecimiento de la población durante la última década. Nunca hubo tantos hispanos viviendo en Boston como hoy en día. Los beneficios para Boston, si bien son muchos para nombrarlos, incluyen una población activa más diversa y productiva, que se encuentra bien establecida en casi todos los sectores y un entorno cultural más rico a nivel social. “imagina a toda la gente” es una serie de publicaciones producida por la Boston Redevelopment Authority (Autoridad para la reurbanización de Boston) para la Oficina del Alcalde de los Nuevos Bostonianos, que brinda un perfil integral de las diversas comunidades inmigrantes de Boston y sus numerosas contribuciones al contexto social, cultural y económico de la ciudad. Celebrar la presencia de nuevos bostonianos es parte de un esfuerzo continuo y nos ayuda a comprender de qué manera ésta le da forma a nuestra ciudad. Hispanic Inmigrantes hispanos en Boston CITY OF BOSTON Thomas M. Menino Mayor New Bostonians Series May 2009 imagina Según la Encuesta sobre la Comunidad Estadounidense (ACS) realizada por la Oficina del Censo de los Estados Unidos, la población hispana de los Estados Unidos era de unos 45.5 millones en 2007. Del total, casi la mitad vivía en Cali- fornia y Texas (29% y 19%, respectivamente). Florida y Nueva York tenían más de 3 millones de residentes hispanos en el año 2007, mientras que Illinois, Arizona y Nueva Jersey tenían entre 1 y 2 millones de residentes hispanos cada uno.
    [Show full text]
  • Hispanos Y/O Latinos En Estados Unidos: La Construcción Social De Una Identidad
    06511/2020SP ISSN 2688-2930 (online) ISSN 2688-2957 (impreso) 1 Hispanos y/o latinos en Estados Unidos: La construcción social de una identidad Cristina Lacomba Harvard University Resumen: El significado de ‘hispano’ y ‘latino’ en Estados Unidos es materia de debate desde el origen de estos términos. Algunas personas que se identifican con estas categorías señalan el origen geográfico como rasgo más significativo, otros la percepción racial tanto interna como externa al grupo, algunos prefieren resaltar las experiencias vividas de opresión y aún otros los componentes culturales comunes. Este estudio se remonta al comienzo de la segunda mitad del siglo XX, cuando se conciben ambas categorías, para entender parte de su significado actual. La población que el censo estadounidense clasifica como hispana/latina se analiza desde los movimientos sociales que se dan durante las décadas de los cincuenta, sesenta y setenta para acabar con la discriminación y conseguir la igualdad legal y representativa en instituciones centrales de los Estados Unidos. Conforme avanza el tiempo y llega al país un mayor número de personas procedentes de Latinoamérica y España, el significado de los términos ‘hispano’ y ‘latino’ adquiere dimensiones diferentes a las iniciales. Sin embargo, estos términos hacen referencia a una identidad que tiene un componente político desde el comienzo, aúna a poblaciones muy distintas y se mantiene en la actualidad. Palabras clave: hispanos, latinos, latinx, identidad, migración, panetnicidad © Cristina Lacomba Hispanos y/o latinos en Estados Unidos: La construcción social de una identidad Estudios del Observatorio/Observatorio Studies. 065-11/2020SP ISSN: 2688-2930 (online) 2688-2957 (impreso) doi: 10.15427/OR065-11/2020SP Instituto Cervantes at FAS - Harvard University © Instituto Cervantes at the Faculty of Arts and Sciences of Harvard University 2 © Cristina Lacomba Hispanos y/o latinos en Estados Unidos: La construcción social de una identidad Estudios del Observatorio/Observatorio Studies.
    [Show full text]
  • Latino Families in the United States. a Resourcebook for Family Life
    DOCUMENT RESUME ED 259 054 UD 024 327 AUTHOR Andrade, Sally J., Ed. TITLE Latino Families'in the United States. A Resourcebook for Family Life Education - Las Familias Latinasen los Estados Unidos. Recursos para la Capacitacion Ir. INSTITUTION Planned Pa wthood Federation of Ameiica, Inc., New York, N.Y. SPONS AGENCY Pew Memorial Trust, Philadelphia, Pa. PUB DATE (83) NOTE 165p. PUB TYPE Multilingual/Bilingual Materials (171)-- Guides - Non- Classroom Use (055) LANGUAGE English; Spanish EDRS PRICE M701 Plug Postage. PC Not Available from EDRS. DESCRIPTORS Community Involvement; Demography; Ethnic Groups; *Family Life; *Family Life Education; *Health;Health Programs; *Hispanic Americans; Population Trends; Postsecondary Education; Program Development IDENTIFIERS Health Status ABSTRACT The primary objectives of this resource bookare to increase family life educators' knowledge and understandingof Latinos and"to encourage advocacy by Latinos for appropriate family life programs in their communities.. English and Spanish versions of the same text are included. Thereare six chapters. Chapter 1 outlines the book's objectives and premises and briefly describes its content. Chapter 2 summarizes the history, cultural influences, demographic characteristics, and health status of Latinos in the United States, emphasizing the need to recognize the pluralistic nature of the Latino population and the central status of healthas a group priority. Chapter 3 presents an analytical discussion of Latino families, including cultural and societalsources of stress and of support. Chapter 4 provides a conceptual framework for health promotion strategies in Latino communities, and deals withfour areas: nutrition, infant and child health, reproductive health, and stress management. Chapter 5 addresses the iasues of family life program design and community participation.
    [Show full text]
  • The Spanish Legacy in North America and the Historical Imagination Author(S): David J
    The Spanish Legacy in North America and the Historical Imagination Author(s): David J. Weber Source: The Western Historical Quarterly, Vol. 23, No. 1, (Feb., 1992), pp. 5-24 Published by: Western Historical Quarterly, Utah State University on behalf of the The Western History Association Stable URL: http://www.jstor.org/stable/970249 Accessed: 02/06/2008 14:18 Your use of the JSTOR archive indicates your acceptance of JSTOR's Terms and Conditions of Use, available at http://www.jstor.org/page/info/about/policies/terms.jsp. JSTOR's Terms and Conditions of Use provides, in part, that unless you have obtained prior permission, you may not download an entire issue of a journal or multiple copies of articles, and you may use content in the JSTOR archive only for your personal, non-commercial use. Please contact the publisher regarding any further use of this work. Publisher contact information may be obtained at http://www.jstor.org/action/showPublisher?publisherCode=whq. Each copy of any part of a JSTOR transmission must contain the same copyright notice that appears on the screen or printed page of such transmission. JSTOR is a not-for-profit organization founded in 1995 to build trusted digital archives for scholarship. We enable the scholarly community to preserve their work and the materials they rely upon, and to build a common research platform that promotes the discovery and use of these resources. For more information about JSTOR, please contact [email protected]. http://www.jstor.org DavidJ. Weber Twenty-ninth President of the Western History Association TheSpanish Legacy in NorthAmerica and the HistoricalImagination1 DAVIDJ.WEBER The past is a foreign country whose features are shaped by today's predilections, its strangeness domesticated by our own preservation of its vestiges.
    [Show full text]
  • Mexicans in New Mexico: Deconstructing the Tri-Cultural Trope
    Mexicans in New Mexico: Deconstructing the Tri-Cultural Trope Item Type Article Authors Fairbrother, Anne Citation Fairbrother, Anne. "Mexicans in New Mexico: Deconstructing the Tri-Cultural Trope." Perspectives in Mexican American Studies 7 (2000): 111-130. Publisher Mexican American Studies & Research Center, The University of Arizona (Tucson, AZ) Journal Perspectives in Mexican American Studies Rights Copyright © Arizona Board of Regents Download date 30/09/2021 22:07:23 Link to Item http://hdl.handle.net/10150/624842 MEXICANS IN NEW MEXICO: DECONSTRUCTING THE TRI -CULTURAL TROPE Anne Fairbrother If Coronado and Ouate were to meet, would they recognize their own people? What vestiges of the colonies created by Conquistadores would they find? What would they say of that riotous preoccupation about Spanish origins, recalling, with a smile, that none of the great leaders brought a wife or family with him? Arthur L. Campa' Arthur Campa, the renowned folklorist who wrote in the 1930s and 1940s, provides a refreshing response to the "preoccupation about Spanish origins" in New Mexico, and should be a key voice in the discourse around the tri -cul- tural trope2 that represents New Mexico today. That tri -cultural image is of the Indian, the Hispano, and the Anglo, and that image manifests itself in public enactments, in tourism publicity, and has penetrated the collective consciousness of the region. The questions that must be asked in this region so recently severed from Mexico, and so long the outpost of an empire of colonized mestizos, are: Why is the mestizo, the mexicano, excluded from that iconic image? Why was the mes- tizo invisible and unheard from the time of the U.S.
    [Show full text]