218873 Mexican migrant men, "illegality" and cancer health disparities: No access to health allowed

Monday, November 8, 2010

Francisco Alejandro Montiel-Ishino, BS , Department of Anthropology/College of Public Health, University of South Florida, Tampa, FL
Kara McGinnis, BA , Department of Anthropology, University of South Florida, Tampa, FL
Miranda Holloway, BS , College of Public Health, University of South Florida, Tampa, FL
Julie Baldwin, PhD , Center for Equal Health, University of South Florida College of Public Health, Tampa, FL
Deanna Wathington, MD, MPH, FAAFP , Center for Equal Health, University of South Florida, College of Public Health, Tampa, FL
Kevin Sneed, PharmD , USF School of Pharmacy/USF Health, University of South Florida, Tampa, FL
B. Lee Green, PhD, MEd , Office of institutional diversity, Moffitt Cancer Center, Tampa, FL
Maisha Kambon, MPH , Center for Equal Health, University of South Florida, Tampa, FL
Many legislative, socioeconomic and sociocultural barriers exist in providing proper cancer education and screening to underrepresented and socially marginalized ethnic/racial groups, such as Mexican migrant men. Undocumented Mexican migrants pose a more difficult situation as they are not allowed full access to medical services and adequate health education due to their undocumented or “illegal” status and identity. This underrepresented and socially marginalized group may represent one of the most underserved populations in the US impacted by cancer health disparities with little recognition of their plight. US legislation bars preventive and prophylactic health care via direct service for this population. Matters are made worse when cultural perceptions are misconstrued or devalued, thereby tailoring the available cancer health education and screening improperly. The general and most pervasive interpretation of Mexican migrant men's behavior towards cancer is understood as fatalistic, but this is a narrow view. Recent research conducted by the authors suggests that Mexican migrant men are not fatalistic in their attitude towards cancer but apathetic as they are powerless in controlling their health outcomes in the US. Culturally competent and sensitive social assessments must be used in understanding the underlying behavioral attitudes towards cancer. This presentation will focus on efforts that are currently being undertaken by the Center for Equal Health, a partnership between the University of South Florida, H. Lee Moffitt Cancer Center and the Tampa Bay Community to create sustainable programs focused on alleviating cancer health disparities affecting Mexican migrant men and other underrepresented groups.

Learning Areas:
Diversity and culture
Public health or related public policy
Social and behavioral sciences

Learning Objectives:
1. Identify the legislative, socioeconomic and sociocultural barriers to healthcare access creating cancer health disparities for Mexican migrant men. 2. Differentiate the perceived and actual issues surrounding Mexican migrant men and their attitude to cancer prevention and treatment. 3. Design a community based model to create culturally competent and sensitive cancer prevention and screening programs for medically underserved and underrepresented populations like Mexican migrant men.

Keywords: Cancer, Health Disparities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I am an anthropological and health services researcher and community liaison working with various medically underrepresented racial/ethnic minorities toward the alleviation of cancer health disparities.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.