MHo(>P(,<?i0 OMH-RCLibrary 1101WoRooctktvoilnleP,arMkDwa2y,08S5u2ite650 I Frequently Asked Questions 1-800-444-6472 Health Problems womenwithaBMIof30ormoreare consideredobese.Alladults(aged18 in Hispanic yoeramrsoroeroalrdeerc)onwshidoerheadveatarBisMkIfoorfp2re5- WomensHeaJth.gov maturedeathanddisabilityfrombeing 1-800-994-9662 American/Latina ionvcerrewaesiegahsttohreoBbMesIe.riTsehse.sYeohueralhtehalrtihsks TDD:1-888-220-5446 Women careprovidercanhelpyoufigureout yourbodymassorgoto www.cdc.gov/nccdphp/dnpa/bmi/ calc-bmi.htm.Notonlyarehealthcare Q: AWmheoricaarne/HLiastpiannaicwomeninthe pfisartolvoaicpdaeterersdsocononhnatcshe,erbnbueotddyaa.lbsWoouowthmeheronewtwmhieutchfahat UnitedStates? "pear"shapetendtostorefatintheir A: Therearenearly14millionHispanic hipsandbuttocks.Womenwithan American/LatinawomenintheUnited "apple"shapestorefataroundtheir States.Theyincludewomenfrom waists.Formostwomen,carryingextra divers—ecultures,histories,andexperi- weightaroundtheirwaistsormiddle ences MexicanAmericans,Central (withawaistlargerthan35inches)rais- andSouthAmericans,PuertoRicans, eshealthrisks(likeheartdisease,dia- CubanAmericans,andSpanish betes,orcancer)morethancarrying Americans.Whilethesewomencur- extraweightaroundtheirhipsor rentlyrepresentonly11%ofthefemale thighs.Obesityis1.5timesmorecom- populationoftheUnitedStates,they moninMexicanAmericanwomen areagrowingforce.Bytheyear2050, (reaching52%)thaninthegeneral, nearlyoneofeveryfourwomeninthe femalepopulation.Ifyouareover- U.S.willbeHispanicAmerican/Latina. weightorobese,losingweightcan loweryourriskformanydiseases.And Q: Whathealthproblemsaffecta physicalactivityisanimportantpartof wlootmoefnHi?spanicAmerican/Latina bw(ee3s0itg)mhiatnnuldotseesasttmrbeoeatstttmeerdnattyo.shToerflypthtpeorewbveeeenaktctaiisnved A: ObesityandOverweight treatobesity. Beingoverweightorobeseincreases Diabetes(dye-uh-bee-tees) pageI h2wspabybde9eirhrneoit.etrooduge9ahbwrhsdtsls,tiaahro.esriihteeBmmsnWiahseokgscgeoedohowcp,rmnyfharebsisnelohliMlclaebodneeaetaleeroisrepsrdswotsm.elniaspedsdtIpO,erhihnnpbeosiadiseeepvarnaseaestgsuoxBrih)erf(rwt,,Mei(beyw,trBItoieiesMiygssisat,Iphtogeterm)tfhgoho.,eaatik22arlne5wBtlst,dghhboiMutrilaroiaIl-etdei-ds ltWpHgfniYaiehrinooorsmiesotgyutetgpdeaosneusatcutsasinimarenn.ioHontccnibioMryagsnoA,leeseepdmxutnadieylleisniirdiraickmitnigbceahaocyel/rabn.atryiLteengeatAtDshc/teomithLscita.eahanhborinatoaIefimgvtintycsesenemooauussocounldb,scitisrgnunahi,rtbrbenohiiesotcsuansthldpnwudeeu,ygsuhidaraniadtritrnohsnegeaigisns2n National Women's Health Information Center U.S.DepartmentofHealthandHumanServices,OfficeonWomen'sHealth Frequently Asked Questions I Whites.Also,residentsofPuertoRico • Checkyourfeeteverydayforblis- are2timesmorelikelytohavediag- ters,redspots,swelling,orcuts. nWoistehdinditahbeetHeissptahnanicUA.mS.erWihciatne/sL.atino • Stayawareofhowyoufeel-ifyou TWDoDm:en11s--88H80e80a--l29t2904h--.59g46o466v2 bitTpinhnooysepdpwuulypeoliaandmn1t.eceisdrTotnienyraa,opbtsyeehdstdaieo2naisetbssdiehtnitoa'aeiwptsbsepnimtienseancsmmkesleoeolwnrcshe.cetunehrpoansrtueygwmvohhaaulekreennt wAddeuobvromceniueaolntrntogeip,2cppegrerteesooasgpvtnep5iaacrdt%inoieacobrlyonll)arfye.limawgl,dMhlhitepceaxarabnliweeltacgtyeynahso.aneuny(rtAdaimhwraeeeboraeomlittvecehesanrn- insulin.Agrowingnumberofchildren weight,havehigherratesofgestational ahraevegeattgirnegatteyrpech2andcieabeotfegse.tCtihnigldtryepne2 wdioambeetne.stGheasntantoionn-aHlisdpiaabneitcesWihnictreeases Adfialamtbihelotyuesmgheifmttbyhpeeery1ahradesiaoibtv.eetrewseciagnhntootrbiefa nmstuehagoecanrrba)oat.bsayAol'lmshtiyrhapioso(uklggalfrhyogrcewepobmrmoioedabnyl('eslsmiozsweb)lsboualocnodhdodgaslu- pAaedtbpnHwptreimneeiiorreersdetymseoieipes-revp7bgaprs,ssie.ashlhet6cnenethehhva)taieramitegenacaavsaignedr/nlemhtnAt,Lwdkee,dvmaaitsiratebtytnkdshhremripehcieniiarenourdegatcvtalercenyha2ehateeensewariofrdyi,srvafoilrdeei/caidiel.rmLsbkhisysueakeeertseeaPtiltteeesaneniny)ep,aisco.n,sssentpe:oaweoAomylpi(nscoon(aoeptddofituurhdehwnnhtfohvaticeycdbhaeHvreltialvt,lieo(uhan.eioseldbamknyppidetyiseganit2aodanegk-u-sierc Amodbiopgtacnmefehferfuottatveestclaetetegeilrhrshflinlemienlcaow.wcaegahpnpivosEainrclgexlntmleiely1dpygsesebde2wptnswigerneaao%reovttrntmn2eisewmchpeeolm,iyeerdneoan.traiasainph,laltnnyFlbitsewgdoeytmiay.eiitrharnpsraiet.tcAetsebMsherlaete2meswttugtxaoiiearehds,oistnsayienchttasaditaiabbtlnaotneurnebifdtdinoo2siiueaonukeast0arrstbuloilmeyrsafshteeadtkaeahlielsraarofss-w withbloodflowintheveins)than HighCholesterol(koh-les-ter-awl) non-diabeticwomen,andthree-to-four Cholesterolisawaxysubstancefound timesmorelikelytohaveheartdisease inallpartsofthebody.Itcomesfrom orastroke.Theseproblemscanbepre- twosources:yourbodyandthefood vented: youeat.Yourlivermakesallthecholes- • Seeyourhealthcareprovidersregu- terolyourbodyneeds.Eatingtoomuch laanrldy.eyDeond'otctfoorr!getaboutthedentist wchhoolleestemriollkidnaiarnyimparlodfuocotdss,lainkedmeegagts, • Don'tsmoke. yCohloklsesctaenromlabkleocykosubrlcohoodlefsrteormolflgoowiupn.g • Controlyourbloodsugarandcho- easilythroughyourbody.Thehigher lesterollevels,yourbloodpressure, yourcholesterol,thegreateryourrisk andyourweight. forheartdisease.Over25%of page2 • Etxheerwcieseek(i3s0bemsitn).utesmostdaysof Atemreolrilcevaenlswhoigmhenenhoauvgehbtlooopdutchtohleems-at National Women's Health Information Center U.S.DepartmentofHealthandHumanServices,OfficeonWomen'sHealth Frequently Asked Questions I riskforheartdisease.AmongMexican heartattackcancausepermanentdam- Americanwomenages20-74,almost agetotheheartandmaybeevendeath. halfhaveborderline-highrisktotal Heartdiseaseisthemaincauseofdeath cholesterollevels.Low-densitylipopro- forAmericanwomen.Heartdisease WomensHeahh.gov tein(LDL)or"bad"cholesterollevels riskanddeathratesarehigheramong TDD:11--888080--292904--59464662 phbrwiAhoraenyifnotoagtedvml1ehhdxit3eeaehd40rtfrnye1acrmtrr.wiiahgsae6asnai/inkb%gvngddoeegoh.ouL,ftctfah.CceonMoohaorlAetnLroesihxtosDwnikritnggLeocaoyhrlrfafoeocyontlryuho,eoorhdAanleuasrmheayreneserlodtartcrouelheikwrdtloceioshalisalehtenecepnosaladtiusserenleavter.tedgoolul-aa ywbeicDMheaohnyiiesioguagexlgnbrh.eaihoeelstbcttYlrt.elaoepssrornuuam,oottolAdehc,kmwsiapienognronrohefmghits,oebescbelulanaexrponenseoasrpi,ddtcrtipcyebrpsahviyriraoseentlnkcnsgledost,ysfnutodtbhraeriereerna,hoacodberllaehatl,utsiriesmdatgnseinogh.sddkoiefs-a-se getyourcholesterolchecked. Stroke weHtHaiheesetaeah,rhritetntahdrteiDthsimeeasoanhessdeeatasroiscetf.aotChmgeormrobooulnnpoaoofrdfoyvrdehimsseseaoearflstehssedyiasosrtf-tem wbtiThrshheaceeihrbnneremaiasiiancrbb.ell(ooAticoswkdshoe-edvkmt,eeysoepsar-eenrmlsdihktaob)hgflaitssocttogrrdoo(okekhceseea.nhht'Ao-atnmptgpuheehetn-sto hsaaohaslapcDcbUsbiaicecdcatbwaroahnsarhunlneaihovhemvneipdudoeogslura,reaesasengsauoeaosiiotrrt,pgeepalbsdemakihtsntnaossdarts.upesnenebiheeaegibrroaap,neaynytsrranoIteanf,lsnc,ehamst,ynnshatoiekd,iatrpghesffeohhs,fnnanahfeiuetm,fsepanrgeeerjancntcoatattryaraclberaehaadreemhntsfuemhm,utwenrrftnseessaeesastpi,letleeead,af,neieaitencitlautwrispktsotghnrhdilot.)ntsnertsrheoenlamemagutoodytsnhgmcdaoSiccshbcvsfehtmeakepokfnkoesitihple,apm,atteus,ntorbdatormtih,acsitahaemdeuhytojentehsoaemgnseerataosdnhetmsagesdecacwqtuesowthr,siminsvhhhon,uttteineneo,te,uaeacaagosgsoioasuouecpgpmrahysrnsctonprkznettpponetas.esrsei,tdcltrlehhetb.eaenlsfnheeoahrnacIealwteogseaArfvcoms9e(anndr,qhtdkenllsy1oeyedouotow.drb1gtool.asemhnuahorioruee'sgtoAtmnetzt.hrsh-a-n ATcihspTaAtlblcsbhabv"ramtenoguhehaoprotreaamrmrasceetelweeaast-uopsorisloaarjisieairltkptrynuinvennccbniindee3ikecodl.iokhglddcs)5engiiiu,.iocokabsa,S(-snsadsrsarorntlTrgbAomeo6HteudherwaIhatmlifm4roseaodsHnAeeiooshoeesrarkksierag)entktcpterea,tetsyeru.ihaephakrabi,ritan-errhoaeneca"ndoAagmhrskttaonihigkadnteaaeteeosteev,bcdm,sTAepfrrrstfsilbe,acosiioaopbAInbelmssrdtsosrtcarkmeglehAmokroiuokheee1nn.aoipasocclvea.arfosnageoidita3d(leosisnsbtnhrdhalTrrhwcmi-vrhtadasitIeoaeeahaHbegailpnioaArnnsitsislomsngeordnt)tssntsosteoe,nytmo,tne.r/rpsstocirlbc,oaLoahaaaisaodAalkakahidyntankcmnnuveeentvioepidbdheids,smtiig,rhacletsettsosfenhsaahaitsmorhefsoewaovhd.niotoesesttsnraeeecdckhdhu,,lateeara-attteh,. page3 peopletotakethefollowingsteps: NationalWomen's Health Information Center U.S.DepartmentofHealthandHumanServices,OfficeonWomen'sHealth Frequently Asked Questions I • Don'tsmoke. American/LatinawomenwithAIDS, • Controlyourbloodpressure.Ask heterosexualcontact(mostlywith yourhealthcareproviderwhata injectiondrugusers)isthecausefor WomensHeahh.gov hofetaelnthyyonuunmebeedryiosufrorbyloooudapnrdeshsourwe athceciorunditsseafsoer.aInnjaedcdtiitoinondarlu4g0u%seof 1-800-994-9662 checked. AAmIeDrSiccaans/eLsaatminoangwoHmiespna.nic TDD:1-888-220-5446 • Epraotvhiedaelrthayb.oTuatlakhteoarytouhreahletahlythdiceta.re TPrheeveCnetnitoenrs(CfoDrCD)isreeasceomCmonetnrdosltaankding • Loweryourcholesteroltotheright thesestepstoprotectyourself: level,basedonyourpersonalrisk. • Ifyouaresexuallyactive(having • Getatleast30minutesofexercise oral,anal,orvaginalsex),uselatex onmostdaysoftheweek. condomstoreduceyourchancesof • Maintainahealthyweight.Askyour gettingHIV. healthcareproviderwhatahealthy • Druguserswhocannotorwillnot weightisforyou. stopinjectingdrugsshouldusenew, • Haveanormalfastingbloodglucose sterilesyringestoprepareandinject level(below110mg/dL).Askyour drugs. healthcareprovideraboutwhenyou • Ifyouaregettingatattooorhaving shouldbetested. yourbodypierced,askwhatproce- HIV/AIDS durestheyusetopreventthespread Humanimmunodeficiencyvirus(HIV) ofHIV isthevirusthatcausesacquired Depression iHmImVunwoedaekfeincsiyeonucryismynmdurnoemesy(sAtIeDmS,). bDoedpyr,esmsoioond,isaannditllhnoeusgshtthsa.tPaeffoepcltestwhheo whichmakesithardforyourbodyto aredepressedmayfeelhopeless,worth- fightoffotherhealthproblemsthatit less,verysad,andhavenoenergyor couldnormallyresist.Astimegoeson, interestindoinganything.Somepeo- yourbodybecomeslesscapableof pledescribedepressionasan"empty,or fightingoffdiseases.Eventhough sadfeelingthatwon'tgoaway."This malesaccountforthelargestproportion kindofdepressionthatdoesnotgo H(i8s1p%a)niocfAAmIeDrSiccaansse/sLraetpionrotsedinatmhoeng adiwfafyeriesntcaflrleodm"fceleilniincgal"dbelpuree"ssoirond.o"wIntis aUnmiotnegdfSetmataelse,stihserinsuinmgb.eFremoaflceassersepre- fraotreaoffedwephroeusrssioonriancHoiuspplaeniocfdays.The sent19%ofallAIDScasesamong American/Latinawomenremainsabout HispanicAmericans/Latinos,but twicethatofmen.Andmajordepres- 2ac0c0o0unaltonfoer.2A3n%dtohfecarsaetseroefpHorItVedinifnec- isniownh(iaclhsoskynmopwtnomasscllasitnifcoarladtepleraesstsi2on, wAtmiooemnreiinsc.asne/FvLoearntttihinemaelswarohgimegsethneprrtoihpnaonHritisinpoaWnnhiicte ldwoeenpegrkeesrs)sbiauontndutshduayatsltllahysytfsmoirfaosre(vaatetrlyaelpaesmtootfnwtohsor page4 (47%)ofadultandadolescentHispanic years)maybediagnosedslightlymore National Women's Health Information Center U.S.DepartmentofHealthandHumanServices,OfficeonWomen'sHealth Frequently Asked Question I frequentlyinHispanicAmerican/ cervixthanWhites.Therearegapsin LatinowomenthaninWhitewomen. accesstoanduseofcancerscreening Possibledifferencesinhowsymptoms programsamongHispanicAmericans/ appearmayaffectthewaydepressionis Latinos.Deathratesfromcancersofthe WomensHealth.gov recognizedanddiagnosedamong breastandcervix,allofwhichcanbe 1-800-994-9662 Amimneorriictiaenss.aFroermeoxraemplliek,elyAftrhiacnan afomuonndgeHarilsypabnyicscArmeeenriincga,nsd/eLcarteiansaedsless TDD:1-888-220-5446 Hispanicstoreportsymptomsof thanamongnon-Hispanics. asdeunpcdrhepaassisniasop.npetthiatteacfhfeacntgetheainrdwbhoodlyeabcohdeys, WBroemaestnCgaetncbreerastcancerwhencellsin MDCehapanrnyegsetsshiioinnngscyaocnuaurrsubernadiiennprfceahsmesiimloiiness.t.ryand ctt(axhu-nemrcobaeryrreoafesfaotrrtlmidhseoer.n,b'rGtweehagtsirttcio)hnwcggarianivgmehhstae,lwmpaomnfmodiegnadnrtahme livingthroughpainfulanddifficult moretreatmentoptionsandimproves eSvoemnettsiimneysoduerprliefsesciaonncisaucsaeusdeedprbeysscieorn-. cmhoasntcecsomfomrosnurlvyivdali.agBnroesaesdtccaanncceerriasntdhe tainmedicationspeopletakeforcancer, theleadingcauseofcancerdeath arthritis,heartproblems,andhigh amongHispanicAmerican/Latina wmMbPmaolohorsonsekotatnidlncpstpepoohrorneempos'ymlsbsgueolredenwietms.ietsttarSrhsceeoeaaad,mtntemesmpecternarinetuolts.lksssneeie,Tfsodhosanereenpsgrddetesetshupwsorcobierheost-na-ts.er wwotwnfhohootesemmeednneedinsdnfae.ioabaousoAgfenulndHtitosishi3smenop0douan%rgnaoehtinlc-aebasHrdolsiearvatsoiasegfpnrtitacnesnce,ntaidainc)agtcemiwetsorh(omanwminosgherednien,ag- s(tiaolnkianrgewmietdhicaattiraoinneadndcopusnyscelhoort)h.erapy equvaetne.whLoewnearccreastsestoofhuesailnthgcsacrreeeinsiandge- fhSeeueapllpitnohgr.ctaGrgeertopuarpocsvhicedacenkruhapeblotpuo.tsTehaelokiwfttyohoeyuroeuarre ttHehissotpsuaglnhiiktectmAoamaemdrmdioctgaonrt/ahLipashtliyanteaarmwdooinamggneonsisis. aarreepchayussiicnaglyporuorbldeepmrsesosriomne.dicinesthat Wcaencedro.nTohterkenoarwehthoiwngtsowporemveenntcbarneadsot OtherCancers toreducetheirrisk,suchaslimiting Cancersoccurwhencertainbodycells howmuchalcoholtheydrink. don'tfunctionright,divideuncontrol- However,it'svitalforwomentotake lably,andproducetoomuchtissue, stepstofindbreastcanceriftheyhave resultinginatumor.Canceroustumors it: theninvadehealthy,normalfunction- • Womenaged40andoldershould iLantgicneolsls.haHviespaalnoiwceArmreartiecoafnsn/ewcancer h1a-v2eyeaarssc.reTeanlikngtomyaomumrohgearlathmceavreery casesandlowerdeathratesforallcan- provider. cerscombined,butahigherburdenof cancersofthestomach,liver,and • Performabreastself-examination (BSE)everymonth. page5 NationalWomen's Health Information Center U.S.DepartmentofHealthandHumanServices,OfficeonWomen'sHealth Frequently Asked Questions I TheNationalBreastandCervical ethnicgroupssharethethingsthatcan CancerEarlyDetectionProgram makeyoumorelikelytogetcervical (NBCCEDP)programprovidesfreeor cancer,suchashavingmorethanone low-costbreastcancertestingto sexualpartner,startingsexualinter- WomensHeaith.gov womenwhodon'thavehealthinsur- courseatayoungage,andotherdan- ance.Non-profitorganizationsand geroussexualbehavior.Youcanhelp TDD:11--880808--929240--95646426 wlohcaolphreoavltihdecltihneictsesatrse.tThoelmeaairnnmgororueps fmionsdtcterrevaitcaabllec,anbcyegreetatrilnyg,wrehgeulnaritPiasp aCbDouCttathis1-p8r8o8g-r8a4m2,-p6l3e5as5eocrolntoaocktotnhe etevsetrsyanodnepetlovitchreexeaymesa.rsGeiftyaouPahpavteest theInternetatwww.cdc.gov/cancer beensexuallyactive,butnolaterthan CervicalCancer at21yearsold.Womenshouldthen wskCuihaeninsdccoheofrfctacohnafecntecchreeerrcvceiielxnlr.svwiTaoxrh,meeeafnvco,eeurrnviydsixcainodisimtsthmeheaeostenisi-n ycsheahaarovreuesl.pPdrYaohopvaiuvtdeeessrthasoaPuabtalopdluetttaeashstltkooawwnnicdtoehfpteeyevlonevuriyrcyoheutehxaralemte.h openingoftheuterus,orwomb.It TheNationalBreastandCervical connectstheuterustothevagina(the CancerEarlyDetectionProgram birthcanal).Cancerofthecervixusu- (NBCCEDP)programprovidesfreeor allygrowsslowlyoveraperiodoftime. low-costPaptestingtowomenwho Beforecancercellsarefoundonthe don'thavehealthinsurance.Non-prof- cervix,thetissuesofthecervixgo itorganizationsandlocalhealthclinics throughchangesinwhichabnormal arethemaingroupswhoprovidethe dceylslpslabseiga)i.nLtaotearp,pecaarnc(earcsotnadrtistitoongcraolwled gtersatsm.,TpolelaesaerncomnotarcetatbhoeuCtDthCispatro- andspreadmoredeeplyintothecervix 1-888-842-6355orlookonthe andtosurroundingareas.Studyresults Internetatwww.cdc.gov/cancer. showthatthenumberofnewcasesof SmokingandLungCancer wTwscLhldtfH3iHcaaahieooohin0irrtnrgaevesmsmeichratyppneenSaeesehemaanoationrarnnoinenvrru.iwsniscaea-stgccthatoHmthA,ceaanoiAmewoAlcvnfsHrmmebtnneedovpireeseohginsaormratnoocppnimil-amHulatraicdclHigoonhecencaaisheriacwvndnnspr)cwane/p/avirnMnoLaLsiinnAanctsiacnmtaviymoeeaedtaiatceenmrdlsicwbir-nopisAnoanecibHfv.t.amuaascmeyiPoetnatsowBwOacrcmrnpuvntepoeoeih/etarwggroacmLrm,vnitufvaaaieiiceleelscnstceacnlatnei/r4isl,rtnni0vih(agtmniaa.%hit-ge-e lifs1lUaslwbiWronutoie9.miienrttgnosnmrS8cioakgtsgr.g7lomk.nclh.ehukfe,icuaeFatSsnanIssdm.o,cpgmnnneigarbrtssocoSuceheferwerkysaamatetaarrechiesnhtloeatelecenso,rrkoossedesug,.mfiifarl,rrssidunwicHpddesmmibnagnaaeoukoneogeslscnrwgcmeioikslcniecsavnefueeecn,evaucddramwgrnrnseipuaiyeebcedrnups,snarwreeg,etcrsdeoraeahaeeafctowtnrssligoaahhfsirttdutnnsehtitnctcasicehahlhhageirnimageionernrcneoghtp,wcr,cykehlthrhieeaeaehehbiosrsrrele,rikgtbgrtiarh-eiilfrhrtelssnioth--trsrakta page6 calcancerisabnormalbleeding.Many deathsamongwomen.Lungcanceris National Women's Health Information Center U.S.DepartmentofHealthandHumanServices,OfficeonWomen'sHealth Frequently Asked Questions I thesecondcauseofcancerdeaths drinkingorusedrugs,gethelptostop! wamoomnegnH(ibsephainnidcbArmeearsticcaann/ceLra)t.inAandthe YIfoyuoruhderailntkh,ctarheepNraotviiodnearlcIannsthiteultpesyoouf. Wome1n-s8H0e0-a9h9h4-.9g6o6v2 AwsdcemohaomotohenlngrsatthHeuaisdvsefepnoatrinsn,ilccur3neA1gam.sec5erad%nicecoevafrenfr/ieyLnmayattelhaieernss.oehigh aufHosnereda—lmotonhuseptaddatvrdoiiusltnetkwsso,paemdsrroaifddeneakrylseavftpeoeelrrowadlfoacdmoyrheifononlkriamnnged:n TDD:1-888-220-5446 smokecigarettes.Ifyousmoke,tryto olderpeople.However,somepeople quit.Atjustafewdays,yourhealthwill shouldNOTdrinkatall: tbohreeggaiAnnmizteaortiiicmopnasrnotvCoea.hnecTlehpreyrSoeoucaiqreuetiytm.a(1Cn-oy8n0t0a-ct • wtoobmeecnomwehopraergenapnrtegnantortrying ACS-2345orwww.cancer.org)for • peoplewhoplantodriveorengage help. inotheractivitiesthatrequirealert- AlcoholismandIllicitDrugUse nsepsesedanmdacshkiilnle(rsyu)chasusinghigh- AccordingtotheNationalInstitutesof tHheeasleths,ymalpctoohmosl:ismisadiseasewith • pceooupnlteertaokripnrgesccerrtiapitnioonvemre-dtihcea-tions • craving:astrongneedtodrink • peoplewithmedicalconditionsthat canbemadeworsebydrinking • lossofcontrol:can'tlimitone's drinking • recoveringalcoholics • physicaldependence:withdrawal • peopleyoungerthanage21 symptoms,suchasnausea,sweating, GettingHealthCare wasfhhtaeekrinnaeypsoesu,riasotndodpoafdnrhxieinaekvtiyyntdghraaitlnckhoiahnpogplens pAherlaotlbhtloheumogsfhwbtoehcimsaeuinss,ne'tmitaacnpayrnowlbeolaemdmetownihtceahanl'ttthhe • tolerance:drinkgreateramountsof gettherighthealthservices,medicines, alcoholinorderto"gethigh" andsupplieswhentheyneedthem. Illicitdrugsareillegaldrugs,likehero- Somereasonsinclude: in,marijuana,ecstasy,cocaine,PCP, • Theycan'tpayforitanddon'thave andLSD.SubgroupsofHispanic healthinsurance. Americans/Latinosvaryintheirratesof • Theyhavenowaytogettoadoctor. substanceabuse,alcoholdependence, maenndtn.eBeudtfoorveirlallicli,tcdormugpaarbeudsetotrtehate- • Tmahkeeyhitahvaerpdhytsoigceatltloimaitdaotcitoonrs.that totalU.S.population,Mexicansand • Theydon'tunderstandthelan- PuertoPvicanshavehighratesofillicit guage. druguse,heavyalcoholuse,alcohol TherearemoreuninsuredHispanic dependence,andneedfordrugabuse American/Latinowomenthanany treatment. otherrace/ethnicgroup(30%),even Preventproblemsrelatedtoalcoholand thoughmanyofthemareemployedor page7 drugs.Ifyouhaveaproblemwith livewithsomeonewhoisemployed. NationalWomen's Health Information Center U.S.DepartmentofHealthandHumanServices,OfficeonWomen'sHealth Frequently Asked Questions I Only26%haveprivatehealthinsur- Q: Whattypesofhealthcarecov- aanncde,72%7r%ecreeicveeiMveedMiecdaircea.iTdhciosvlearcakgeo,f aerbaoguetetxhiestm??HowdoIfindout Women1s-8H0e0a-l9t94h-.9g6o6v2 aHiHininsssdpupjaraoannbniiscccessthiatasrotedbdumeoeoernimoneptpllapiorkryteoelvtydiodtitehnhaehinenfadnaluoctstnth-rthiaets A: lgFoiotnosddoifnregqsuheeeasartlcithohnasi.nndTsuhfrieanrndecienagroefatnaesnnwuerrmesbquetiorreosf TDD:1-888-220-5446 benefits.Also,withinthevarious differentkindsofhealthcarecoverage: industries,Hispanicsarelesslikelythan PrivateInsurance non-Hispanicstobeofferedhealth • Employersponsored-fullyorpartly coveragebytheiremployers.Problems paidbyanemployer,includeshealth withlanguage,transportation,child maintenanceorganizations,pre- care,immigrationstatus,orcultural ferredproviderorganizations,and differencesactasfurtherbarriersto pointofserviceplans.Contactyour healthcareservices.Lackofaccessto employerforinformationonplans healthcareisamajorbarriertoearly availabletoyou. Mlacdtwtwtmcdoeidohoheeaooswsevratrsbeenmmanefraeeaayncuees.dntltcedonnvldwHieifyaiioidatscwncfnswegeaiecmpsnhcrnatteaoevoaanehd.ntirssgdnihceeebUlsacasdrittln,indekartAiwieagcaeaminflseiasannefystsnttidyrdcuhtcmcoiieruhseaofracbleaunnt,tgratrndtchenhnvateeaoeio/oHorrsnvstLfitddaetghaasiblrdrcreptsoreearoearieanianuatannmnwestcpsioeoseote,ic.tsurtrmhscceaTa-iaerthnnen-e • aFmIpiiwhwaiItonneneanannhdtrsaohsdnyioelcuptiiuvttrrelntvriahaacesipaldtWgnauds:unocwecournaec/anealathe/rwbtcslanewoefal.yctlwoikshpnlerwnSiCaalttytsr.tocavooeeoucnooetmarousoaorrmseanpnndypetgnmseilahcoisshournfantenmesmr-taaytsaaoeett-eo.lulaemnrilrrtspt.paoeYhablhrggabnnouoiealrococvyysvuaTovueQaoaesrau/titudembppsleat.rtraaskqlhohhbouYyirkleeovatoeoearilyrluuidf,tgteohyhr HispanicAmericans/Latinoshaveno qualityhealth/forinformationon rtieognu,latrhesoluorwceionfcohmeaelsthofcamrae.nyInaddi- hsealveectaicncgesashteoaltthhepIlnatne.rnIefty,oourddoonn'ott pHairsepdantiocoAtmheerrigcraonusp/sL,atmiankose,iatshcarodm-to k1-n8o0w0-h9o9w4-t9o66u2s.eacomputer,call obtainindividualhealthinsuranceout- sideofemployer-orgovernment-spon- PublicInsurance soredplans.Evenwhentheyareeligi- • Medicare-federalgovernment bleforMedicaidorstate-sponsored healthinsuranceprogramforpeople childhealthinsuranceprograms,many 65andolder,orwhoaredisabled,or HispanicAmericanfamiliesfearthat whohavepermanentkidneyfailure. enrollingfamilymembersinsuchplans YoucancalltheSocialSecurity couldbeusedagainstthemwhenthey Administrationat1-800-772-1213 applyforcitizenship. orcontactyourlocalSocialSecurity Officeformoreinformation. page8 National Women's Health Information Center U.S.DepartmentofHealthandHumanServices,OfficeonWomen'sHealth (7REQUENTLY ASKED QUESTIONS • Medicaid-federalandstatehealth BureauofPrimaryHealthCare insuranceprogramrunbystatesfor Phone:(800)400-2742 low-incomeordisabledpeopleofall InternetAddress: ages.Clickonhttp://cms.hhs.gov/ http://www.bphc.hrsa.gov/ WomensHeatth.gov medicaid/tollfree.aspforalistof 1-800-994-9662 MIfeydoiucadiodntooltl-hfarveeelaicnceesssintoeatchhestate. CSeernvtiecressf(oCrMMSe)dicare&Medicaid TDD:1-888-220-5446 Internet,ordon'tknowhowtouse Phone:877-267-2323 acomputer,call1-800-994-9662. InternetAddress: Formoreinformationonhealthinsur- http://www.cms.hhs.gov ance,contacttheseorganizations: AangdenQcuyalfiotryHealthcareResearch AHemaelrtihcaInsuranceAssociationof Phone:(800)358-9295 Phone:202-824-1600 InternetAddress:http://www.ahrq.gov InternetAddress: http://www.aahp.org/template.cfin Formoreinformation. j. YoucanfindoutmoreabouthealthproblemsinHispanicAmerican/Latinowomenby ctohentNacWtiHnIgCtheMiNnaotirointaylWWoommeenn''sssHeectailotnh(Ihntftopr:m/a/twiwown.Cweonmteenrshaeta8l0t0h-.9g9o4v/-m9i6n6o2n,tvyi/siting index.htm),andcontactingthefollowingorganizations: OfficeofMinorityHealth OfficeofMinorityandWomen's Phone:(301)443-5224(301)589-0951 Health T(PDubDliclaitnei:on(s8)00)444-6472 PInhtoenren:et(a3d0d1r)es5s9:4-4490 Internetaddress:http://www.omhrc.gov http://bphc.hrsa.gov/OMWH/home.HTM AHduleplallimtcahatteaerndidawliHtcuhoonmutaatinpneeSrdemriivnsisctiehose.nFfCrAiotQmasttihoiesnfOrofeffesioocuferccooenpyisWriaogpmhpetrenrc'eissattreHidce.tailontshainndtmheayU.bSe.coDpeipeda,rtrmepernotduocfed,'or May2003 page9 National Women's Health Information Center U.S.DepartmentofHealthandHumanServices,OfficeonWomen'sHealth