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Preparing Dietetics Practitioners to Effectively Serve the Hispanic Population

      It is critical that registered dietitians (RDs) who work with the Hispanic population are prepared to provide culturally and linguistically appropriate nutrition care to best serve the nutritional needs of this growing segment of the population. In addition, since the Hispanic population in the United States is growing (
      • Perez-Escamilla R.
      • Hromi-Fiedler A.
      • Vega-Lopez S.L.
      • Bermudez-Millan A.
      • Segura-Perez S.
      Impact of peer nutrition education on dietary behaviors and health outcomes among Latinos: A systematic literature review.
      ), it is important to recruit more Hispanic individuals to the dietetics profession. This article discusses the issues of cultural competency, diversity, overcoming the language barrier, and what can be done to educate dietetics practitioners.
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      References

        • Perez-Escamilla R.
        • Hromi-Fiedler A.
        • Vega-Lopez S.L.
        • Bermudez-Millan A.
        • Segura-Perez S.
        Impact of peer nutrition education on dietary behaviors and health outcomes among Latinos: A systematic literature review.
        J Nutr Educ Behav. 2008; 40: 208-225
        • US Department of Health and Human Services
        The Office of Minority Health. Appendix A. Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity. Federal Register.
        (Published October 30, 1997. Accessed November 3, 2010)
        • Nord M.
        • Andrews M.
        • Carlson S.
        Household Food Security in the United States, 2007. US Department of Agriculture, Washington, DC2008 (Economic Research Report 66, p 11.)
        • US Department of Agriculture, Economic Research Service
        Food security in the Unites States: Key statistics and graphics.
        (Published 2008. Accessed November 3, 2010)
        • National Institute of Diabetes and Digestive and Kidney Diseases
        National Diabetes Statistics Fact Sheet: General Information and National Estimates on Diabetes in the Unites States, 2007. US Department of Health and Human Services, National Institutes of Health, Bethesda, MD2007
        • American Heart Association
        Statistical facts sheet—Risk factors: Overweight and obesity—Statistics.
        (Accessed July 20, 2010)
        • Institute of Medicine Report
        Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. National Academies Press, Washington, DC2002
        • DuBard C.A.
        • Gizlice Z.
        Language spoken and differences in health status, access to care, and receipt of preventive services among US Hispanics.
        Am J Public Health. 2008; 98: 2021-2028
        • Elderkin-Thompson V.
        • Silver R.C.
        • Waitzkin H.
        When nurses double as interpreters: A study of Spanish-speaking patients in a US primary care setting.
        Soc Sci Med. 2001; 52: 1343-1358
        • Diamond L.C.
        • Schenker Y.
        • Curry L.
        • Bradley E.H.
        • Fernandez A.
        Getting by: Underuse of interpreters by resident physicians.
        J Gen Intern Med. 2009; 24: 256-262
        • Garrett P.W.
        • Dickson H.G.
        • Young L.
        • Whelan A.K.
        • Forero R.
        What do non–English-speaking patients value in acute care?.
        Ethnic Health. 2008; 13: 479-496
        • Lopez-Quintero C.
        • Berry E.M.
        • Neuark Y.
        Limited English proficiency is a barrier to receipt of advice about physical activity and diet among Hispanics with chronic diseases in the United States.
        J Am Diet Assoc. 2010; 110: S62-S67
        • US Department of Health and Human Services
        Healthy People 2010 Midcourse Review. US Government Printing Office, Washington, DC2006
        • US Department of Agriculture, Food and Nutrition Service
        WIC Participant and Program Characteristics 2006: Summary. Office of Research, Nutrition, and Analysis, Washington, DC2007
        • Umbreit L.
        Meeting the needs of Hispanic Americans: Challenges and opportunities for nutrition professionals.
        J Am Diet Assoc. 2007; 107: 1321
        • American Cancer Society
        Curanderismo.
        (Accessed July 19, 2010)
        • Elder J.P.
        • Ayala G.X.
        • Parra-Medina D.
        • Talavera G.A.
        Health communication in the Latino community: Issues and approaches.
        Annu Rev of Publ Health. 2009; 30: 227-251
        • Caballero A.E.
        Building cultural bridges: Understanding ethnicity to improve acceptance of insulin therapy in patients with type 2 diabetes.
        Ethn Dis. 2006; 16: 559-568
        • Greene G.W.
        • Sebelia L.
        • Stone E.
        Evaluation of a culturally sensitive healthful eating and activity program for Latinas.
        J Nutr Educ Behav. 2008; 40 ([abstract]): S26-S27
        • Berta D.
        Culinary schools grow efforts to boost Hispanic enrollment.
        (Published June 25, 2007. Accessed November 3, 2010)
        • McCaffree J.
        Language: A crucial part of cultural competency.
        J Am Diet Assoc. 2008; 108: 611-613
        • Hakimzadeh S.
        • Cohn D.
        English usage among Hispanics in the United States.
        (Published 2007. Accessed June 23, 2009)
        • Karliner L.S.
        • Perez-Stable E.L.
        • Gildengorin G.
        The language divide: The importance of training in the use of interpreters for outpatient practice.
        J Gen Intern Med. 2004; 19: 175-183
        • Yoon J.
        • Grumbach K.
        • Bindman A.B.
        Access to Spanish-speaking physicians in California: Supply, insurance, or both.
        J Am Board Fam Pract. 2004; 17: 165-172
        • Fernandez A.
        • Schillinger D.
        • Grumbach K.
        • Rosenthal A.
        • Stewart A.L.
        • Wang F.
        • Pérez-Stable E.J.
        Physician language ability and cultural competence: An exploratory study of communication with Spanish-speaking patients.
        J Gen Intern Med. 2004; 19: 167-174
        • Smith A.K.
        • Sudore R.L.
        • Perez-Stable E.J.
        Palliative care for Latino patients and their families: Whenever we prayed, she wept.
        JAMA. 2009; 301: 1047-1057
        • Diamond L.C.
        • Reuland D.S.
        Describing physician language fluency.
        JAMA. 2009; 301: 426-428
        • Rogers D.
        Report on the American Dietetic Association/Commission on Dietetic Registration 2008 Needs Assessment.
        J Am Diet Assoc. 2009; 109: 1283-1293
        • Fitz P.A.
        • Micthell B.E.
        Building our future—Increasing diversity in the dietetics profession: A summary of the ADA diversity mentoring project.
        J Allied Health. 2002; 31: 177-183
        • Jarratt J.
        • Mahaffie J.B.
        The profession of dietetics at a critical juncture: A report from the 2006 environmental scan for the American Dietetic Association.
        J Am Diet Assoc. 2007; 107: S44
        • American Dietetic Association
        Diversity Philosophy Statement.
        (Accessed October 20, 2010)
        • ADA Strategic Plan
        American Dietetic Association Web site.
        (Accessed November 3, 2010)
        • American Dietetic Association Diversity Committee
        Update on minority recruitment and retention research project.
        J Am Diet Assoc. 2000; 100: 888-890
        • American Dietetic Association
        Building our Future: Toolkit for Mentoring Diverse Students for Dietetics Careers.
        (Accessed July 20, 2010)