The South Texas Health Status Review

This book is a roadmap of the exact health disparities that burden the health of South Texas residents, especially Hispanics, compared to the rest of Texas and nation. This type of knowledge has the potential to fuel and motivate researchers and public health leaders to create and shape interventions to reverse those health disparities. Most notably, focus on obesity and diabetes prevention efforts and modifiable risk factors—such as nutrition, reproductive factors and access to health care—has significant potential to reduce the burden of disease in South Texas communities.South Texas, a 38-county region that spans 45,000 square miles along the Texas-Mexico border northward to the area around metropolitan Bexar County (home to San Antonio), is home to 18% of the state’s population. Yet South Texas residents, who are 68% Hispanic, struggle with lower educational levels, less income and less access to health care—and, as a result, suffer from a wide variety of health disparities. To study the health status and identify the exact health disparities that exist in the region, researchers from The UT Health Science Center at San Antonio teamed with researchers from the Texas Department of State Health Services to develop the South Texas Health Status Review.The Review team analyzed a variety of the latest county, state and national data to compare South Texas’ incidence, prevalence and mortality rates for more than 35 health indicators—from cancers to chronic diseases like diabetes to communicable diseases like HIV/AIDS to maternal health and even environmental health—to the rest of Texas and the nation by age, sex, race/ethnicity and rural/urban location.​

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

On the plains between the San Antonio River and the Rio Grande lies the heartland of what is perhaps the largest ethnic region in the United States, Tejano South Texas. In this cultural geography, Daniel Arreola charts the many ways in which Texans of Mexican ancestry have established a cultural province in this Texas-Mexico borderland that is unlike any other Mexican American region. Arreola begins by delineating South Texas as an environmental and cultural region. He then explores who the Tejanos are, where in Mexico they originated, and how and where they settled historically in South Texas. Moving into the present, he examines many factors that make Tejano South Texas distinctive from other Mexican American regions—the physical spaces of ranchos, plazas, barrios, and colonias; the cultural life of the small towns and the cities of San Antonio and Laredo; and the foods, public celebrations, and political attitudes that characterize the region. Arreola's findings thus offer a new appreciation for the great cultural diversity that exists within the Mexican American borderlands.

The number one tourist destination in Texas may also be one of the most haunted cities in the entire state. Steeped in history and tradition, San Antonio has many locations that are claimed as home for some interesting and intriguing spirits. Docia Williams has spent years tracking down the spirits of San Antonio and has found them in such interesting places as the Alamo, the Institute of Texan Cultures, numerous hotels and restaurants, the city library, the choir loft of a Methodist church, the Midget Mansion, and the haunted Sea Captain's house.

In the early years of the twentieth century, newcomer farmers and migrant Mexicans forged a new world in South Texas. In just a decade, this vast region, previously considered too isolated and desolate for large-scale agriculture, became one of the United States' most lucrative farming regions and one of its worst places to work. By encouraging mass migration from Mexico, paying low wages, selectively enforcing immigration restrictions, toppling older political arrangements, and periodically immobilizing the workforce, growers created a system of labor controls unique in its levels of exploitation. Ethnic Mexican residents of South Texas fought back by organizing and by leaving, migrating to destinations around the United States where employers eagerly hired them--and continued to exploit them. In From South Texas to the Nation, John Weber reinterprets the United States' record on human and labor rights. This important book illuminates the way in which South Texas pioneered the low-wage, insecure, migration-dependent labor system on which so many industries continue to depend.

This open access book gives an overview of the sessions, panel discussions, and outcomes of the Advancing the Science of Cancer in Latinos conference, held in February 2018 in San Antonio, Texas, USA, and hosted by the Mays Cancer Center and the Institute for Health Promotion Research at UT Health San Antonio. Latinos – the largest, youngest, and fastest-growing minority group in the United States – are expected to face a 142% rise in cancer cases in coming years. Although there has been substantial advancement in cancer prevention, screening, diagnosis, and treatment over the past few decades, addressing Latino cancer health disparities has not nearly kept pace with progress. The diverse and dynamic group of speakers and panelists brought together at the Advancing the Science of Cancer in Latinos conference provided in-depth insights as well as progress and actionable goals for Latino-focused basic science research, clinical best practices, community interventions, and what can be done by way of prevention, screening, diagnosis, and treatment of cancer in Latinos. These insights have been translated into the chapters included in this compendium; the chapters summarize the presentations and include current knowledge in the specific topic areas, identified gaps, and top priority areas for future cancer research in Latinos. Topics included among the chapters: Colorectal cancer disparities in Latinos: Genes vs. Environment Breast cancer risk and mortality in women of Latin American origin Differential cancer risk in Latinos: The role of diet Overcoming barriers for Latinos on cancer clinical trials Es tiempo: Engaging Latinas in cervical cancer research Emerging policies in U.S. health care Advancing the Science of Cancer in Latinos proves to be an indispensable resource offering key insights into actionable targets for basic science research, suggestions for clinical best practices and community interventions, and novel strategies and advocacy opportunities to reduce health disparities in Latino communities. It will find an engaged audience among researchers, academics, physicians and other healthcare professionals, patient advocates, students, and others with an interest in the broad field of Latino cancer.