W s ning f pa i is B (HBV) inf c i n Your healthcare provider will test you for HBV. If you have both HIV-1 and HBV, your HBV may suddenly get worse if you stop taking BIKTARVY. Do not stop taking BIKTARVY without fi rst talking to your healthcare provider, as they will need to check your health regularly for several months, and may give you HBV medicine.
ABOUT BIKTARVY
BIKTARVY is a complete, 1-pill, once-a-day prescription medicine used to treat HIV-1 in adults and children who weigh at least 55 pounds. It can either be used in people who have never taken HIV-1 medicines before, or people who are replacing their current HIV-1 medicines and whose healthcare provider determines they meet certain requirements.
BIKTARVY d s n cu HIV-1 AIDS HIV-1 is the virus that causes AIDS.
D NOT ak BIKTARVY if y u als ak a dicin a c n ains:
dofetilide
rifampin
any other medicines to treat HIV-1
BEFORE TAKING BIKTARVY
T ll y u al ca p vid if y u:
Have or have had any kidney or liver problems, including hepatitis infection.
Have any other health problems.
Are pregnant or plan to become pregnant. Tell your healthcare provider if you become pregnant while taking BIKTARVY.
Are breastfeeding (nursing) or plan to breastfeed. Talk to your healthcare provider about the risks of breastfeeding during treatment with BIKTARVY.
T ll y u al ca p vid ab u all dicin s y u ak :
Keep a list that includes all prescription and over-thecounter medicines, antacids, laxatives, vitamins, and herbal supplements, and show it to your healthcare provider and pharmacist.
BIKTARVY and other medicines may affect each other. Ask your healthcare provider and pharmacist about medicines that interact with BIKTARVY, and ask if it is safe to take BIKTARVY with all your other medicines.
POSSIBLE SIDE EFFECTS OF BIKTARVY
BIKTARVY ay caus s i us sid ff c s, including: Those in the “Most Important Information About BIKTARVY” section.
C ang s in y u i un sys Your immune system may get stronger and begin to fight infections that may have been hidden in your body. Tell your healthcare provider if you have any new symptoms after you start taking BIKTARVY.
Kidn y p bl s, including kidn y failu Your healthcare provider should do blood and urine tests to check your kidneys. If you develop new or worse kidney problems, they may tell you to stop taking BIKTARVY.
T uc lac ic acid in y u bl d (lac ic acid sis), which is a serious but rare medical emergency that can lead to death. Tell your healthcare provider right away if you get these symptoms: weakness or being more tired than usual, unusual muscle pain, being short of breath or fast breathing, stomach pain with nausea and vomiting, cold or blue hands and feet, feel dizzy or lightheaded, or a fast or abnormal heartbeat.
S v liv p bl s, which in rare cases can lead to death. Tell your healthcare provider right away if you get these symptoms: skin or the white part of your eyes turns yellow, dark “tea-colored” urine, light-colored stools, loss of appetite for several days or longer, nausea, or stomach-area pain.
T s c n sid ff c s f BIKTARVY in clinical studies were diarrhea (6%), nausea (6%), and headache (5%).
These are not all the possible side effects of BIKTARVY. Tell your healthcare provider right away if you have any new symptoms while taking BIKTARVY. You are encouraged to report negative side eff ects of prescription drugs to the FDA. Visit www.FDA.gov/medwatch or call 1-800-FDA-1088.
Y u al ca p vid ill n d d s s ni y u al b f and du ing a n i BIKTARVY
HOW TO TAKE BIKTARVY
Take BIKTARVY 1 time each day with or without food.
GET MORE INFORMATION
This is only a brief summary of important information about BIKTARVY. Talk to your healthcare provider or pharmacist to learn more.
Go to BIKTARVY.com or call 1-800-GILEAD-5.
If you need help paying for your medicine, visit BIKTARVY.com for program information.
People featured are compensated by Gilead.
#1 PRESCRIBED HIV TREATMENT*
*Source: IQVIA NPA Weekly, 04/19/2019 through 05/19/2023.
“I’ve learned how to live with HIV, and my children and my family are a huge part of that.”
MARICELA SWITCHED TO BIKTARVY®
Ask y u al ca p vid if BIKTARVY is ig f y u F day and
BIKTARVY is a complete, 1-pill, once-a-day prescription medicine used to treat HIV-1 in certain adults. BIKTARVY does not cure HIV-1 or AIDS.
Scan visi BIKTARVY c l a n ab u c n BIKTARVY upda s
*This information is an estimate derived from the use of information under license from the following IQVIA information service: IQVIA NPA Weekly, for the period week ending 04/19/2019 through week ending 05/19/2023. IQVIA expressly reserves all rights, including rights of copying, distribution, and republication.
Please see Important Facts about BIKTARVY, including important warnings, on the previous page and at BIKTARVY.com.
LATINX
& LOVING IT
In this special issue, we focus on health and wellness within the Latinx community, as well as celebrate its amazing resilience, beauty, and diversity.
Features
12 FIVE TO FIGHT We breakdown five common serious health issues that affect Latinx people and how to combat them.
22 CALL OF DUTY “America’s doctor” Anthony Fauci opens up about his life and career in a fascinating new memoir.
Buzzworthy
6 PROTECTING OUR PROS Why the Paris Olympics supplied free condoms to competitors.
7 DOUBLE DUTY Can getting vaccinated for shingles reduce dementia risk?
8 A MILLION REASONS The national 988 crisis line is saving millions, one text at a time.
Fitness
16 LET’S GET MOVING! Fitness newbie? Some tips for easing into an exercise routine.
Sexual Health
17 STAYING SEXY & SAFE Today, preventing the spread of HIV is easier than ever.
Wellness
18 YOU GOT THIS These five books by and for Latinx people will help you reset and recharge.
20 TACOS TO THE RESCUE! These tasty meatless tacos are sure to satisfy your tum-tum.
Parting Shot
24 LONG LIVE THE DEAD Party with the departed at L.A.’s ultimate Día de Los Muertos celebration.
editor in chief DESIRÉE GUERRERO
executive creative director RAINE BASCOS
EDITORIAL
senior editor JOHN CASEY senior copy editor TRUDY RING
ART
graphic designer MARIUSZ WALUS digital photo editor NIKKI AYE
EQUALPRIDE EDITORIAL
vp editorial & special projects TRACY GILCHRIST
editor in chief, out DANIEL REYNOLDS editor in chief, out.com RAFFY ERMAC deputy editor, out.com BERNARDO SIM editor in chief, the advocate DESIRÉE GUERRERO editor in chief, advocate.com ALEX COOPER managing editor, out traveler DONALD PADGETT editor in chief, pride.com RACHEL SHATTO deputy editor, pride.com DARIC COTTINGHAM
senior editor JOHN CASEY
sr. national reporter CHRISTOPHER WIGGINS
staff writers RYAN ADAMCZESKI, RICKY CORNISH, MEY RUDE
community editor MARIE-ADÉLINA DE LA FERRIÈRE
ADVOCATE CHANNEL
senior executive producer of programming
MARY SCHWAGER
vp, executive producer women’s programming & host
SONIA BAGHDADY
supervising producer, operations manager
MICHAEL SMITH
senior producer BRIAN KELLEY
senior producer CARA GLASS host, producer JAYMES VAUGHAN host, producer STEPHEN WALKER video editors LAMONT BALDWIN, WALTER COLVIN, LACY VALENTI
post production editor IRIS WALL
chief executive officer MARK BERRYHILL cofounder, equalpride MICHAEL KELLEY chief financial officer JOE LOVEJOY head of revenue AMANDA BINNS
chief operating officer BERNARD ROOK
executive director of digital content KAYLA GAGNET
Any organization, community-based group, pharmacy, physicians’ office, support group, or other agency can request bulk copies for free distribution at your office, meeting, or facility. To subscribe, visit equalpride.com/plus-print-signup. There is a 10-copy minimum.
FREE DIGITAL SUBSCRIPTIONS
Health PLUS Wellness magazine is available free to individual subscribers — a digital copy of each issue can be delivered to the privacy of your computer or reader six times per year. We require only your email address to initiate delivery. You may also share your digital copies with friends.
To subscribe, visit equalpride.com/plus-digi-signup.
NEED SUBSCRIPTION HELP?
If you have any questions or problems with your bulk or individual magazine delivery, please email our circulation department at argus.galindo@equalpride.com
Health PLUS Wellness (ISSN 1522-3086) is published bimonthly by equalpride. Health PLUS Wellness is a registered trademark of equalpride.
As a proud Latina of indigenous ancestry, I am honored to present our annual Latinx issue, which focuses on the health and wellness of our vibrant community.
This issue also marks an exciting moment in our publication’s history. As Plus magazine, we’ve been dedicated to bringing our readers the latest news and inspiring stories around HIV and sexual health for nearly 30 years. Now, we are reintroducing ourselves as Health PLUS Wellness, expanding our content to include all aspects of health and wellness to help people in every community live their best lives possible.
Do you know what the most common serious health issues that affect Hispanic people are? Flip to page 12 to learn more. Are you a fitness newbie? Then you’ll definitely want to check out our exercise tips for beginners (page 16) and a delicious recipe for meatless tacos (page 20). Making healthy changes in your life doesn’t need to be an unpleasant experience. Things like daily walks and healthy meals can actually be enjoyable — I promise!
But being well means more than just keeping our physical bodies healthy and strong — our mind and spirit matter too. On page 18, we highlight a few great Latinx-themed mental health books. Some even take a humorous approach to help you heal, like psychotherapist Jasmine Cepeda’s 12 Ways to Cope With Your Latina Mom & Her Difficulties. Beyond our mental and physical wellness, we should also remember to seek joy. Latinx culture is known for its rich traditions and excellence in the arts. If you’re looking for a good Día de los Muertos party in the Los Angeles area this year (or just want to see some amazing pics), check out our feature on Hollywood Forever’s annual event on page 24.
Thank you for reading and be well!
DESIRÉE GUERRERO editor in chief
a note from our ceo
Dear Readers,
Welcome to the inaugural issue of Health PLUS Wellness! We are thrilled to introduce this expanded focus, where we will now provide you with a broader range of health information alongside our continuing commitment to HIV and sexual health. This evolution reflects our dedication to supporting the holistic well-being of our community, offering insights and resources that empower you to lead healthier, happier lives.
In this issue, we explore the top five health concerns for Latinx people, providing valuable tips on prevention and treatment. This feature, available in English and Spanish, underscores our commitment to accessibility and inclusivity, ensuring that vital health information reaches as many people as possible.
Our Fitness and Wellness sections offer exercise tips for beginners, healthy recipes, and highlight some great mental health books.
We also take a moment to celebrate the Latinx community’s rich cultural tapestry with images from L.A.’s ultimate Day of the Dead event.
Lastly, we are honored to include an exclusive interview with Dr. Anthony Fauci, where he discusses his new memoir. His contributions to public health have been immense, and we are excited to bring his insights to our readers.
As we embark on this new chapter as Health PLUS Wellness, we are deeply grateful for your continued support and look forward to serving you with the same dedication and passion that has defined our mission from the start.
Thank you for being part of our community. Here’s to your health and well-being!
Warm regards,
Mark Berryhill, Chief Executive Officer
CONDOMS FOR CHAMPIONS
The Paris Olympics returned to its longstanding safe-sex tradition by providing athletes with 300,000 condoms.
BY RYAN ADAMCZESKI
This year, the Paris Olympics provided athletes with 300,000 condoms — enough for two per person for every day of the games.
The condoms were available at the Olympic Village this summer, returning to tradition after the International Olympic Committee issued an intimacy ban and social distancing orders for the 2021 Tokyo Olympics due to the COVID-19 pandemic. The roughly 9,000 athletes were
also supplied with a cardboard bed frame sturdy enough to support 550 pounds — or two adults.
“It is very important that the conviviality here is something big,” Laurent Michaud, director of the Village, said via Sky News ahead of the games. “Working with the Athletes Commission, we wanted to create some places where the athletes would feel very enthusiastic and comfortable.”
Condoms were first distributed to athletes at the Seoul Olympics in 1988 as part of a campaign to raise awareness for HIV during the height of the AIDS epidemic, multiple outlets reported. Around 8,500 condoms were supplied that year, with the amount since growing exponentially to meet demand.
In 2000, organizers of the Sydney Olympics had to order an additional 20,000 condoms when they realized their initial amount of 70,000 would not be enough. The Rio Olympics in 2016 saw the most condoms supplied to athletes at 450,000. Tokyo Olympic organizers also planned to provide around 150,000 condoms despite the intimacy ban, though they claimed via Reuters that the condoms were “not for use at the athlete’s village, but to have athletes take them back to their home countries to raise awareness.”
The Olympic Village in Paris is the most expensive set-up in the history of the games, costing around 2 billion euros (approximately $2.2 billion). While it was largely funded by private investors, about €650 million (approximately $708,724,000) came from public funds.
NINETY-EIGHT PERCENT OF adults in the U.S. are estimated to have had chickenpox in their lifetime, making them at risk for developing shingles, according to recent report by CNN. Both conditions are caused by varicella-zoster, a virus in the herpes family.
Herpes viruses are tricky and can remain dormant in nerve roots for years, then reactivate during periods of stress, illness, or any time a person’s immune system is compromised. This can trigger shingles, a clustered rash that can appear on the body’s trunk, neck, or face. Pain levels vary person to person and can range from mild tingling to a severe searing sensation. A shingles attack can last several weeks.
While there’s currently no cure for shingles, there are antiviral drugs available to treat it as well as vaccines. The first vaccine, Zostavax, was licensed in the U.S. in 2006. It wasn’t until 2017 that a much more effective vaccine, Shingrix, became available, which the Centers for Disease Control and Prevention now recommends over Zostavax for adults 50 and older.
Researchers have also noticed a possible connection between herpes viruses and dementia. These viruses
Brain Bonus?
Recent research suggests that a shingles vaccine may also reduce dementia risk.
BY DESIRÉE GUERRERO
can “hide out” in the brain, as the CNN report points out, causing damage that may promote the development of dementia.
One recent study, published in July by the journal Nature Medicine, looked at dementia diagnoses in more than 200,000 people over the age of 65 who’d been previously vaccinated for shingles. About half had received the Zostavax vaccine and the other half had received Shingrix. The researchers found that people in the Shingrix group had a 17 percent less chance of being diagnosed with dementia in the six years after their vaccination than those in the Zostavax group.
“There was already some evidence that the old live vaccine was able to reduce the risk of Alzheimer’s Disease,” noted Dr. Andrew Doig, a biochemist at the University of Manchester, in written comments. Doig also stated that the newer vaccine may be linked to an even larger reduction in risk. “This is a significant result, comparable in effectiveness to the recent antibody drugs for Alzheimer’s Disease.”
Despite some experts warning that such findings can be greatly affected by factors like lifestyle habits, preexisting health issues, financial stability, and access to care, these study results do provide some hope in the scientific community’s efforts to prevent dementia.
“It will be critical to study this apparent effect further,” wrote Dr. Sheona Scales, director of research at Alzheimer’s Research UK, in a statement.
“While research into whether vaccines affect dementia risk continues, people should be aware that there are other factors that have definitively been linked to an increased dementia risk,” added Scales. “These include things like smoking, high blood pressure, and excessive alcohol consumption.”
Saving Millions, One Text at a Time
The national 988 Suicide and Crisis Lifeline is helping millions — and drawing attention to our country’s ongoing mental health crisis.
TWO YEARS AGO, the 988 Suicide and Crisis Lifeline was launched by the Biden-Harris administration in efforts to “address our national mental health crisis.” Since then, the service has answered over 10 million texts, calls, and chats, according to a recent CNN report citing data from the U.S. Department of Health and Human Services (HHS).
The administration has invested over $1.5 billion since 2022 to continue the service and expand it to include improved access for Spanish speakers, LGBTQ+ young people, and those who are deaf or hard of hearing, according to the HHS data.
The lifeline can be accessed several ways — via phone call, text, or video chat. In 2023, text messages to 988 increased an astounding 1,135 percent, answered chats increased by 141 percent, and answered calls increased by 46 percent.
This year, the lifeline has made 110,000 contacts in Spanish and 475,000 with LGBTQ+ youth and young adults, according to the report. In addition, approximately 20,000 videophone contacts using American Sign Language were made, and 1.2 million calls were answered by the Veterans Crisis Line using 988’s “Press 1” option.
“988 is available to everyone,” Andrea Palm, HHS deputy secretary, said to CNN. “Having someone on the other end of the line to listen and provide support makes a difference. It really does save lives, and that’s what this is all about.”
And the service continues to grow. This year, HHS says it plans on introducing “georouting technology” that will enable contact with 988 callers and texters based on their physical location rather than area code. The agency also noted the need for a national backup system. Additional federal funding for this purpose would help ensure that all contacts could be answered, regardless of a state’s local financial ability to do so.—DG
If you or someone you know is struggling with mental health, help is available. Dial or text 988 or visit 988lifeline.org for free and confidential support.
35%
Percentage of Hispanic people with a mental health issue who received mental health services in 2020.
37%
Percentage of Black people with a mental health issue who received mental health services in 2020.
52%
Percentage of white people with a mental health issue who received mental health services in 2020.
Source: National Institute of Mental Health
GOOD TO GO OUT LATER WITHOUT
PAUSING FOR HIV PILLS
CABENUVA is the only complete long-acting HIV treatment you can get every other month to replace daily HIV pills in people who meet certain requirements. It’s 2 injections from a healthcare provider–– as few as 6 times a year.*
ASK YOUR DOCTOR ABOUT CABENUVA
Important Facts About CABENUVA
(KAB-en-ew-vah)
This is only a brief summary of important information about CABENUVA and does not replace talking to your healthcare provider about your condition and treatment.
ABOUT
CABENUVA
CABENUVA is a complete prescription regimen used to treat HIV-1 infection in people 12 years and older who weigh at least 77 lbs (35 kg), to replace their current HIV-1 medicines when their healthcare provider determines that they meet certain requirements. HIV-1 is the virus that causes Acquired Immune Deficiency Syndrome (AIDS). CABENUVA contains 2 different medicines:
• cabotegravir
• rilpivirine
It is not known if CABENUVA is safe and effective in children younger than 12 years of age or weighing less than 77 lbs (35 kg).
DO NOT RECEIVE CABENUVA IF YOU
• have ever had an allergic reaction to cabotegravir or rilpivirine.
• are taking the following medicines:
rifampin rifapentine dexamethasone (more than a single-dose treatment) St John’s wort (Hypericum perforatum) carbamazepine oxcarbazepine phenobarbital phenytoin rifabutin
Miranda On CABENUVA
BEFORE RECEIVING CABENUVA
Tell your healthcare provider about all your medical conditions, including if you:
• have ever had a skin rash or an allergic reaction to medicines that contain cabotegravir or rilpivirine.
• have ever had liver problems, including hepatitis B or C infection.
• have or ever had kidney problems.
• have ever had mental health problems.
• are pregnant or plan to become pregnant. It is not known if CABENUVA will harm your unborn baby. CABENUVA can remain in your body for up to 12 months or longer after the last injection.
Please see additional Important Facts About CABENUVA on the following page.
*Your every-other-month regimen begins after 2 once-monthly starter doses. It’s important to receive CABENUVA as scheduled and attend all treatment appointments.
Important Facts About CABENUVA (cont’d)
BEFORE RECEIVING CABENUVA
(cont’d)
Tell your healthcare provider about all your medical conditions, including if you: (cont’d)
• are breastfeeding or plan to breastfeed. CABENUVA may pass into your breast milk. Talk to your healthcare provider about risks to your baby from breastfeeding during or after treatment with CABENUVA.
Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Some medicines interact with CABENUVA. Keep a list of your medicines and show it to your healthcare provider and pharmacist when you get a new medicine. You can ask your healthcare provider or pharmacist for a list of medicines that interactwith CABENUVA. Do not start taking a new medicine without telling your healthcare provider. Your healthcare provider can tell you if it is safe to take CABENUVA with other medicines.
POSSIBLE SIDE EFFECTS OF CABENUVA
CABENUVA may cause serious side effects, including:
• Allergic reactions. Call your healthcare provider right away if you develop a rash with CABENUVA. Stop receiving CABENUVA and get medical help right away if you develop a rash with any of the following signs or symptoms: fever generally ill feeling tiredness muscle or joint aches trouble breathing blisters or sores in mouth blisters
redness or swelling of the eyes swelling of the mouth, face, lips, or tongue
POSSIBLE SIDE EFFECTS OF CABENUVA
(cont’d)
CABENUVA may cause serious side effects, including: (cont’d)
• Liver problems. Liver problems have happened in people with or without history of liver problems or other risk factors. Your healthcare provider may do blood tests to check your liver function. People with a history of liver problems or people who have certain liver function test changes may have an increased risk of developing new or worsening changes in certain liver tests during treatment with CABENUVA. Call your healthcare provider right away if you develop any of the following signs or symptoms of liver problems: your skin or the white part of your eyes turns yellow (jaundice) dark or “tea-colored” urine light-colored stools (bowel movements) nausea or vomiting loss of appetite pain, aching, or tenderness on the right side of your stomach area itching
• Depression or mood changes. Call your healthcare provider or get emergency medical help right away if you develop any of the following symptoms: feeling sad or hopeless feeling anxious or restless have thoughts of hurting yourself (suicide) or have tried to hurt yourself
The most common side effects of CABENUVA include:
• pain, tenderness, hardened mass or lump, swelling, redness, itching, bruising, and warmth at the injection site
• fever
• headache
• muscle or bone pain
• nausea
• sleep problems
• dizziness
• tiredness
feeling light-headed or feeling like you are going to pass out (faint) blood pressure changes
• Post-injection reactions have happened within minutes in some people after receiving their rilpivirine injection. Most symptoms resolved within minutes after the injection. Symptoms may include: trouble breathing narrowing of airways stomach cramps sweating numbness of your mouth pain (e.g., back and chest) feeling anxious feeling warm rash
• rash
These are not all the possible side effects of CABENUVA. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
GET MORE INFORMATION
• Talk to your healthcare provider or pharmacist.
• Go to CABENUVA.com or call 1-877-844-8872, where you can also get FDA-approved labeling.
December 2023 CBN:6PIL
Trademarks are property of their respective owners.
$ Are Paying
for CABENUVA through a Specialty Pharmacy after coverage and assistance options
† Individuals may be responsible for varying out-of-pocket costs based on an individual’s plan and its benefits design. Additional costs may be incurred for product administration. Based on Feb 2022 to Jan 2023 data only from Specialty Pharmacies (on file with ViiV Healthcare).
Latinx people come from a beautifully diverse culture with rich and fascinating histories. Our resilient communities have survived and flourished despite many obstacles over the years and continue to grow and evolve.
Despite this strength and fortitude, Latinx people also often suffer with certain health disparities due to a variety of factors. In the following pages, we help identify some of the biggest health concerns within the Latinx community and offer ways to prevent or reduce them. We also share a few fitness tips for beginners, some healthy eating advice, the latest safe sex practices, mental health book suggestions, and more.
Here’s to a happier, healthier you — you deserve it!
THE NOT-SOFABULOUS FIVE
Learn more about common health problems that Latinx Americans should be concerned about — and how to avoid them.
BY DESIRÉE GUERRERO
5 PROBLEMAS DE SALUD DE LA POBLACIÓN LATINX
Aprenda más sobre los problemas de salud comunes que deben preocupar a los latinoamericanos — y cómo evitarlos.
POR DESIRÉE GUERRERO
While Latinx Americans tend to live slightly longer than their white counterparts, according to the U.S. Department of Health and Human Services (HHS), this population also has disproportionately higher rates of several serious health issues. Many factors can contribute to these disparities, including a lack of access to nutritious food, decent housing, health insurance, safe workplaces, places for physical activity, and clean air and water. Lifestyle factors, such as excessive drinking or smoking, or not getting enough rest, can also affect these outcomes.
Though we couldn’t address every health issue that affects Latinx people in this article, we take a look at five of the most common and serious ones — and give some tips on how to treat or prevent them.
Apesar de que los latinoamericanos tienden a vivir un poco más que los blancos, de acuerdo con el Departamento de Salud y Servicios Humanos de EE.UU. (HHS), esta población también tiene tasas desproporcionadamente más altas de varios problemas de salud graves. Son muchos los factores que pueden contribuir a estas disparidades, como la falta de acceso a alimentos nutritivos, vivienda digna, seguro médico, lugares de trabajo seguros, lugares para la actividad física y aire y agua limpios. Los factores relacionados con el estilo de vida, como beber o fumar en exceso o no descansar lo suficiente, también pueden contribuir a estos resultados.
Aunque en este artículo no podríamos abordar todos los problemas de salud que afectan a la población latina, vamos a examinar cinco de los más comunes y graves, y dar algunos consejos sobre cómo tratarlos o prevenirlos.
Asthma
In 2018, 2.3 million Hispanic people reported having asthma, according to HHS, and are twice as likely to visit an emergency room for asthma attacks than white Americans.
While the causes of asthma vary, smoking and being around secondhand smoke are obvious things to avoid. Also, check your living environment for mold problems or water leaks, as one-fifth of all asthma cases are linked to mold or excessive moisture in the home, according to the League of United Latin American Citizens (LULAC).
Seeking treatment and making sure to take your asthma medication is vital to staying strong and healthy. If you have asthma or are having breathing issues, visit a health care provider right away, so you can get on proper treatment and live a full and active life. For more info and resources about asthma, visit the Asthma and Allergy Foundation of America at aafa.org.
Cancer
Overall, Latinx Americans have lower rates of cancer than white Americans — however, disparities still exist in certain types of cancer, according to HHS. Hispanic men and women are almost twice as likely to have, and to die from, liver and stomach cancers than nonHispanic whites. Hispanic women are 40 percent more likely to be diagnosed with cervical cancer than white women in the U.S.
As with most serious conditions, a healthy diet, regular exercise, and avoidance of excessive alcohol or drugs can help prevent certain cancers — but regular check-ups and screenings are key in detecting cancer early. Most cancers can be effectively treated when caught in the beginning stages. For more information, visit the American Cancer Society at cancer.org.
Liver Disease
Chronic liver disease is a leading cause of death among Latinx people in the U.S., according to HHS. While the cause is not always known, conditions like alcoholism, obesity, and hepatitis B and C viruses are linked to developing liver issues. Hispanic men and women are diagnosed with chronic liver disease twice as often as white Americans.
Asma
En 2018, 2.3 millones de hispanos informaron tener asma, según el HHS, y tienen el doble de probabilidades de visitar una sala de emergencias por ataques de asma que los estadounidenses blancos.
Si bien las causas del asma varían, fumar y estar cerca del humo como fumador pasivo son cosas que evidentemente hay que evitar. Además, compruebe si hay problemas de moho o fugas de agua en su vivienda, ya que una quinta parte de todos los casos de asma están relacionados con el moho o el exceso de humedad en el hogar, según la Liga de Ciudadanos Latinoamericanos Unidos (LULAC).
Buscar tratamiento y asegurarse de tomar la medicación para el asma es vital para mantenerse fuerte y sano. Si tiene asma o experimenta problemas respiratorios, visite a un proveedor de atención médica de inmediato, para que pueda recibir el tratamiento adecuado y vivir una vida plena y activa. Para más información y recursos sobre el asma, visite la Fundación del Asma y Alergias de América en aafa.org.
Cáncer
En general, los latinoamericanos tienen tasas de cáncer más bajas que los estadounidenses blancos; no obstante, siguen existiendo disparidades en ciertos tipos de cáncer, según el HHS. Los hombres y mujeres hispanos tienen casi el doble de probabilidades de padecer y morir de cáncer de hígado y estómago que los blancos no hispanos. Las mujeres hispanas tienen un 40% más de probabilidades de ser diagnosticadas de cáncer de cuello uterino que las mujeres blancas en EE.UU. Como ocurre con la mayoría de las enfermedades graves, una dieta sana, la práctica regular de ejercicio físico y evitar el consumo excesivo de alcohol o drogas pueden ayudar a prevenir ciertos tipos de cáncer. La mayoría de los cánceres pueden tratarse eficazmente cuando se detectan en sus fases iniciales. Para más información, visite la Sociedad Americana del Cáncer en cancer.org
Enfermedades hepáticas
Las enfermedades hepáticas crónicas son una de las principales causas de muerte entre la población latina en EE.UU., según el HHS. Aunque no siempre se conoce la causa, afecciones como el alcoholismo, la obesidad y los virus de la hepatitis B y C están relacionadas con el desarrollo de problemas hepáticos. A los hombres y mujeres hispanos se les diagnostican enfermedades hepáticas crónicas con el doble de frecuencia que a los estadounidenses blancos.
Treatment for liver problems varies greatly depending on one’s diagnosis. Some liver problems can be treated with medications while others may require surgery, according to George Washington University Hospital, and in extreme cases a transplant may be needed if liver failure is likely.
For preventing liver problems, Stanford Health Care recommends maintaining a well-balanced diet, exercising regularly, avoiding alcohol (which makes your liver work harder to do its job), and only take medications that you need and adhere to dosing instructions. Learn more at liverfoundation.org
Diabetes
LULAC cited results from a recent survey that revealed nearly one in five Latinx people noted diabetes as the biggest health issue in their family. Hispanic children born today have a 50 percent chance of developing diabetes in their lifetime due to common risk factors like obesity, a lack of healthy food options, and physical inactivity.
While there are highly effective treatments for diabetes today, such as certain medications or insulin injections, it can also often be prevented or reversed by a healthy diet and daily exercise (especially if obesity is the suspected cause). Visit diabetes.org for more information.
Obesity
Hispanic Americans have a much higher tendency to be overweight, which can cause or worsen many other health issues, including high blood pressure, diabetes, heart disease, and stroke. Hispanic people are 1.2 times more likely to be obese than their white counterparts, and Hispanic children are 1.8 times more likely, according to HHS.
The good news is, being overweight is an issue that is reversible. Losing weight isn’t easy, especially for those dealing with specific obstacles — however, there are many small changes you can make in your daily diet and activities that can help you lose weight, get stronger, and feel better physically and mentally.
Online resources, like eatingwell.com , can offer tips for eating well on a budget and has hundreds of healthy recipes. There are also countless fitness influencers on YouTube and other sites that offer free advice on how to work out anywhere and with little to no equipment required.
El tratamiento de los problemas hepáticos varía mucho en función del diagnóstico. Algunos problemas hepáticos pueden tratarse con medicamentos, mientras que otros pueden requerir cirugía, según el Hospital Universitario George Washington, y en casos extremos puede ser necesario un trasplante si hay probabilidades de insuficiencia hepática.
Para prevenir los problemas hepáticos, Stanford Health Care recomienda mantener un peso saludable, seguir una dieta equilibrada, hacer ejercicio con regularidad, evitar el alcohol (que hace que el hígado trabaje más para cumplir su función) y tomar sólo los medicamentos que se necesitan y respetar las instrucciones de dosificación. Obtenga más información en liverfoundation.org
Diabetes
LULAC citó los resultados de una encuesta reciente que reveló que casi uno de cada cinco latinos señaló la diabetes como el mayor problema de salud en su familia. Los niños hispanos nacidos hoy en día tienen un 50 por ciento de probabilidades de desarrollar diabetes a lo largo de su vida debido a factores de riesgo comunes como la obesidad, la falta de opciones de alimentos saludables y el sedentarismo.
Aunque hoy en día existen tratamientos muy eficaces para la diabetes, como ciertos medicamentos o inyecciones de insulina, a menudo también puede prevenirse o revertirse con una dieta sana y ejercicio diario (especialmente si la obesidad es la causa probable). Obtenga más información en diabetes.org
Obesidad
Los hispanoamericanos tienen una tendencia mucho mayor a tener sobrepeso, lo que puede causar o empeorar muchos otros problemas de salud, como la hipertensión, la diabetes, las cardiopatías y los accidentes cerebrovasculares. Los hispanos tienen 1.2 veces más probabilidades de ser obesos que sus contrapartes blancos, y los niños hispanos tienen 1.8 veces más probabilidades, según datos del HHS.
La buena noticia es que el sobrepeso es un problema reversible. Perder peso no es fácil, especialmente para aquellos que se enfrentan a obstáculos específicos — sin embargo, hay muchos pequeños cambios que puedes incorporar a tu dieta y actividades diarias que pueden ayudarte a perder peso, hacerte más fuerte y sentirte mejor física y mentalmente.
Los recursos en línea, como eatingwell.com, pueden ofrecerte consejos para comer bien sin salirte del presupuesto y tiene cientos de recetas saludables. También hay innumerables personas influyentes en el mundo del deporte en YouTube y otros sitios que ofrecen consejos gratuitos sobre cómo hacer ejercicio en cualquier lugar y con poco o ningún equipo.
Beginner’s Luck
Starting a fitness routine doesn’t need to feel like going to boot camp. Here are some tips on how to ease exercise into your life.
BY HEALTH PLUS WELLNESS EDITORS
HAVEN’T WORKED OUT in a while? That’s OK, we get it. Life gets busy, our bodies get tired, and it can be difficult to find the time and energy to commit to a regular fitness routine. The good news is, it’s never too late to start easing a little exercise into your life — and it doesn’t need to be painful. Believe it or not, exercising can actually be fun, and will definitely benefit your physical health and mental outlook. Here are some tips on getting started.
Change your mind set about exercise. Many people have subconscious negative feelings about a word like “exercise.” If you think of exercise as a form of medieval torture, then no, you probably won’t enjoy it. But you don’t need to submit to an “all pain, no gain” mentality to get fit and healthy.
Movement is the key to getting started, experts say. As long as you are moving and increasing your heartrate, you are exercising. Simple activities like walking,
dancing, chair exercising, and swimming are all great ways to get started for those who have rarely or never exercised before.
Choose exercise activities that you actually enjoy.
What is the best kind of exercise for you? Whatever you enjoy! You needn’t spend hours at the gym or suffering on long runs if those activities cause you pain or discomfort. If that’s the case, you are not likely to want to do it again. If you enjoy nature and being outdoors, try to find a scenic place to take a daily walk.
If that’s not an option, then there are plenty of online resources to help you do simple workouts at home. Search YouTube and the internet — there are hundreds of sites and influencers that offer free workout advice and routines for beginners. Remember, you are doing this for you, so it pays to make it a pleasant experience. And you’ll be more likely to stick to it.
You don’t need to break the bank. While having certain apparel or equipment can make things a bit easier when starting a fitness routine, you can easily exercise with little to no equipment. Nor do you need to join a fancy gym, especially when you’re a fitness newbie. However, experts advise that acquiring a few inexpensive basics can really be helpful — such as a water bottle to help stay hydrated, a towel or sweat band, and proper shoes, a sports bra, compression shorts, or other clothing items appropriate for your chosen activity. In lieu of weights, certain household items, like soup cans, water jugs, or laundry detergent can do the trick.
Ok, so when and how should you start?
If you’re feeling the need to add exercise into your life, then start today or tomorrow morning — even if that just means a quick walk around the block or some stretching or yoga at home. Again, the key is movement and doing things that feel good for your body and mind. Procrastinating can make you second-guess yourself and feel discouraged. The more you move, the better you’ll feel — and will make you want to keep doing it.
Get Prepped!
Thanks to some great scientific advancements, preventing HIV while enjoying an active sex life is easier than ever.
BY HEALTH PLUS WELLNESS EDITORS
DECADES OF SCIENCE and research have led to some amazing advancements in HIV treatment and prevention. These days, when a person living with HIV is on treatment, they can typically get their viral load to undetectable levels. Not only does this mean that they can live just as long and healthy lives as anyone else, but can also enjoy sex without the fear of passing the virus to a partner. This medical fact is known as U=U (undetectable equals untransmittable).
If you are not living with HIV but are sexually active and feel you may be at risk of acquiring it, there a few FDA-approved prevention methods now available. These are commonly referred to as PrEP, or pre-exposure prophylaxis.
Truvada for PrEP
Truvada is our great PrEP pioneer, now celebrating its 12th year of FDA-approval. It was the first medicine available in the U.S. for use to prevent HIV transmission after it was shown in studies to be highly effective when taken daily. Truvada consists of the drugs emtricitabine and tenofovir disoproxil fumerate.
Descovy for PrEP
In October of 2019, a second pill form of PrEP was approved by the FDA called Descovy for PrEP (emtricitabine and tenofovir alafenamide). It is just as effective as its predecessor, Truvada. There are some differences though, so you should talk to your doctor about which might work better for you. For example, unlike Truvada and Apretude (see below), Descovy is not currently approved for people assigned female at birth due to a lack of research in its effectiveness for this population.
Apretude
Apretude (cabotegravir extended-release injectable suspension, or CAB LA) is the most recent form of PrEP approved by the Food and Drug Administration. It is game-changing in that it is a long-acting injectable, which makes it a much more attractive option for those who may be at risk of contracting HIV. For many, stopping by the clinic every couple of months for an injection can be a lot more convenient than trying to remember to take a daily pill. Unlike the pill forms of PrEP, Apretude is not also used to treat HIV.
LIBROS POR VIDA
These five books by Latinx authors will boost your mental health and motivate you to live your best life possible.
BY HEALTH PLUS WELLNESS EDITORS
Poramoramí:Elígeteadiarioymejoratusalud mental(For the Love of Me: Choose Yourself Every Day) is a Spanish language book by Mexican psychologist Alma Lozano that focuses on the power of self-love. Setting boundaries and prioritizing self-care can be especially challenging for many Latinx people, especially women, who often learn culturally to put others’ needs before their own. Using practical tools and techniques such as journaling, Lozano teaches how to reset one’s mindset. “Just as you can think of the worst possible scenario, you can also think of the best possible scenario,” she says. “Métele luz al caos [Shine light on the chaos] and you’ll realize that things can also go wonderfully well.”
Intergenerational trauma can affect people from all walks of life but can be a particular problem for Latinx folks and other people of color, who are often culturally taught to “sweep it under the rug” in terms of dealing with trauma. BreaktheCycle:AGuidetoHealingIntergenerational Traumaby Dr. Mariel Buqué is a groundbreaking guide that teaches one how to “transform intergenerational pain into intergenerational abundance.” Buqué is an Afro-Latina psychologist and founder and CEO of the organization Break the Cycle of Trauma. Whether caused by personal experiences or oppressive cultural systems, the wounds of trauma are complex and can impact both one’s physical, mental, and emotional wellness. Break the Cycle’s holistic approach aims to start the healing process for those affected by intergenerational trauma and prevent it from being passed on.
Brooklyn-based psychotherapist Jasmine Cepeda says she was “inclined to write about the nuanced difficulties of Latina mothers” due to her experience in facilitating therapy groups with Latinx people struggling with their relationships with their mothers. Her guided journal, 12Waysto CopeWithYourLatinaMom&HerDifficulties, aims to help people better understand their Latina mother’s motivations, right or wrong, and begin to heal and move forward in life without emotional baggage. While no two families are exactly the same, Cepeda recognizes some of the common cultural denominators — such as rigid religious beliefs and internalized misogyny — that many children of Latina mothers can have difficulty in dealing with. Cepeda also wrote a companion piece, 12WaystoCopeWithYourLatinoDad &HisDifficulties, that touches on some of the challenges — like negative “machismo” attitudes and emotional distance — that can exist within people’s relationships with their Latino fathers.
Many working women struggle with what MSNBC anchor and Latina to Latina podcast host Alicia Menendez calls the “likeability trap,” which is also the name of her first book. In TheLikeability Trap:HowtoBreakFreeandSucceedasYouAre, Menendez focuses on the constant pressure women face to be “nice” and “likeable” at work, home, and in public — and examines the heavy mental and emotional toll of such demands. Instead of continuing to strive to be likeable in all circumstances, Menendez encourages readers to empower themselves by resetting their mindset. “Reading The Likeability Trap, I felt a weight lift off me,” said Rachel Simmons, author of Odd Girl Out: The Hidden Culture of Aggression in Girls, of the book. “I realized that feedback and worry about my likeability are systemic issues, not something wrong with me. I understood that I wasn’t alone and that there were things I could do about it. It has been a gift.”
Taco Time!
Occassional meatless meals can give you longterm health benefits — and still taste great!
GETTING BACK INTO a routine during the fall can be a struggle. Consider a schedule that dedicates more nights to long-term wellness with easy, nutritious recipes.
Registered dietitian Alexis Joseph recommends “Meatless Mondays,” which help her family create fruitand vegetable-forward dishes with nutrient-dense ingredients. One ingredient to consider is California grown prunes from Sunsweet – a good source of vitamins and minerals that help maintain bone and heart health, keep you feeling full, and are an allnatural source of fiber and healthy fat.
“Dedicating time each week to your overall nutrition with ‘Meatless Mondays’ will motivate you to add healthful staples like California grown prunes from Sunsweet to your diet and make getting back into a routine easier,” Joseph said. “It can also yield results. Research suggests eating 5-6 prunes each day may help prevent bone loss and improve risk factors for heart disease and inflammation.”
Consider Joseph’s Cauliflower Tacos with Peanut Sauce for your next weeknight meal. This recipe spotlights California grown prunes as a substitute for unhealthy fats and sugars to reduce calories and increase health benefits without losing flavor.
Cauliflower Tacos with Peanut Sauce
Prep time 30 minutes, serves 4
INGREDIENTS
1 medium head cauliflower, chopped into florets (about 6-7 cups)
2 tablespoons extra-virgin olive oil
1/2 teaspoon fine sea salt
8 tortillas
Chopped green onions, for garnish Sunsweet California grown prunes, for serving Peanuts, for garnish Lime wedges, for serving
Cabbage Slaw
3 cups shredded red cabbage
1/2 cup shredded carrots
1/3 cup cilantro, chopped
2 tablespoons fresh lime juice
1 teaspoon extra-virgin olive oil
2 teaspoons pure maple syrup
1/4 teaspoon fine sea salt
Peanut Sauce:
4 Sunsweet California grown prunes
1/2 cup unsweetened non-dairy milk
1/3 cup natural salted peanut butter
3 tablespoons reduced-sodium soy sauce
1 tablespoon fresh lime juice
1/2 tablespoon maple syrup
1 teaspoon minced ginger
1 teaspoon sriracha
2 tablespoons water, plus additional for thinning (optional)
DIRECTIONS
On large baking sheet, place cauliflower in single layer. Add olive oil and salt; toss well to combine. Roast 30 minutes, tossing halfway through.
To make cabbage slaw: In medium mixing bowl, add cabbage, carrots, cilantro, lime juice, olive oil, maple syrup and salt. Toss to combine; set aside to soften.
To make peanut sauce: In blender, blend prunes, milk, peanut butter, soy sauce, lime juice, maple syrup, ginger, sriracha and water until smooth. Taste and add more water, if desired.
Warm tortillas, fill with roasted cauliflower and top with slaw, peanut sauce, green onions, prunes, and peanuts. Serve with lime wedges.
Find more mealtime inspiration at sunsweet.com.
In his new memoir, Dr. Anthony Fauci reflects on his life, faith, and nearly 60-year career in public health.
BY JOHN CASEY
Dr. Anthony Fauci’s new book, On Call: A Doctor’s Journey in Public Service, seeks to cover his nearly six decades in public service — and surprisingly, it does so in less than 500 pages.
“The hardest part was that there was so much that I wanted to put in,” Fauci explains, but says he also wanted to “make it a readable book that was a modest size and not overwhelming the reader with details. … You tend to include every detail and every person, but you can’t, and you feel badly that you’re leaving people and experiences out in order to maintain the flow of the book.”
What was something that he wanted to include but was cut out? “Well, I had a really nice private dinner with President George W. Bush and Laura and my wife and another couple, and it really gave a nice insight into President Bush, because we had nice discussions about a number of things.”
The United States President’s Emergency Plan For AIDS Relief, or PEPFAR, was launched by Bush in 2003 and is one of the initiatives that Fauci is most proud of.
“PEPFAR’s impact has been truly remarkable,” he told our sister publication, The Advocate, last year. “It is one of this country’s greatest global health policies in history. It’s been a resounding success and has saved at least 25 million lives worldwide, and it provides antiretroviral treatments for over 20 million people worldwide.”
In On Call, Fauci explains in detail his work through the AIDS crisis in the 1980s and ’90s.
“I don’t think that was difficult, but it was meaningful in so many ways,” says
Fauci when asked if writing about those harrowing times was challenging. “It was a very interesting experience to go back and reflect on what you’ve been through, because when you’re going through it, it’s such an intense, rapidfire pace that you don’t have a chance to reflect on it, you just do it.”
He also discusses the ever-changing ebb and flow of our political climate over the years.
“If you look at the 50 years that I’ve been involved … in the very early years, we had a diversity of opinion,” Fauci says. “You had center, center left or left, center right, far right. But the diversity wasn’t really manifested in profound divisiveness. And today, we have a very divided country, a country that’s divided where the other side seems like the enemy, as opposed to somebody that just has a reasonable disagreement with you. And unfortunately, the LGBTQ+ issues are ones that are in many respects embraced by the center, center left and rejected by the center right and far right So, I think the discrimination and the hostility towards the LGBTQ+ community is intensified by the divisiveness in the country. I think it’s just another casualty of the divisiveness that seems to be prevalent in our society.”
In the book, Fauci talks about his Catholic faith as a student, first at Regis High School in Manhattan and then at the College of the Holy Cross.
“You know, it’s interesting … it isn’t faith in the sense of a strict religious person,” Fauci says of his relationship with religion today. “It’s more of the principles that I learned predominantly from the Jesuit education at Regis High School and in college. And what I learned was about honesty, integrity, fairness, and relying on intellectual pursuits of scholarship — I mean, much more towards that than faith in a God, for example. It’s much more about the principles that are associated with the religious background that I have, which is much more of a secularization of it than the deep religious aspect.”
At 83, Fauci looks and acts like someone 20 years younger and has always been remarkably upbeat, even during the COVID crisis. “It energizes you, and when you’re energized, it shows itself, psychologically and physically,” he says of the personally rewarding aspects of his life’s work.
Humble as he is, Fauci confesses that while reflecting on his over five-decade career while writing the book, even he was a bit amazed at all he’d been through and accomplished.
“When you put it all together, it’s been an amazing journey,” he says. “And that’s the reason why, as the subtitle says, ‘a doctor’s journey in public service,’ because it really has been a journey of more than half a century.”
U.S. President George W. Bush presents Anthony Fauci with the Presidential Medal of Freedom on June 19, 2008.
DEAD MAN’S PARTY
Hollywood’s annual Día de los Muertos event celebrates the beauty of life while honoring Latinx and Indigenous ancestry.
One of the most beautiful things about Latinx culture is that, despite our trials and tribulations, we sure know how to party — even with the dead.
Día de los Muertos (Day of the Dead), a traditional Mexican holiday with strong indigenous roots, is a time for “reuniting and honoring beloved ancestors, family, and friends” who have passed on, as stated on Hollywood Forever’s Día de los Muertos website. It is “a mystical night when the veil is lifted between their two realms, and they may share a day together.”
This year marks the event’s 9th anniversary at the famed Hollywood Forever cemetery in Hollywood, Calif. Throughout the day and night, activities include costume and altar decorating contests, facepainting, arts and crafts, live performances and processions, and so much more. And of course, there’s no shortage of delicious Latin-themed dishes and refreshments at the festival.—DG
Hollywood Forever’s Día de los Muertos event takes place on Saturday, October 26, 2024. Visit ladayofthedead.com for more information.
What’s possible?
There are things you should consider to help protect you and your baby during pregnancy. HIV treatments may allow you to reach and stay undetectable if taken as prescribed. Undetectable means that there is so little virus in the blood that a lab test can’t measure it. Taking HIV treatment as prescribed, along with other guidance from your healthcare provider, may help lower the chances of transmitting HIV to your baby during pregnancy and childbirth. Talk to your healthcare provider about HIV treatment and additional considerations both now and for the future for family planning, pregnancy, childbirth, and breastfeeding when living with HIV.
Have an open and honest conversation with your healthcare provider to start, switch, or continue on the HIV treatment that’s right for you.
Learn what’s possible about pregnancy and living with HIV.
Taking HIV treatment as prescribed, along with other guidance from your healthcare provider, may help lower the chances of transmitting HIV to your baby during pregnancy and childbirth. In 2019, less than 1% of new HIV diagnoses in the United States were due to transmission from mother to child.
The goal of treating HIV while pregnant is getting to and keeping your viral load at an undetectable level. Undetectable means that there is so little virus in the blood that a lab test can’t measure it. According to the CDC, if you take treatment as directed throughout pregnancy and delivery and give HIV treatment to your baby for the first 2 to 6 weeks after birth, the risk of transmission to your baby drops to below 1%.
Talk to your healthcare provider about HIV treatment, getting to and staying undetectable, and the recommendations for HIV treatment during pregnancy.
