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Earlier this year, in collaboration with Dr. Melissa Chinchilla, PhD, MCP, the UCLA Latino Policy and Politics Initiative (LPPI) presented a critical look at the unique experience of Latino homelessness in Los Angeles County, the jurisdiction with the largest homeless population in the U.S. Stemming the Rise of Latino Homelessness: Lessons from Los Angeles County, identifies the social, political, and policy challenges facing Latinos. This report draws on two-dozen interviews with a cross-sector cadre of housing stakeholders to dissect the systemic issues that contribute to Latino housing insecurity and identify evidence-based policy solutions to improve opportunity and mobility for Latino families.

LPPI’s report finds that service providers struggle to serve limited English proficient populations and the current racially charged political landscape further discourages those most in need. “The issues affecting Latino homelessness mirror the societal issues affecting all but also are distinct to Latinos,” says Marco Santana, director of engagement at L.A. Family Housing. “There is the barrier of being a proud Latino and wanting to figure it out on your own, and the few times they reach out to access these societal safety nets, they’re met with the barrier of our current government and the fear of deportation or potentially being discriminated against by law enforcement.”

Latinos make up 48 percent of Los Angeles County’s population and 35 percent of the homeless population. Research and literature around homelessness finds that Latinos are likely to be undercounted in homeless counts because they rely on social networks rather than homeless services, are more likely to live in unstable and overcrowded households, and when living on the streets will settle in remote areas that are hard for service workers to reach. “The Latino Homeless community is one of the most vulnerable populations in Los Angeles that is often in the shadows and has not been a priority for many years,” says Raquel Román, program director at the Guadalupe Homeless Project of Dolores Mission in Los Angeles.

“Holding true to its mission to inform and improve the economic, political, and social landscape for Latinos, UCLA’s Latino Policy & Politics Initiative’s new report – Stemming the Rise of Latino Homelessness: Lessons from Los Angeles County – is sure to spark conversation, research, and coalition-building. In the face of a pressing affordable housing crisis and unprecedented federal hostility towards immigrants, this report provides a first look at an under-studied issue and offers targeted recommendations for future action and policy interventions in the field,” shares Los Angeles County Supervisor Mark Ridley-Thomas.

Leveraging the knowledge and experience of experts in the field, LPPI recommends both short and long-term policy solutions to address the unique cultural, linguistic, and socioeconomic needs of housing insecure Latinos. “There has been increasing recognition in recent years that in working to prevent and end homelessness, we must address the systems that perpetuate racial inequity,” stated Bill Pitkin, director of Domestic Programs for the Conrad N. Hilton Foundation. Pitkin adds, “This report provides an important contribution to those efforts by highlighting the particular causes of housing instability and homelessness among Latinos.”

Read the full report at: latino.ucla.edu/housing

About the UCLA Latino Policy and Politics Initiative:

The Latino Policy & Politics Initiative (LPPI) is a comprehensive think tank that addresses the most critical domestic policy challenges facing communities of color in states and localities across the U.S. LPPI fosters innovative research, leverages policy-relevant expertise, drives civic engagement, and nurtures a leadership pipeline to propel viable policy reforms that expand opportunity for all Americans. Learn more at: latino.ucla.edu

 

  • UCLA Latino Policy and Politics Initiative study finds that Latino students pursuing a medical career in California must overcome significant barriers to successfully become physicians. The main barriers identified are: financial and opportunity cost, academic disadvantages, navigation, underrepresentation and citizenship.
  • Barriers to the medical profession further exasperate the Latino physician shortage in California. Policymakers, advocates and stakeholders must address the barriers encountered by Latinos in the medical profession to meet the health care needs of all residents.

The UCLA Latino Policy and Politics Initiative (LPPI), in collaboration with the UCLA Fielding School of Public Health, recently released its fourth installation of policy reports addressing California’s Latino Physician Shortage. Authored by LPPI Faculty Research Expert Dr. Arturo Vargas-Bustamante and Lucía Félix Beltrán, Latino Physician Shortage in California: The Provider Prospective discusses the main barriers and sources of support identified by a sample of Latino pre-med students, medical school applicants, Latino medical students, and recently graduated Latino physicians.

This report finds that, “the medical profession is de facto not open to everyone.” Specifically, unequal backgrounds and opportunities, diverse career trajectories, and various barriers in the medical profession, such as underrepresentation of Latinos in the medical field or academic disadvantages, are creating major difficulties for Latino students seeking careers as physicians.

“This analysis by Bustamante and Beltran provides a critically needed and comprehensive examination of the pipeline from high school, through college, and into medical school faced by Latinx students.  Importantly, it examines the multiple causes of leaks from that pipeline using an innovative methodology incorporating the experiences of those students.  It is these leaks that impair California’s ability to generate the diverse physician workforce needed to care for the State’s increasingly diverse population.” says Dr. David Carlisle, President of Charles Drew University, a private, nonprofit University committed to cultivating diverse health professional leaders who are dedicated to social justice and health equity for underserved populations.

In 2015, Latinos became California’s plurality population with approximately 15.2 million Latinos residing in the state. By 2050, Latinos are estimated to represent 44.5% of the state’s population.[1] While the Latino population continues to grow, the supply of Latino physicians has not caught up.[2] The scarcity of Latino physicians in California has led to a deficit of 54,655 Latino physicians that are required to achieve parity with Non-Hispanic Whites.[3]

Pipeline programs and mentorship platforms partly address the barriers Latino students face to become physicians with support such as tutoring, mentorship, and exposure to the medical profession. However, these programs alone are unable to substantially change the low representation of Latinos in the medical profession.

Therefore, California must reduce the barriers faced by Latino physician hopefuls throughout the state. The report includes policy recommendations that directly address the barriers that unnecessarily complicate the navigation of medical education for Latinos. Policy recommendations outlined in the report include, increasing financial resources available to students who do not qualify for existing programs, such as those that require citizenship, or addressing academic disadvantages by coordinating and expanding pipeline programs that support students from middle school until medical school.

The need to address this deficit is increasingly pressing as the share of the Latino population increases in California, and as the demand for health care increases with population aging. Every year that California does not work to increase access of the medical education for Latino students, already inadequate access to high quality care worsens, ultimately impacting the overall healthcare outcomes of the state.

 

This research was made possible by a generous grant from AltaMed Health Services Corporation.

Read the full report at: latino.ucla.edu/health

About the UCLA Latino Policy and Politics Initiative:

The Latino Policy & Politics Initiative (LPPI) is a comprehensive think tank that addresses the most critical domestic policy challenges facing communities of color in states and localities across the U.S. LPPI fosters innovative research, leverages policy-relevant expertise, drives civic engagement, and nurtures a leadership pipeline to propel viable policy reforms that expand opportunity for all Americans. Learn more at: latino.ucla.edu

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[1] DOF. Projections. 2018; http://www.dof.ca.gov/Forecasting/Demographics/Projections/.

[2] Sanchez G., Nevarez T., Schink W., Hayes-Bautista D. E. Latino Physicians in the United States, 1980-2010: A Thirty-Year Overview From the Censuses. 2015(1938-808X (Electronic)).

[3] Hsu P, Balderas-Medina Anaya Y, Hayes-Bautista D. E. 5 Centuries to Reach Parity: An Analysis of How Long it Will Take to Address California’s Latino Physician Shortage. Los Angeles, CA: Latino Policy & Politic Initiative; October 2018 2018.