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xii Foreword This nuanced account of the health experience of Latino males also indicates that there is considerable reason for hope and numerous areas of opportunity . The Latino population is heavily made up of immigrants, who arrive in the United States with many cultural and psychological resources. Those who come to this country for economic reasons are highly motivated and capitalize on the opportunities of the American society. How can we ensure that Latino males have access to opportunities and experience positive milestones in development in childhood and early adulthood? How can we better understand and reverse the downward trajectory evident for multiple immigrant populations in which health worsens with increasing exposure to American society? How can we replicate some of the initial successes of immigrants in the second generation and beyond? The answers to all of these questions are not yet in, but this volume provides a previously unavailable roadmap of how to think about and to begin to effectively address these complex issues. It provides an indispensable foundation for a new generation of sorely needed research and interventions focused on the health of Latino males. David R. Williams Florence and Laura Norman Professor of Public Health Harvard School of Public Health xiii Many people have contributed to the production of this book. Without their collaboration and dedication, this work on Latino men’s health would not have come to fruition. I would like to acknowledge their contributions and express my deep appreciation. I would especially like to thank the W. K. Kellogg Foundation for the support provided to convene a panel of experts on the health of Latino males. The meeting provided a great deal of insight that informed the preparation of this book. As such, I would like to thank colleagues, researchers, practitioners, and policy experts who took time from their busy schedules to contribute to the project. Their support has been invaluable. This book would not exist if it were not for the contributions of the authors. Each author is an authority in his or her respective field; therefore, I want to thank them not only for their insights, but also for the time and dedication that has given life and meaning to the issues surrounding the health of Latino men. The authors’ cooperation and response to our suggestions and requests for revisions made the editing process manageable and productive. Mil gracias for your commitment. I would especially like to thank my research team at the Mailman School of Public Health, Columbia University, which managed the endless but absolutely essential details and logistics surrounding this project. To my team—Rafael Rodriguez, Gabriela Betancourt, Claudia P. Llanten Morales, and Madeline Martinez—un abrazo, and many, many thanks for making this happen! They each played an essential and integral role that assured the completion of the many tasks, procedures, and hunts for citations required in the early phases. Additionally, a special acknowledgment to my team at Lehman College, City University of New York—Ida Shiela Salusky and Juan David Gastolomendo—who edited and formatted each of the chapters. Their dedication, attention to detail, and endless hours of work made the final stages of preparation possible. Last but not least is deep appreciation to Luisa Borrell and Bill Vega, long time colleagues and friends who made it possible to collaborate on an issue to which we are deeply committed and that has been, for too long, under looked. Acknowledgments This acknowledgment would not be complete without recognizing the editors’ home institutions for valuing this work: Lehman College at the City University of New York and David Geffen School of Medicine at the University of California, Los Angeles. Marilyn Aguirre-Molina xiv Acknowledgments Health Issues in Latino Males Over the next fifty years, the racial and ethnic composition of the United States is projected to dramatically change. Currently, the Latino population makes up approximately 14 percent (41.3 million) of the total U.S. population, excluding the residents of Puerto Rico and many undocumented Latinos. It is estimated that 75 percent of all Latinos residing in the United States are immigrants or children of immigrants. The Latino community is projected to grow annually by at least 2 percent until 2030. By 2050, population growth estimates forecast that Latinos will double in size, becoming almost 25 percent (102.6 million) of the total U.S. population (U.S. Census Bureau 2002, 2004). As the Latino population in the United States increases, so will the significance of its economic and workforce...


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