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What exactly qualifies as Carribean-Hispanic ethnicity?

  1. Feb 22, 2008 #1

    Moonbear

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    Okay, this may seem like a silly question, but...what exactly qualifies as Carribean-Hispanic ethnicity? I'm guessing this is going to include people from Puerto Rico, Dominican Republic, Cuba...any others?

    And, if anyone can help, is there a rather generic last name that would be good to use for a fictitious person from any one of those countries (and tell me which one)...something along the lines of Smith or Jones in the US. Actually, a good female first name would be helpful too.

    No, I'm not trying to change my identity. I'm trying to develop course material with a new case for the med students, and the disorder I'm developing it around has a higher prevalence in Carribean-Hispanics, African-Americans, and Mexican-Americans. They already have some cases in the rotation that include patients of African and Mexican descent, so I thought I'd mix it up a bit and make this one a Carribean-Hispanic woman.

    Multiple suggestions are appreciated (we usually have humorous titles for the cases, so multiple names to choose from might improve my chances of working it into the title).

    I'm not giving details on the case because once it's developed and being used for the course, I know the students search online for information, and I don't want them coming across the entire case development in a thread here just by searching for the patient's name. :wink:
     
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  3. Feb 22, 2008 #2

    Evo

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    I thought people from the Carribean were mostly African, not hispanic.
     
  4. Feb 22, 2008 #3

    Moonbear

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    That's Afro-Carribean. But that's part of what I'm trying to sort out. A simple Google search didn't help (maybe if I went through pages and pages, I might get something useful, eventually), but I know we have a diverse membership here, so someone probably can identify with this descriptor and help out. I'm not entirely clear what defines someone as Carribean-Hispanic in the first place, so I want to be sure I'm interpreting this correctly so I don't have some egregious factual error in the case. And, if it's not immediately apparent to me who this patient population would include, then it's likely not immediately apparent to the med students either, and they should learn this as well (it's not all about medicine...there are social things they need to learn too).
     
  5. Feb 23, 2008 #4

    Pyrrhus

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    Hey guys!,

    As some of you might know by now, i'm dominican and i'm currently living in the Dominican Republic, in the Caribbean!!! :biggrin:.

    Anyway!, hehe, here is a list of common names (for women) and last names in my country. The order in which they appear is according to my brain remembering.

    Names:

    Laura
    María
    Lucía
    Patricia
    Isabel
    Ana
    Nicole
    Claudia
    Gina
    Natalia or Nathalie, or Natali and its weird variations :biggrin:
    Giselle or Yisell or Yiselle and its weird variations, too :tongue2:
    Karla
    Amelia
    Sarah, Sara, Zara and variations
    Diana
    Chantall or Shantal or with more ls at the end (Chantall or Shantall).
    Ligia
    Michelle
    Carmen
    Rosa

    and probably there are more, but this i remember because i know several people having the same names with different spellings sometimes like in the case of the "Giselle".


    Last names:

    Cabrera (common)
    Pérez (very common)
    Gutiérrez (common)
    Sanchéz (very common)
    Díaz (very common)
    Abreu (very common)
    Alvarez (very common)
    García (extremely common)
    Rodríguez (very common)
    Castillo (very common)
    Guzmán (extremely common)
    Fernandez (extremely common)
    Gonzáles or González and its variations (extremely common)
    López (common)
    Martínez (common)
    Mejía (very common)

    and there are a couple more, let me know.
     
  6. Feb 23, 2008 #5

    Pyrrhus

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    On another note, the Caribbean is very diverse. The Caribbean is a mix of african, indigenous tribes (Arawak, taino, ...) and europeans (spanish, british, dutchs, ...). Therefore, "in theory" in some islands (or territories) depending on the dominant group, the population will tend to be more one of those groups (An african example is Haiti) . Althought, usually they are very mixed (An example is Dominican Republic). Note, that those countries i mentioned share the same island (Hispaniola). Another case is the absorption of an island original habitants into the european's culture. In the case of the Dominican Republic, the spanish killed most of the indigenous habitants and the rest became more spanish (some of the original words and customs survived). This means, even thought dominicans are mixed the spanish culture is the dominant one (the spanish were the smaller group).

    The Caribbean is not easily put in words. The reality is that this is not a hard to explain blend in a couple of paragraphs. There are a lot of topics like unique new languages (bajan, créole,...), a mix cuisine (african, indigenous and european), and more.

    Frankly, i guess the classifications like Caribbean-Hispanic, Afro-Caribbean, ... will depend more on the phenotype than the the genotype of the individuals. Most of the people born in the Caribbean are a mix of two or three groups mentioned, so even thought someone might not look african, it doesn't necessarily means he doesn't have "afro-caribbean" people in his extended family.
     
    Last edited: Feb 23, 2008
  7. Feb 23, 2008 #6
    Hispanic is more of a culture than a ethnicity. Blacks can be (and are!) Hispanic. And whites can be (and are!) Hispanic. I would say that Caribbean-Hispanic would refer to someone from a Spanish speaking country touching the Caribbean Sea. For instance, north coast of Colombia, Puerto Rico, Dominican Republic, Cuba, etc. On the other hand the people from the Dutch Antilles would not even though it is in the Caribbean.
     
  8. Feb 23, 2008 #7

    Pyrrhus

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    Very well put, wildman. I think what Moonbear is trying to refer as "Caribbean-Hispanic" may be White-Caribbean?
     
  9. Feb 23, 2008 #8

    George Jones

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    I lived on St. Croix for two years, and there is a large Hispanic population there.
     
  10. Feb 23, 2008 #9
    You're the man Cyclovenom. I remember most of these women too. But soft, what battleax through yonder doorway breaks? It is my wife, and Julietta is the target. Arise, fair Carmen, and mollify the envious old witch who is already sick and pale with grief that thou, her younger, art far more fair than she.
     
    Last edited: Feb 23, 2008
  11. Feb 23, 2008 #10
    The word “Hispanic” technically just means Spanish-speaking, if you look at the 2nd definition here. (After Hispania, the name for the Roman province of Spain.) So it's technically the same type of thing as saying that the population of Haiti is Francophone, even though they're ethnically almost entirely of African descent.

    Etymologically it's the same sort of thing as saying Latin or Latino, which again just originally referred to speaking a Romance language. Though now I think it's used as a self-identification for Spanish-speaking people of mixed African, European, and South American or Mesoamerican or Caribbean descent.
     
  12. Feb 23, 2008 #11
    Moonbear,
    I used to know a lot of Puerto Ricans. Common names were Rodriguez (spelling?) and De Jesus.
     
  13. Feb 23, 2008 #12

    Moonbear

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    Thanks folks, especially Cyclovenom! Quite frankly, until I had read several clinical articles about this disorder, I had not ever heard someone make such a fine distinction on a population of people as Caribbean-Hispanic. This is why I asked here, because I wasn't sure what exactly that meant. My best guess is that the distinction is ruling out Hispanics from South America.

    Mexican-American is in the list, too, which of course is also equally vague. It may simply be that the patients in the study were all US residents, so they don't know the prevalence in Mexico to say there isn't some combination of US cultural factors making it more prevalent in this population in the US.

    And, it very well may be a cultural thing too. There's no claim in these studies of a genetic risk factor, that's just not known yet, and it's still present in other populations, just some features of the disorder are more common in some patient populations than others, so it could very well be that a cultural difference (i.e., diet), or even the change in diet when they move to the US, is exacerbating symptoms (this is plausible).

    I haven't written one of these cases before, and have realized there's a lot of fun in building up a life story for the fictitious patient to provide a good medical history.
     
  14. Feb 23, 2008 #13
    I worked at a company once that made a medical database system and remote consultation tools. We had to populate the database with fake patients and fake medical histories to test the products, and it was indeed fun. It must be even more fun if you actually know what you're talking about!
     
  15. Feb 23, 2008 #14

    Evo

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    This is interesting. I looked up the ethnic profiles for you from the CIA World Facts site and the term "mulatto" was used for the majority in Cuba.

    From Merriam-Webster

    Mulatto

    1 : the first-generation offspring of a black person and a white person
    2 : a person of mixed white and black ancestry

    Here's the list, but as was mentioned, how much of a mix a person has genetically, that's going to be a tough one. Puerto Rico and the Dominican Republic look like your best best for a large Hispanic population. Are you looking just at islands, or the countries surrounding the Caribbean?

    https://www.cia.gov/library/publications/the-world-factbook/docs/profileguide.html

    Here are some of the Islands.

    The Bahamas - black 85%, white 12%, Asian and Hispanic 3%

    Barbados - black 90%, white 4%, Asian and mixed 6%

    Cayman Islands - mixed 40%, white 20%, black 20%, expatriates of various ethnic groups 20%

    Cuba - mulatto 51%, white 37%, black 11%, Chinese 1%

    Dominican Republic - mixed 73%, white 16%, black 11%

    Haiti - black 95%, mulatto and white 5%

    Jamaica - black 91.2%, mixed 6.2%, other or unknown 2.6% (2001 census)

    Puerto Rico - white (mostly Spanish origin) 80.5%, black 8%, Amerindian 0.4%, Asian 0.2%, mixed and other 10.9%
     
  16. Feb 23, 2008 #15

    Moonbear

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    Beats me! I'm trying to figure out what other people mean by the term. I think it's kind of sloppy writing for someone to use an "ethnic" category in an epidemiological study and not define precisely what they mean by that category. Was it a self-reported category, one based on country of origin, something based on knowing someone has Spanish ancestry, etc.? If a particular population of people has a higher risk of a certain set of symptoms associated with a disorder, and that is of clinical value to know, then it sure would help to know how you identify that population. Clearly you can't just LOOK at a person and know this if hispanic in general isn't a risk factor, but being hispanic from a particular region is. Then you need to know what questions to ask to be culturally sensitive yet get the relevant infromation...do you need to inquire what country they originated from, or do you need to inquire about their ancestry? Does it matter how many generations removed they are from ancestors in that country? Does it matter if they adhere to cultural traditions of that country, or if they have fully adopted U.S. culture?

    The simple thing is to say, okay, it's a safe bet that someone from the Dominican Republic fits with this definition and I'll make my fictitious patient Dominican and end it there. But, if I can improve upon the learning opportunities for the students by introducing some of these questions/issues regarding assessing ethnicity as a risk factor and understanding better what the epidemiologists mean when they use these terms, then I can add more value to the lesson in term of social issues beyond just the basic science issues. It's all part of developing a medical curriculum that trains physicians not just to be good diagnosticians, but also to think about the whole patient and their social and psychological needs and issues. Cultural sensitivity is part of this too.
     
  17. Feb 23, 2008 #16

    Evo

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    Heheh, when I was trying to find a definition of Caribbean Hispanic, I couldn't fiind one and I was thinking, boy o' boy has Moonbear got her work cut out for her!

    I was surpirised to find so many medical references to "Caribbean-Hispanic" without any definition.

    Clarifications like this don't help.
    http://en.wikipedia.org/wiki/Dominican_American
     
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