Health Is Political: Advocacy and Mobilization for Latinx Health

  • Carlos E. Rodríguez-DíazEmail author


Health is political. In this chapter, the role of politics in Latinx health is outlined, and frameworks are suggested to promote Latinx health. This chapter includes an exploration of the political nature of health followed by an overview of what are referred to as health disparities and health inequities. The social determinants of health framework and proven strategies to improve Latinx health are briefly outlined. Systemic changes for Latino health promotion are suggested, including an example of contemporary actions taken to address health inequities present in Puerto Rico. This chapter is written with the desire to effect change to improve Latinx health and well-being.


Latinx politics Puerto Rico Advocacy Community-based participatory research Health disparities 


  1. Ansari, Z., Carson, N. J., Ackland, M. J., Vaughan, L., & Serraglio, A. (2003). A public health model of the social determinants of health. International Journal of Public Health, 48(4), 242–251.CrossRefGoogle Scholar
  2. Bambra, C., Fox, D., & Scott-Samuel, A. (2005). Towards a politics of health. Health Promotion International, 20(2), 187–193.CrossRefGoogle Scholar
  3. Beltrán, C. (2010). The trouble with unity: Latino politics and the creation of identity. Oxford University Press. Google Scholar
  4. Brown, P., Vélez-Vega, C. M., Murphy, C. B., Welton, M., Torres, H., Rosario, Z., … Meeker, J. D. (2018). Hurricanes and the environmental justice island: Irma and Maria in Puerto Rico. Environmental Justice, 11(4), 148–153.CrossRefGoogle Scholar
  5. Carlisle, S. (2000). Health promotion, advocacy and health inequalities: A conceptual framework. Health Promotion International, 15(4), 369–376.CrossRefGoogle Scholar
  6. Centers for Disease Control and Prevention. (2018). HIV among Hispanics/Latinos. Retrieved from
  7. Chapman, S. (2001). Advocacy in public health: Roles and challenges. International Journal of Epidemiology, 6(1), 1226–1232.CrossRefGoogle Scholar
  8. De Las Nueces, D., Hacker, K., DiGirolamo, A., & Hicks, L. S. (2012). A systematic review of community-based participatory research to enhance clinical trials in racial and ethnic minority groups. Health Services Research, 47(3), 1363–1386.CrossRefGoogle Scholar
  9. Dryden, E. M., Demarais, J., & Arsenault, L. (2017). Effectiveness of IMPACT: Ability to improve safety and self-advocacy skills in students with disabilities. Journal of School Health, 87(2), 83–89.CrossRefGoogle Scholar
  10. Gándara, P, Ee, J. (2018). U. S. immigration enforcement policy and its impact on teaching and learning in the Nation’s schools. University of California—The Civil Rights Project. Retrieved from
  11. Hajnal, Z., Lajevardi, N., & Nielson, L. (2017). Voter identification laws and the suppression of minority votes. The Journal of Politics, 79(2), 363–379.CrossRefGoogle Scholar
  12. Israel, B. A., Schulz, A. J., Parker, E. A., & Becker, A. (1998). Review of community-based research: Assessing partnership approached to improve public health. Annual Review of Public Health, 19, 173–202.CrossRefGoogle Scholar
  13. Klein, N. (2018). The battle for paradise: Puerto Rico takes on the disaster capitalist. Haymarket Books.Google Scholar
  14. Logie, C. H., Wang, Y., Lacombe-Duncan, A., Jones, N., Ahmed, U., Levermore, K., … Newman, P. A. (2017). Factors associated with sex work involvement among transgender women in Jamaica: A cross-sectional study. Journal of the International AIDS Society, 20, 21422.CrossRefGoogle Scholar
  15. Magaña, L. (2014). Arizona, immigration, and politics. Kendall Hunt Publishing.Google Scholar
  16. Mann, L., Simán, F. M., Downs, M., Sun, C. J., Urquieta de Hernandez, B., García, M., … Rhodes, S. D. (2016). Reducing the impact of immigration enforcement policies to ensure the health of North Carolinians: Statewide community-level recommendations. North Carolina Medical Journal, 77(4), 240–246.CrossRefGoogle Scholar
  17. Martinez, O., Wu, E., Levine, E. C., Muñoz-Laboy, M., Spadafino, J., Dodge, B., … Fernandez, M. I. (2016). Syndemic factors associated with drinking patterns among Latino men and Latina transgender women who have sex with men in New York City. Addiction Research and Theory, 24(6), 466–476.CrossRefGoogle Scholar
  18. McLeroy, K. R., Bibeau, D., Steckler, A., & Glanz, K. (1988). An ecological perspective on health promotion programs. Health Education Quarterly, 15(4), 351–377.CrossRefGoogle Scholar
  19. Muñoz-Laboy, M., Severson, N., Levine, E., & Martinez, O. (2017). Latino men who have sex with transgender women: The influence of heteronormativity, homonegativity and transphobia on gender and sexual scripts. Culture, Health, and Sexuality, 19(9), 964–978.CrossRefGoogle Scholar
  20. Noboa-Ortega, P., Figueroa-Cosme, W. I., Fieldman-Soler, A., & Miranda-Diaz, C. (2017). Implementing a randomized controlled trial through a community-academia partnered participatory research: Arte con Salud research-informed intervention. Puerto Rico Health Sciences Journal, 36(2), 86–91.PubMedPubMedCentralGoogle Scholar
  21. Ortega, A. N., Rodríguez, H. P., & Vargas Bustamante, A. (2015). Policy dilemmas in Latino health care and implementation of the Affordable Care Act. Annual Reviews of Public Health, 18(36), 525–544.CrossRefGoogle Scholar
  22. Ovalle, I., Loza, O., Peralta-Tores, D., Martinez, J., Hernandez, K., & Mata, H. (2017). Increasing our advocacy capacity through HIV community mobilization: Perspective from emerging and mid-career professionals. Health Promotion Practice, 18(1), 11–14.CrossRefGoogle Scholar
  23. Padilla, M. B., Rodriguez-Madera, S., Varas-Diaz, N., & Ramos-Pibernus, A. (2016). Trans-migrations: Border-crossing and the politics of body modification among Puerto Rican transgender women. International Journal of Sexual Health, 28(4), 261–277.CrossRefGoogle Scholar
  24. Pérez-Escamilla, Lutter, C. K., Rabadan-Diehl, C., Rubinstein, A., Calvillo, A., Corvalán, C, … Rivera, J. A. (2017). Prevention of childhood obesity and food policies in Latin America: From research to practice. Obesity Reviews, 18(S2).CrossRefGoogle Scholar
  25. Philbin, M. M., Flake, M., Hatzenbuehler, M. L., & Hirsch, J. S. (2018). State-level immigration and immigrant-focused policies as drivers of Latino health disparities in the United States. Social Science and Medicine, 199, 29–38.CrossRefGoogle Scholar
  26. Plastino, K., Quinlan, J., Todd, J., & Tevendale, H. D. (2017). Stakeholder education and community mobilization garner support for se education. Journal of Adolescent Health, 60(3S), S24–S29.CrossRefGoogle Scholar
  27. Ramirez, A. G., Gallion, K. J., Despres, C., Aguilar, R. P., Adegbe, R. T., Seidel, S. E., & McAlister, A. L. (2015). Advocacy, efficacy, and engagement in an online network for Latino childhood obesity prevention. Health Promotion Practice, 16(6), 878–884.Google Scholar
  28. Reisner, S. L., Poteat, T., Keatley, J., Cabral., M., Mothopeng, T., Dunham, E., … Baral., S. D. (2016). Global health burden and needs of transgender populations: A review. Lancet, 388, 412–436.CrossRefGoogle Scholar
  29. Rhodes, S. D. (Ed.) (2014). Innovations in HIV prevention research and practice through community engagement. Springer.Google Scholar
  30. Rhodes, S. D., Alonzo, J., Mann, L., Sun, C. J., Simán, F. M., Abraham, C., & García, M. (2015). Using photovoice, Latina transgender women identify priorities in a new immigrant-destination state. International Journal of Transgenderism, 16(2), 80–96.Google Scholar
  31. Rhodes, S. D., Mann, L., Alonzo, J., Downs, M., Abraham, C., Miller, C., … Reboussin, B. A. (2014). CBPR to prevent HIV within ethnic, sexual, and gender minority communities: Successes with long-term sustainability. In S. D. Rhodes (Ed.), Innovations in HIV Prevention Research and Practice through Community Engagement (pp. 135–160). New York, NY: Springer.Google Scholar
  32. Rhodes, S. D., Tanner, A. E., Mann-Jackson, L., Alonzo, J., Horridge, D., Van Dam, C. N., … Andrade, M. (2018). Community-engagement research as an approach to expedite advances in HIV prevention, care, and treatment: A call for action. AIDS Education and Prevention, 30(3), 243–253.CrossRefGoogle Scholar
  33. Rodríguez-Díaz, C. E. (2018). Maria in Puerto Rico: Natural disaster in a colonial archipelago. American Journal of Public Health 18(1), 30–32.CrossRefGoogle Scholar
  34. Rodríguez-Díaz, C. E., Jovet-Toledo, G. G., Vélez-Vega, C. M., Ortiz-Sánchez, E. J., Santiago-Rodríguez, E. I., Vargas-Molina, R. L., … Mulinelli-Rodríguez, J. J. (2016). Discrimination and health among lesbian, gay, bisexual, and trans in Puerto Rico. Puerto Rico Health Sciences Journal, 35(3), 154–159.Google Scholar
  35. Rodríguez-Díaz, C. E., Martínez-Vélez, J. J., Jovet-Toledo, G. G., Vélez-Vega, C. M., Hernández-Otero, N. O., Escotto-Morales, B. M., Mulinelli-Rodríguez, J. J. (2016). Challenges for the well-being of and health equity of gay, lesbian, bisexual and trans people in Puerto Rico. International Journal of Sexual Health, 28(4), 286–295.CrossRefGoogle Scholar
  36. Su, D., Irwin, J. A., Fisher, C., Ramos, A., Kelly, M., … Coleman, J. D. (2016). Mental health disparities within the LGBT population: A comparison between transgender and nontransgender individuals. Transgender Health, 1(1), 12–21.CrossRefGoogle Scholar
  37. Sundwall, D. N. (2018). Public health advocacy in the tumultuous times of the Trump administration. American Journal of Public Health, 108(4), 449–450.CrossRefGoogle Scholar
  38. UNIDOS US. (2018). We are UNIDOS U.S. Retrieved from
  39. US Department of Health and Human Services. (2011). National stakeholder strategy for achieving health equity. USDHHS—Office of Minority Health. Available
  40. US Department of Health and Human Services. (2018). Disparities. Retrieved from
  41. Vargas-Ramos, C., & Steven-Arroyo, A. N. (2012). Belssing la política: The Latino religious experience and political engagement in the United States. ABC-CLIO, LLC.Google Scholar
  42. Vélez-Vega, C. M., Brown, P., Murphy, C., Figueroa, A., Cordero, J. F., & Alshawabkeh, A. (2016). Community engagement and research translation in Puerto Rico’s Northern Karst Region: The PROTECT Superfund Research Program. NEW SOLUTIONS: A Journal of Environmental and Occupational Health Policy, 26(3), 475–495.CrossRefGoogle Scholar
  43. Williams, A. N., Konopken, Y. P., Keller, C. S., Gonzalez Castro, F., Arcoleo, K. J., Barraza, E., … Shaibi, G. Q. (2017). Culturally-grounded diabetes prevention program for obese Latino youth: Rationale, design, and methods. Contemporary Clinical Trials, 54, 68–76.CrossRefGoogle Scholar
  44. Winter, S. J., Goldman Rosas, L., Padilla Romero, P., Sheats, J. L., Buman, M. P., Baker, C., & King, A. C. (2016). Using citizen scientist to gather, analyze, and disseminate information about neighborhood features that affect active living. Journal of Immigrant and Minority Health, 18(5), 1126–1138.Google Scholar
  45. Wise, M. (2001). The role of advocacy in promoting health. Global Health Promotion, 8(2), 69–74.Google Scholar
  46. World Health Organization. (1996). The Ottawa Charger for Health Promotion. Retrieved from
  47. World Health Organization. (2014). Health in all policies: Helsinki statement. Framework for country action. Retrieved from
  48. World Health Organization. (2017). Human rights and health. World health organization. Retrieved from
  49. World Health Organization. (2018). Health Impact Assessment (HIA)—Glossary of terms. Retrieved from

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Prevention and Community HealthGeorge Washington UniversityWashingtonUSA

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