Salud Empoderada is a bilingual English-Spanish blog with the goals of providing pre-medical advice, exposure to careers in medicine through interviews with leaders in medicine and science, and resources to support and encourage Latino pre-medical college students at Arizona State University. This information is provided in the forms of blog posts and infographics. Salud Empoderada was created as a way to address the lack of representation of Latino medical students enrolled in U.S. medical schools and Latino physicians in the U.S. Therefore, Salud Empoderada targets Latino students in the first stage of their journeys to becoming a doctor, pre-medical students, to help inspire and guide them to pursue their dreams despite the challenges they may face, including struggles with mental health, socioeconomic status, access to Latino mentors in medicine and science, health disparities, gender, DACA status, attacks on affirmative action, and the MCAT exam. Furthermore, Salud Empoderada encompasses my trip with Barrett, The Honors College to Costa Rica to share insight on life in Costa Rica and the Indigenous tribes residing there. Sharing this experience with Latino pre-medical students may provide them further exposure to other cultures, the heterogeneity within Latin America, the importance of cultural competence in medicine and the possibilities that global health and Spanish studies offer to become well-rounded and holistic future physicians.

Latinas face among the highest documented rates of depressive symptoms among all adolescent groups. According to the Centers for Disease Control and Prevention's 2018 Youth Risk and Behavior Survey, 46.8% of Latina adolescents reported feeling sad and hopeless on a daily basis. As a Latina myself, I found myself wondering how we could direct power back to our Latina youth. I turned to the tradition of storytelling, an integral practice in Latino/a communities. Storytelling is a social and cultural tradition, which upholds intergenerational connection, understanding, and education. While many Latinas engage with storytelling in the family space, I wanted to foster a safe space outside of the household for Latinas to connect with one another. I was inspired by psychologist Dr. Lillian Comas-Diaz's concept "Spirita," a synthesizing spirituality among women of color which places emphasis on understanding the shared traumatic experiences and drawing joy from empathetic connections and commitment to creating community with one another. From here, I developed a website called "Sanando Juntos," or "Healing Together," teaching Latinas how to use storytelling as a tool to better understand themselves as well as create a space to foster connections with other Latinas. In order to develop a theoretical framework for the website, a literature review was conducted observing successful methods of digital storytelling in adolescent audiences. I then used this research to develop the main pillars for the website, a storytelling workshop, safe-space building, multimedia approaches, and peer-to-peer interaction. With many young Latina girls disproportionately suffering from suicidal ideation and depression, Sanando Juntos acts as a way to break down the stigma surrounding these difficult conversations while empowering and connecting like-minded Latinas. The final website can be viewed at https://sanandojuntos.com.

Interventions that increase access to care for Latinos lack to account for how trust in healthcare providers impact the usage of expanded access. This thesis looks to identify the levels of trust among US Latinos in health care providers, and how those levels of trust impact quality of care and health outcomes. It will start with a detailed explanation of key terms that will be used throughout the text. Next, an overview of the health profile of US Latinos is presented to pinpoint where health inequities exist. After, it will provide historical context on why mistrust in medical providers might exist amongst US Latinos today. It will then look to establish the levels of trust in health care providers among Latinos currently living within the United States, relative to other racial and ethnic groups. Lastly, it will analyze how those levels of trust impact health behaviors, health outcomes, and quality of care for Latinos.