receive late or no prenatal care as compared to non-Hispanic white mothers, in 2017. Research suggests that improving quality of the lowest-performing hospitals could benefit both non-Hispanic white and Hispanic women while reducing ethnic disparities in serve maternal morbidity rates. Access to healthcare Hispanic health is often shaped by factors such as language/cultural barriers, lack of access to preventive care, the lack of health insurance, illegal immigration status, mistrust, and illiteracy. The Centers for Disease Control and Prevention has cited some of the leading causes of illness and death among Hispanics, which include heart disease, cancer, unintentional injuries (accidents), stroke, and diabetes. Latino and Hispanic communities have a hard time communicating with health professionals due to a language or cultural barrier; as a result, they turn to outside sources for help and medication. The survey finds that half of those who have faced these barriers turned to a family member or to another health care provider for assistance. Many hospitals and offices lack trained interpreters and rely on ad hoc interpretation by bilingual staff or even the children of patients. Latino and Hispanic communities have concerns when it comes to long care services in the United States. Some have concerns about finding nursing homes and assisted-living facilities that will respect their religious or spiritual beliefs, though fewer have the same concern about home health aides. The lack of education creates another barrier for individuals in these communities that are bilingual but can't understand medical terms. According to a 2017 U.S. Census Bureau report, 68.7 percent of Hispanics in comparison to 92.9 percent non-Hispanic whites had a high school diploma. More than one-fourth of Hispanic adults in the United States lack a usual health care provider, and a similar proportion report obtaining no health care information from medical personnel in the past year. Latino adults receive information from an alternative source, such as television and radio, based on a PHC survey. Not only are most Latinos obtaining information from media sources, but a sizeable proportion (79 percent) say they are acting on this information. Many Latinos are accustomed to self-treating because most pharmaceuticals are available without prescription in their home countries. Immigrants may face additional obstacles to care, including illegal immigration status (fears of deportation), illiteracy, and a radically different set of health beliefs. Native Americans and Alaska Natives History American Indian and Alaska Native populations in the United States have