Hispanic groups are coming together to encourage people to have end-of-life conversations with their loved ones before illness or tragedy strikes.

The Hispanic Heritage Foundation and the National Hispanic Council on Aging are teaming up with the nonprofit Compassion & Choices to get people talking about end-of-life planning, hospice, life support, medical power of attorney, and medical aid-in-dying.

Dr. Yanira Cruz is president and CEO of the National Hispanic Council on Aging.

"The reality is that Latinos oftentimes do not take care of advanced directives, for example," said Cruz, "so they get to a point where decisions have to be made and there are no directives written or signed by them. "

California is home to more than 15 million Latinos, almost 40% of the population - with more than 1.2 million age 65 or older.

Antonio Tijerino is president and CEO of the Hispanic Heritage Foundation. He said Latinos celebrate those who have passed on Dia de los Muertos, but many are uncomfortable talking about death beforehand.

And yet, he said, it's a must, especially since so many in the community have succumbed to COVID, and Hispanics are less likely than other groups to have health insurance.

"We're dealing with these end-of-life issues at a higher scale than others," said Tijerino. "Yet we're the least likely to have access to resources and information to deal with them."

A report by the American Hospice Association found that Latinos are less likely than white families to use hospice, but may be more likely to need it.

A free End-of-Life Decision Guide Toolkit is available in English and Spanish on the Compassion & Choices website.

United Way of Connecticut is launching a network hub for family child care providers. The new hub, created in partnership with the Connecticut Office of Early Childhood, connects family child care services into regional networks to help families looking for child care.

Recent deficiencies in child care have been influenced by the COVID-19 pandemic. According to a study by the University of California-Berkeley, child care jobs plummeted at the start of the pandemic, but they have been rebounding steadily.

Sherri Sutera, senior vice president of child care service at the United Way of Connecticut, described some of the goals of the program.

"A goal is to really increase the number of individuals in that field," Sutera explained. "By doing that, we want to make it more cost-effective for them to do that, to have them have access to all sorts of resources and support, so they can actually create a business out of their home."

Another goal is helping child care providers attain national accreditation. While the program is still new, there are certain elements Sutera will grow in the future, including expanding the number of toddlers family child care home providers are allowed to work with, which the state currently caps.

Sutera noted there are some misconceptions about working in child care. The most common is families not considering family child care as a way to care for kids while they are working or doing higher education activities. She added the program is designed to alleviate some of the burdens working in child care brings. It will also address some things child care providers are not always able to take on.

"They don't have a lot of time to take advantage of professional development opportunities," Sutera outlined. "To really spend time on administrative tasks, managing enrollment and paperwork, and doing taxes, and working toward professional-development goals and quality indicators such as getting accredited."

Sutera is excited to work with child care providers and hopes to bring them together with families who need them.

Parenting was challenging even before the COVID pandemic, but a unique program in Cambridge teaches new parents the skills they need to nurture their children and themselves.

It's called Baby University and includes 14 once-weekly parent-child playgroups and workshops, that cover everything from a child's brain development to parent relaxation techniques.

Shirley Elliott is a recent graduate. She said she initially joined the program to help build a community for herself and her three-year-old daughter.

"It's about understanding that you're not on this journey alone," said Elliott, "and if you reach out, others can come to you, because we really are going through the same thing."

Baby University is part of the City of Cambridge Department of Human Service Programs. Parents also receive in-home visits by 'Baby U' staff and learn to grow support networks, as well as new friendships.

While priority is given to low-income families, all new parents in Cambridge are welcome to join. More than 460 have graduated, so far.

Baby U was inspired by the successful Harlem Children's Zone, which takes a block-by-block approach to reducing the cycle of poverty through early childhood and family services.

At Baby U, fathers especially are encouraged to take an active role in their child's development. Baby U graduate Tyrone Fells said he appreciated the chance to talk to other Dads, especially about the separation anxiety he experienced with his infant daughter.

"Baby U does teach that and shows us just the importance of establishing your role as a father," said Fells, "and you know, being there and seeing you, and playing and interacting with you."

For other parents, Baby U may help break a cycle of trauma and teach them how to safely discipline their child.

Parents also receive free children's books, and learn the importance of what's called "serve and return" - responsive interactions that can benefit a child's physical and emotional growth.

Still, parents say it's the community-wide connections they appreciate the most, and the realization that in the sometimes stressful journey of parenthood, they are not alone.

A new study found an association between what researchers are calling the biological age of sperm and reproductive success.

While age is considered a major factor for women thinking of becoming pregnant, it is not often considered in male reproductive health, because men continually produce sperm throughout their lives.

Dr. Rick Pilsner, professor of obstetrics and gynecology at Wayne State University School of Medicine who led the study, said chronological aging -- or the normal passage of time -- does not always capture the aging process of the sperm.

"Chronological age does not take into account the intrinsic [makeup of] your genes and how they function," Pilsner explained. "As well as external factors such as environmental exposures, smoking, diet."

Pilsner reported initial findings showed a new measure, referred to as a "sperm epigenetic clock," could be a way to predict biological fitness of a person's sperm, and thus could be useful in predicting reproductive success. He noted the study was largely conducted among a white population, and said a more diverse cohort is needed to validate the results.

Pilsner added researchers think the sperm epigenetic clock could eventually be offered commercially to couples trying to start a family.

"This could inform clinical decisions on how long it may take to get pregnant naturally," Pilsner suggested. "And could inform people going into infertility treatment at an earlier stage, rather than waiting a year or two and having an unsuccessful pregnancy."

Pilsner pointed out the study found smoking is associated with a higher biological age. The next steps are finding out what other factors do, from chemical exposures to diet and exercise. He stressed another big question is whether epigenetic aging can be reversed, so men can be part of trying for a pregnancy in the healthiest way possible.