Aetna Presentation Diversity Behaviors - part2
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Diversity and Health Behaviors Ms. Ana Linares University of North Florida PEACE Center Dr. Otilia Salmon, University of North Florida COEHS Dr. Judith C. Rodriguez, University of North Florida COH March 25, 2005 This is part 2 of an 8 part series of seminars on Hispanic Health Issues brought to you by the University of North Florida’s Dept. of Public Health, College of Health, a grant from AETNA, and the cooperation of Duval County Health Department. For more information or register for the seminars, please call 620-1289.
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Diversity and Health BehaviorsMs. Ana Linares UNF PEACE CenterDr. Otilia Salmon, UNF COEHSDr. Judith C. Rodriguez, UNF COH March 25, 2005 - UNF Hispanic Health Issues SeminarThis is part 2 of an 8 part series of seminars on Hispanic Health Issues brought to you by the University of North Florida’s Dept. of Public Health, College of Health, a grant from AETNA, and the cooperation of Duval County Health Department.
Transcript of Aetna Presentation Diversity Behaviors - part2
Diversity and Health Behaviors
Ms. Ana Linares University of North Florida PEACE CenterDr. Otilia Salmon, University of North Florida COEHS
Dr. Judith C. Rodriguez, University of North Florida COH
March 25, 2005
This is part 2 of an 8 part series of seminars on Hispanic Health Issues brought to you by the University of North Florida’s Dept. of Public Health, College of Health, a grant from AETNA, and the cooperation of
Duval County Health Department. For more information or register for the seminars, please call 620-1289.
Caribbean Hispanics
World views
Illness etiologies and categories
Behaviors
Illnesses
Application of Health Behavior Models
Comparison of world views
Community vs. individual
Emotional vs. rational
Dependence/interdependence vs. self reliance/autonomy
Focus on relationships vs. focus on time and money
Symptoms experience Assumption of sick role Care contact Patient role Recovery or rehabilitation
Illness Behavior
Traditional Etiologies
The result of “good luck”
A reward for good behavior
A gift from God
An imbalance (body)
Punishment for wrongdoing
Major Categories
Body imbalance – hot or cold
Dislocation of parts of the body
Magic or supernatural causes
Strong emotional state
Envy (envidia)
Spiritualism, Santeria and Fatalism
Problems spiritual in nature are treated with prayer and ritual
Practiced in: Caribbean Mexico Central/South America
Identity and Implications for Health
The Hispanic Paradox
U.S. Census Categories and Hispanic Demographic Complexity
Black and White categories Nativity status US Born vs. Foreign Born
Based on humoral medicine
Based on concept of balance
Foods, climate, situations can make the body fall out of balance, hence, ill (effect on body)
Illness and disease are treated by manipulations that get the body back in balance
Hot – cold theory of disease
Hot – cold theory of disease
Treatment is based on “oppositions”
Thermal quality is not the factor
Perceived intrinsic quality or affect on the body may be basis of descriptor
Some medicines may be considered hot
Health BehaviorsExamples of curative or therapeutic
behaviors Cold conditions = menstrual cramps,
coryza, pneumonia, empacho, and colic are treated with hot medications and remedies to bring the individual back into balance.
Some groups believe arthritis to be a “cold” disease
Health Behaviors
Examples of curative or therapeutic behaviors
Hot conditions - pregnancy, diabetes, hypertension, acid indigestion, susto, and bilis
Bryant, The Cultural Feast
Hot – Cold FoodsHot Chocolate Brown sugar Onion Garlic Rue Black pepper Ginger Honey Coffee Peanuts Some chiles Wheat
Cold Vinegar Fava beans Cucumber Cauliflower Chayote squash Tomato Jicama Turnip Fresh cheese Beer Watermelon Cow’s milk
Discussion
What questions could you ask to determine if there are hot – cold practices?
How might you evaluate/respond to the practice?
Other Common Cultural Illnesses
Aire
Antojos
Ataque de nervios
Barrenillos
Other Common Cultural Illnesses
Derrame de bilis
Caida de la mollera
Decaimiento
Decenso
Other Common Cultural Illnesses
Empacho
Espasmo
Mal de ojo
Nerviosismo
Susto
Discussion
Examples of health prevention or treatment behaviors: “hot” medications.
What questions could you ask to determine extent of traditional health beliefs or practices?
How might you evaluate and respond to the practice?
Application of Theoretical Frameworks
1. Health Belief Systems
2. Family Systems
3. Social Marketing
Health Beliefs
Elements• Perceived
susceptibility
• Impact
• Advantages of change
• Barriers
• Self-efficacy
Value?
Possible behavior?
Recommendation?
Family Systems
ElementExplores family
andother significantrelationships as ameans ofdeveloping asupport system
Value?
Possible behavior?
Recommendation?
Social Marketing
Element
• Uses marketing techniques to promote health
• Community based, multi-strategy
Value?
Possible behavior?
Recommendation?
Cultural Diversity in Health and Illness. By Rachel Spector 2003
Cultural Care Guide to Heritage Assessment and Health Traditions. By Rachel Spector 2003
Ethnicity and Medical Care. By Alan Harwood, 1981
Health Issues in the Latino Community. By M. Aguirre-Molina, C. Molina, R. E. Zambrana. 2001.
Latina Health in the United States. By M. Aguirre-Molina, C. Molina. 2003.
Medical Anthropology. By Sargent & Johnson 1994
Resources
Questions?
Thank you!
University of North Florida, College of Health
Ms. Ana Linares UNF PEACE CenterDr. Judith C. Rodriguez, UNF COH
March, 2005
