Diversity and Health Behaviors Ms. Ana Linares University of North Florida PEACE Center Dr. Otilia Salmon, University of N...
Caribbean Hispanics <ul><li>World views </li></ul><ul><li>Illness etiologies and categories  </li></ul><ul><li>Behaviors  ...
Comparison of world views <ul><li>Community vs. individual </li></ul><ul><li>Emotional vs. rational </li></ul><ul><li>Depe...
<ul><li>Symptoms experience </li></ul><ul><li>Assumption of sick role </li></ul><ul><li>Care contact  </li></ul><ul><li>Pa...
Traditional Etiologies <ul><li>The result of “good luck” </li></ul><ul><li>A reward for good behavior </li></ul><ul><li>A ...
Major Categories <ul><li>Body imbalance – hot or cold </li></ul><ul><li>Dislocation of parts of the body </li></ul><ul><li...
Spiritualism, Santeria and Fatalism <ul><li>Problems spiritual in nature are treated with prayer and ritual </li></ul><ul>...
Identity and Implications for Health <ul><li>The Hispanic Paradox </li></ul><ul><li>U.S. Census Categories and Hispanic  <...
<ul><li>Based on humoral medicine </li></ul><ul><li>Based on concept of balance </li></ul><ul><li>Foods, climate, situatio...
Hot – cold theory of disease <ul><li>Treatment is based on “oppositions” </li></ul><ul><li>Thermal quality is not the fact...
Health Behaviors <ul><li>Examples of curative or therapeutic behaviors </li></ul><ul><li>Cold conditions  = menstrual cram...
Health Behaviors <ul><li>Examples of curative or therapeutic behaviors </li></ul><ul><li>Hot conditions -  pregnancy, diab...
Hot – Cold Foods <ul><li>Hot </li></ul><ul><li>Chocolate </li></ul><ul><li>Brown sugar </li></ul><ul><li>Onion </li></ul><...
Discussion <ul><li>What questions could you ask to determine if there are hot – cold practices? </li></ul><ul><li>How migh...
Other Common Cultural Illnesses <ul><li>Aire </li></ul><ul><li>Antojos </li></ul><ul><li>Ataque de nervios </li></ul><ul><...
Other Common Cultural Illnesses <ul><li>Derrame de bilis </li></ul><ul><li>Caida de la mollera </li></ul><ul><li>Decaimien...
Other Common Cultural Illnesses <ul><li>Empacho </li></ul><ul><li>Espasmo </li></ul><ul><li>Mal de ojo </li></ul><ul><li>N...
Discussion <ul><li>Examples of health prevention or treatment behaviors: “hot” medications. </li></ul><ul><li>What questio...
Application of Theoretical Frameworks <ul><li>Health Belief Systems </li></ul><ul><li>Family Systems </li></ul><ul><li>Soc...
Health Beliefs <ul><li>Value? </li></ul><ul><li>Possible behavior? </li></ul><ul><li>Recommendation? </li></ul><ul><li>Ele...
Family Systems <ul><li>Value? </li></ul><ul><li>Possible behavior? </li></ul><ul><li>Recommendation? </li></ul>Element Exp...
Social Marketing <ul><li>Element </li></ul><ul><li>Uses marketing techniques to promote health  </li></ul><ul><li>Communit...
<ul><li>Cultural Diversity in Health and Illness.  By Rachel Spector 2003 </li></ul><ul><li>Cultural Care Guide to Heritag...
<ul><li>Questions? </li></ul><ul><li>Thank you! </li></ul><ul><li>University of North Florida, College of Health </li></ul...
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Aetna Presentation Diversity Behaviors - part2

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Diversity and Health Behaviors

Ms. Ana Linares UNF PEACE Center
Dr. Otilia Salmon, UNF COEHS
Dr. Judith C. Rodriguez, UNF COH

March 25, 2005 - UNF Hispanic Health Issues Seminar

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.

Published in: Health & Medicine, Education
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  • Aetna Presentation Diversity Behaviors - part2

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