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Unformatted text preview: !"##"## # Alexandra Garcia, PhD, RN UT Austin School of Nursing • Explain impact of culture on health • Describe cultural variations in health beliefs or practices • Describe theories used to explain health behaviors • Select culturally appropriate approaches to change behaviors • l The integrated pattern of human behavior that includes thoughts, communications, actions, customs, beliefs, values, and institutions of a racial, ethnic, religious, or social group z (Cross et al., 1989) • “set of rules or standards shared by members of a society, which when acted upon produce behavior… z a • “ behavior and beliefs that are learned and shared ” b a Lopez et al., 2006; b Friis, 2007; both cited by Skolnik, 2011, p. 120. • l An inherited ‘lens’ through which the individual perceives and understands the world that he inhabits and learns how to live within it z (Helman, 2000, p. 6). l Culture provides a context through which people come to understand their health status and comprehend options for diagnoses and treatments. z (IOM, 2004, p. 109) !"##"## % • Examples: • UT community • Austin, Texas, USA • Religious group • Social group • Ethnic group • Professional group • Recreational group • Ethnocentrism – the tendency to evaluate other cultures, often negatively, from one’s own cultural perspective • Cultural relativism – evaluation of another culture by that culture’s standards • An important determinant of health • Influences health & illness, utilization of health services, health practices & medical treatment • Perceptions of illness , what it means to be sick • Perceptions of disease • Folk illness or biomedical • Prevention of illness • Diagnosis and treatment • Local cultural interpretations of physical states that are perceived as illnesses • Usually not recognized by Western biomedicine o Example: Empacho , caused by food sticking to walls of stomach or intestines causing and obstruction, inappropriate food selection, causes bloating, stomachache, diarrhea • Body balance o Temperature, energy, blood, dislocation, incompatibility of horoscopes...
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- Fall '11