ACOM340_Chapter8

Culturalmisunderstandingsareonereasonthat

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Unformatted text preview: to, conviction that a shocking, unpleasant, or frightening experience may cause physical illness Communicating About Health, Third Edition, du Pré Copyright © 2010 by Oxford University Press, Inc. Cultural misunderstandings are one reason that Hispanic Americans tend to underutilize health services Language and citizenship are additional barriers About 25% of Hispanics are not insured Hispanic Americans do not feel health messages are relevant to them; they are more likely to have health issues as a result Family members typically involved in health decisions Religion important; may play a role in deterring health screenings (everything is in God’s hands) A main key is to know at least a little Spanish when working with Hispanic individuals Communicating About Health, Third Edition, du Pré Copyright © 2010 by Oxford University Press, Inc. Arab Arab world includes 22 diverse countries in Middle East and North Africa Countries are predominantly Muslim and use Arab language Hard to judge number of Arab Americans (Census groups them in larger category of white Americans; some do not self­identify due to fear of discrimination) Estimates it is between 3.5 and 7 million Common to have several generations in households; elders are deeply revered Communicating About Health, Third Edition, du Pré Copyright © 2010 by Oxford University Press, Inc. Traditional gender roles: men provide for family, women raise children and perform domestic tasks Collectivistic culture; dishonorable action by one member brings shame on whole family Health care professionals need to approach matters delicately; doctors usually do not tell patient bad health news, but tell nearest relative or male head of household Many Arabs migrated due to war and violence Few professional opportunities and increased health risks Most Arab countries have universal health care; reluctant to sign up for American health care systems Communicating About Health, Third Edition, du Pré Copyright © 2010 by Oxford University Press, Inc. Islam: second largest world religion Ritualistic cleansing of body, pray to the east to Allah five times daily, believe in helping the poor, and fasting during daylight hours of Ramadan (holy month) Health implications Health professionals may be asked which direction is east?...
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