Table of Contents

 

 

 

 

Preface

x

 

A Word About Health

xxii

UNIT I

CULTURAL FOUNDATIONS

1

Chapter 1

Cultural Heritage and History

3

 

National Standards for Culturally and Linguistically Appropriate Services in Health Care

7

 

Cultural Competence

8

 

Linguistic Competence

8

 

CulturalCare

9

 

Heritage Consistency

9

 

Acculturation Themes

18

 

Ethnocultural Life Trajectories

20

 

Commingling Variables

22

 

Cultural Conflict

23

 

Cultural Phenomena Affecting Health

24

Chapter 2

Diversity

31

 

Census 2000

32

 

Immigration

36

 

Poverty

42

Chapter 3

Health and Illness

48

 

Health

49

 

Illness

62

UNIT II

HEALTH DOMAINS

71

Chapter 4

Health Traditions

74

 

HEALTH and ILLNESS

76

 

HEALTH Traditions Model

77

 

HEALTH Protection

80

 

Health/HEALTH Care Choices

87

 

Folk Medicine

88

 

Health/HEALTH Care Philosophies

95

Chapter 5

HEALING Traditions

107

 

HEALING

108

 

Ancient Forms of HEALING

110

 

Religion and HEALING

111

 

HEALING and Today’s Beliefs

125

 

Ancient Rituals Related to the Life Cycle

127

Chapter 6

Familial HEALTH Traditions

147

 

Familial Health/HEALTH Traditions

149

 

Consciousness Raising

160

Chapter 7

Health Care Delivery and Issues

167

 

The Health Care Provider’s Culture

168

 

Health Care Costs

173

 

Trends in Development of the Health Care System

181

 

Common Problems in Health Care Delivery

186

 

Pathways to Health Services

189

 

Barriers to Health Care

191

 

Medicine as an Institution of Social Control

193

UNIT III

HEALTH AND ILLNESS PANORAMAS

201

Chapter 8

HEALTH and ILLNESS in the American Indian and Alaska Native Population

204

 

Background

205

 

Traditional Definitions of HEALTH and ILLNESS

208

 

Traditional Methods of HEALING

210

 

Current Health Care Problems

217

 

The Indian Health Service

223

Chapter 9

HEALTH and ILLNESS in the Asian Populations

231

 

Background

232

 

Traditional Definitions of HEALTH and ILLNESS

234

 

Traditional Methods of HEALTH Maintenance and Protection

240

 

Traditional Methods of HEALTH Restoration

240

 

Current Health Problems

250

Chapter 10

HEALTH and ILLNESS in the Black Population

258

 

Background

259

 

Traditional Definitions of HEALTH and ILLNESS

264

 

Traditional Methods of HEALTH Maintenance and Protection

265

 

Traditional Methods of HEALTH Restoration

265

 

Current Health Problems

270

Chapter 11

HEALTH and ILLNESS in the Hispanic Populations

283

 

Background

284

 

Mexicans

286

 

Puerto Ricans

300

Chapter 12

HEALTH and ILLNESS in the White Populations

315

 

Background

316

 

German Americans

319

 

Italian Americans

321

 

Polish Americans

326

 

Health Status of White Population

331

 

Epilogue

337

Appendix A

Selected Key Terms Related to Cultural Diversity in HEALTH and ILLNESS

346

Appendix B

Calendar: Religious Holidays that Change Dates

355

Appendix C

Suggested Course Outline

357

Appendix D

Suggested Course Activity—Urban Hiking

363

Appendix E

Heritage Assessment Tool

365

Appendix F

Quick Guide for CULTURALCARE

368

Appendix G

Data Resources

370

 

Bibliography

375

 

Index

395