Table of Contents

 

 

 

 

Preface

xi

 

About the Author

xvii

 

Acknowledgments

xviii

UNIT I

CULTURAL FOUNDATIONS

1

Chapter 1

Building Cultural and Linguistic Competence

3

 

National Standards for Culturally and Linguistically Appropriate Services in Health Care

8

 

Cultural Competence

11

 

Linguistic Competence

11

 

Institutional Mandates

12

 

CulturalCare

13

Chapter 2

Cultural Heritage and History

19

 

Heritage Consistency

20

 

Acculturation Themes

29

 

Ethnocultural Life Trajectories

32

 

Commingling Variables

34

 

Cultural Conflict

36

 

Cultural Phenomena Affecting Health

37

Chapter 3

Diversity

43

 

Census 2010

45

 

Immigration

48

 

Poverty

54

Chapter 4

Health and Illness

62

 

Health

63

 

Illness

74

UNIT II

HEALTH DOMAINS

85

Chapter 5

Health Traditions

89

 

Health and Illness

91

 

Health Traditions Model

92

 

Health Protection

95

 

Health/HEALTH Care Choices

102

 

Folk Medicine

104

 

Health/HEALTH Care Philosophies

108

Chapter 6

Healing Traditions

120

 

Healing

121

 

Ancient Forms of Healing

123

 

Religion and HEALING

124

 

Healing and Today’s Beliefs

136

 

Ancient Rituals Related to the Life Cycle

138

Chapter 7

Familial Health Traditions

158

 

Familial Health/HEALTH Traditions

160

 

Consciousness Raising

171

Chapter 8

Health and Illness in Modern Health Care

178

 

The Health Care Provider’s Culture

179

 

Health Care Costs

182

 

Trends in Development of the Health Care System

187

 

Common Problems in Health Care Delivery

191

 

Pathways to Health Services

195

 

Barriers to Health Care

197

 

Medicine as an Institution of Social Control

199

UNIT III

HEALTH AND ILLNESS PANORAMAS

207

Chapter 9

Health and Illness in the American Indian and Alaska Native Population

210

 

Background

211

 

Traditional Definitions of Health and Illness

213

 

Traditional Methods of Healing

215

 

Current Health Care Problems

222

 

The Indian Health Service

228

Chapter 10

Health and Illness in the Asian Populations

238

 

Background

239

 

Traditional Definitions of Health and Illness

241

 

Traditional Methods of Health Maintenance and Protection

246

 

Traditional Methods of Health Restoration

247

 

Current Health Problems

257

Chapter 11

Health and Illness in the Black Population

265

 

Background

266

 

Traditional Definitions of Health and Illness

270

 

Traditional Methods of Health Maintenance and Protection

271

 

Traditional Methods of Health Restoration

272

 

Current Health Problems

279

Chapter 12

Health and Illness in the Hispanic Populations

291

 

Background

292

 

Mexicans

294

 

Puerto Ricans

308

Chapter 13

Health and Illness in the White Populations

323

 

Background

324

 

German Americans

326

 

Italian Americans

330

 

Polish Americans

334

 

Health Status of the White Population

339

Chapter 14

Cultural Competence

345

 

Cultural Competency

351

Appendix A

Selected Key Terms Related to Cultural Diversity in Health and Illness

354

Appendix B

Calendar: Cultural and Religious Holidays That Change Dates

364

Appendix C

Suggested Course Outline

367

Appendix D

Suggested Course ActivityUrban Hiking

373

Appendix E

Heritage Assessment Tool

376

Appendix F

Quick Guide for CulturalCare

379

Appendix G

Data Resources

331

 

Bibliography

333

 

Index

403