Cultural Diversity in Health and Illness

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  • Edition: 7th
  • Format: Paperback
  • Copyright: 2008-07-09
  • Publisher: Prentice Hall
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The seventh edition of this well-respected book continues to promote an awareness of the dimensions and complexities involved in caring for people from diverse cultural backgrounds. Completely revised and updated, it examines the differences existing within North America by probing the health care system and consumers, and examples of traditional health beliefs and practices among selected populations. An emphasis on the influences of recent social, political, and demographic changes helps to explore the issues and perceptions of health and illness today. An essential for any health-care professional, this book sets the standard for cultural perspectives.

Author Biography

Dr. Rachel E. Spector has been a student of culturally diverse HEALTH and ILLNESS beliefs and practices for 35 years and has researched and taught courses on culture and HEALTH care for the same time span. Dr. Spector has had the opportunity to work in many different communities, including the American Indian and Hispanic communities in Boston, Massachusetts. Her studies have taken her to many places: most of the United States, Canada, and Mexico; several European countries, including Denmark, England, Finland, Iceland, Italy, France, Russia, Spain, and Switzerland; Israel and Pakistan; and Australia and New Zealand. She was fortunate enough to collect traditional amulets and remedies from many of these diverse communities and to meet practitioners of traditional HEALTH care in several places. She was instrumental in the creation and presentation of the exhibit “Immigrant HEALTH Traditions” at the Ellis Island Immigration Museum, May 1994 through January 1995. She and has exhibited HEALTH-related objects in several other settings. Recently, she served as a Colaboradora Honorifica (Honorary Collaborator) in the University of Alicante in Alicante, Spain, and Tamulipus, Mexico. In 2006, she was a Lady Davis Fellow in the Henrietta Zold-Hadassah Hebrew University School of Nursing in Jerusalem, Israel. This text was translated into Spanish by Maria Munoz and published in Madrid by Prentice Hall as Las Culturas de la SALUD in 2003. She is a Fellow in the American Academy of Nursing and a Scholar in Transcultural Nursing Society. The Massachusetts Association of Registered Nurses, the state organization of the American Nurses’ Association, honored her as a “Living Legend” in 2007. In 2008 she was recognized by the American Nurses’ Association for her work in Human Rights.

Table of Contents

Prefacep. x
A Word about Healthp. xxii
Cultural Foundationsp. 1
Cultural Heritage and Historyp. 3
National Standards for Culturally and Linguistically Appropriate Services in Health Carep. 7
Cultural Competencep. 8
Linguistic Competencep. 8
CulturalCarep. 9
Heritage Consistencyp. 9
Acculturation Themesp. 18
Ethnocultural Life Trajectoriesp. 20
Commingling Variablesp. 22
Cultural Conflictp. 23
Cultural Phenomena Affecting Healthp. 24
Diversityp. 31
Census 2000p. 32
Immigrationp. 36
Povertyp. 42
Health and Illnessp. 48
Healthp. 49
Illnessp. 62
Health Domainsp. 71
Health Traditionsp. 74
Health and Illnessp. 76
Health Traditions Modelp. 77
Health Protectionp. 80
Health/Health Care Choicesp. 87
Folk Medicinep. 88
Health/Health Care Philosophiesp. 95
Healing Traditionsp. 107
Healingp. 108
Ancient Forms of Healingp. 110
Religion and Healingp. 111
Healing and Today's Beliefsp. 125
Ancient Rituals Related to the Life Cyclep. 127
Familial Health Traditionsp. 147
Familial Health/Health Traditionsp. 149
Consciousness Raisingp. 160
Health Care Delivery and Issuesp. 167
The Health Care Provider's Culturep. 168
Health Care Costsp. 173
Trends in Development of the Health Care Systemp. 181
Common Problems in Health Care Deliveryp. 186
Pathways to Health Servicesp. 189
Barriers to Health Carep. 191
Medicine as an Institution of Social Controlp. 193
Health and Illness Panoramasp. 201
Health and Illness in the American Indian and Alaska Native Populationp. 204
Backgroundp. 205
Traditional Definitions of Health and Illnessp. 208
Traditional Methods of Healingp. 210
Current Health Care Problemsp. 217
The Indian Health Servicep. 223
Health and Illness in the Asian Populationsp. 231
Backgroundp. 232
Traditional Definitions of Health and Illnessp. 234
Traditional Methods of Health Maintenance and Protectionp. 240
Traditional Methods of Health Restorationp. 240
Current Health Problemsp. 250
Health and Illness in the Black Populationp. 258
Backgroundp. 259
Traditional Definitions of Health and Illnessp. 264
Traditional Methods of Health Maintenance and Protectionp. 265
Traditional Methods of Health Restorationp. 265
Current Health Problemsp. 270
Health and Illness in the Hispanic Populationsp. 283
Backgroundp. 284
Mexicansp. 286
Puerto Ricansp. 300
Health and Illness in the White Populationsp. 315
Backgroundp. 316
German Americansp. 319
Italian Americansp. 321
Polish Americansp. 326
Health Status of White Populationp. 331
Epiloguep. 337
Selected Key Terms Related to Cultural Diversity in Health and Illnessp. 346
Calendar: Religious Holidays That Change Datesp. 355
Suggested Course Outlinep. 357
Suggested Course Activity-Urban Hikingp. 363
Heritage Assessment Toolp. 365
Quick Guide for Cultural Carep. 368
Data Resourcesp. 370
Bibliographyp. 375
Indexp. 395
Table of Contents provided by Ingram. All Rights Reserved.

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