1. Health Promotion in Context of Culture Casey Chamberlin,Jameelah Harris Andreea Molcut,Umair Athar Source: Promoting Health in Multicultural Populations. R. Huff and M. Kline. 1999

2. Learning Objectives Distinguish between health promotion and health education Distinguish between health promotion and health education Provide definitions of key terms Provide definitions of key terms Examine implication and impact of cultural barriers in promotion and education Examine implication and impact of cultural barriers in promotion and education Provide ways to break cultural barriers to health care Provide ways to break cultural barriers to health care

3. Definitions of key terms Health promotion- any planned combination of educational, political, regulatory, and organizational supports for actions and conditions of living conductive to health of individuals, groups, or communities Health promotion- any planned combination of educational, political, regulatory, and organizational supports for actions and conditions of living conductive to health of individuals, groups, or communities Health education- any planned combination of learning experiences designed to predispose, enable, and reinforce voluntary behavior conductive to health of individuals, groups or communities Health education- any planned combination of learning experiences designed to predispose, enable, and reinforce voluntary behavior conductive to health of individuals, groups or communities

4. Whats your definition? Culture Culture Ethnicity Ethnicity Race Race Acculturation Acculturation -how do you assess this? Assimilation Assimilation Cultural competence Cultural competence

5. Rate your cultural competence Cultural awareness Cultural awareness sensitivitysensitivity Cultural knowledge Cultural knowledge understandingunderstanding Cultural skill Cultural skill assessmentassessment Cultural encounter Cultural encounter relatingrelating

6. Characterizing Barriers-Patient Demographic Barrier Demographic Barrier AgeAge GenderGender EthnicityEthnicity Language spokenLanguage spoken ReligionReligion Educational level/literacyEducational level/literacy Occupation/ financesOccupation/ finances TransportationTransportation Generation in the USAGeneration in the USA Cultural Barrier Cultural Barrier Age Gender/family dynamics Worldview Time orientation Language spoken Religious beliefs and practices Social customs, values, norms Traditional health beliefs and practices Dietary practices Communication patterns and customs

7. Characterizing Barriers- Patient Health Care System Health Care System Insurance/Financial resourcesInsurance/Financial resources Orientation to preventative health servicesOrientation to preventative health services Perception of need for health care servicesPerception of need for health care services Ignorance/distrust of Western medical practicesIgnorance/distrust of Western medical practices Poor doctor-patient communicationsPoor doctor-patient communications Lack of bilingual/bicultural staffLack of bilingual/bicultural staff

8. Strategies to overcome barriers Improve your cultural competence and skills Improve your cultural competence and skills Asking patients questions about their cultureAsking patients questions about their culture Education of patients through designing and employing materials relevelant and culturally appropriate to target groupEducation of patients through designing and employing materials relevelant and culturally appropriate to target group Diversifying medical staffDiversifying medical staff

9. Final Words Melting pot vs. salad bowl Melting pot vs. salad bowl

10. Questions or Comments?

11. References Robert M. Huff and Michael V. Kline, Health Promotion Robert M. Huff and Michael V. Kline, Health Promotion