A Focus on Health Beliefs: What Culturally Competent Clinicians Need to Know

2012 ◽  
Vol 19 (2) ◽  
pp. 40-48 ◽  
Author(s):  
Joyce L. Harris ◽  
Valarie B. Fleming ◽  
Cheryl L. Harris
Keyword(s):  
Health Beliefs ◽  
Health Care Access ◽  
Linguistically Diverse ◽  
Culturally Competent ◽  
African American Adults ◽  
Care Access ◽  
Clinical Encounters ◽  
Communication Processes ◽  
Health Related ◽  
Specific Health

Health beliefs influence a variety of health-related behaviors and should be regarded as an important dimension of cultural variability. Such variability may explain disparities in health-care access, compliance, and treatment outcomes for persons from culturally and linguistically diverse (CLD) backgrounds. Cultural competence and client-centered service delivery require recognition of the effects of divergent health beliefs during clinical encounters. Assumptions derived from the Health Beliefs Model (HBM) can inform research to uncover communication-specific health beliefs held by persons from diverse populations. We conclude this article with a research protocol used to survey African American adults' knowledge and assumptions about communication processes and disorders.

Human rights-based conceptions of deservingness: health and precarity

2020 ◽  
Vol 16 (3) ◽  
pp. 279-292
Author(s):  
Sarah Marshall
Keyword(s):  
Health Care ◽  
Human Rights ◽  
Health Care Providers ◽  
Health Care Access ◽  
Migrant Health ◽  
Dominant Negative ◽  
Care Providers ◽  
Content Type ◽  
Care Access ◽  
Health Related

Purpose Ideas of health-related deservingness in theory and practise have largely been attached to humanitarian notions of compassion and care for vulnerable persons, in contrast to rights-based approaches involving a moral-legal obligation to care based on universal citizenship principles. This paper aims to provide an alternative to these frames, seeking to explore ideas of a human rights-based deservingness framework to understand health care access and entitlement amongst precarious status persons in Canada. Design/methodology/approach Drawing from theoretical conceptualizations of deservingness, this paper aims to bring deservingness frameworks into the language of human rights discourses as these ideas relate to inequalities based on noncitizenship. Findings Deservingness frameworks have been used in public discourses to both perpetuate and diminish health-related inequalities around access and entitlement. Although, movements based on human rights have the potential to be co-opted and used to re-frame precarious status migrants as “undeserving”, movements driven by frames of human rights-based deservingness can subvert these dominant, negative discourses. Originality/value To date, deservingness theory has primarily been used to speak to issues relating to deservingness to welfare services. In relation to deservingness and precarious status migrants, much of the literature focuses on humanitarian notions of the “deserving” migrant. Health-related deservingness based on human rights has been under-theorized in the literature and the authors can learn from activist movements, precarious status migrants and health care providers that have taken on this approach to mobilize for rights based on being “human”.

scholarly journals Tuberculosis stigma and perceptions in the US-Mexico border

2013 ◽  
Vol 55 (Supl.4) ◽  
pp. 498 ◽  
Author(s):  
Eva M Moya ◽  
Mark W Lusk
Keyword(s):  
Health Care Access ◽  
El Paso ◽  
Structured Interviews ◽  
Care Access ◽  
Tb Treatment ◽  
Related Stigma ◽  
Health Related ◽  
Mexico Border ◽  
Fear Of Rejection ◽  
The Impact

Objective. To examine the experiences and perspectives on the disease and stigma from the vantage point of the persons affected by TB in El Paso, Texas, and Juárez, México to inform research on health-related stigma and interventions. Materials and methods. Semi-structured interviews to study TB-related stigma and the impact on access and healthseeking behaviors with 30 Mexican-origin adults (18 years and older) undergoing TB treatment. Results. Barriers to accessing health services for TB; emotional distress due to their deteriorated physical and emotional condition; reactions ranging from depression, sadness; doubt, anger, and fear of rejection; distancing, fear of contagion, stigma, and feeling of discriminated against, and isolation from loved ones were reported. Conclusion. Stigma associated with TB is a barrier to health care access and to quality of life in tuberculosis management. Stigma adversely shapes the experience of treatment and recovery. Stigma is not a naturally occurring phenomenon, but something created by people and as such it can be “un-done” by those people as part of a collective which comprises society.

Dysphagia Management in Culturally-Linguistically Diverse Populations

2020 ◽  
pp. 217-238
Author(s):  
Kellyn Dailey Hall
Keyword(s):  
Health Beliefs ◽  
Cultural Beliefs ◽  
Linguistically Diverse ◽  
Culturally Competent ◽  
Cultural Perspective ◽  
Therapy Outcomes ◽  
Her Family ◽  
Mexican Woman ◽  
Dysphagia Therapy ◽  
Management Of Dysphagia

Culturally competent management of adults with swallowing disorders involves more than simply including ethnically appropriate foods in dysphagia therapy. It requires an understanding of the client's health beliefs, challenges, and unique cultural perspective regarding all aspects of food to ensure unbiased and culturally appropriate services are provided. This chapter begins with an overview of dysphagia management followed by a closer look at cultural beliefs regarding food and ethical conflicts that may arise. The strategies for shared decision-making presented help create a culturally sensitive dynamic between the clinician and the patient/family that positively influence therapy outcomes. The chapter concludes with a case study that highlights the importance of ethnographic interviewing needed to establish understanding and trust between the clinician and an elderly Mexican woman and her family. The strategies and techniques presented here can be applied across all cultures to achieve successful management of dysphagia.

Measuring Health in Jails: Limitations and Opportunities in Measurement of Health-Related Constructs

2019 ◽  
Vol 41 (4) ◽  
pp. 21-25
Author(s):  
Christine L. Arazan ◽  
Brianna A. Barrios ◽  
Meredith S. Brown ◽  
Natalia O. Dmitrieva
Keyword(s):  
Public Health ◽  
Health Care Access ◽  
Research Team ◽  
Future Research ◽  
Health Concerns ◽  
The Public ◽  
Measurement Issues ◽  
Care Access ◽  
Health Related ◽  
Current Article

Limited research exists concerning measurement issues of health-related constructs among those incarcerated in American jails. This gap in the literature impedes research on health outcomes and health care access among jailed populations and may render the public health concerns of jailed populations hidden from societal view. The current article examines a research team's experience in conducting a related study (see Trotter et al. 2018) by highlighting the methodological limitations and opportunities faced during the study and provides suggestions for future research. The manuscript provides future researchers with a foundation for implementing health-focused studies within a jail, with special attention paid to the obstacles the research team overcame.

The Impact of Traditional Health Beliefs on the Health Practices of Women From Southern Taiwan

2016 ◽  
Vol 28 (5) ◽  
pp. 473-478
Author(s):  
Ching-Chu Li ◽  
Kan-Lin Hsu ◽  
Chih-Hsuan Chen ◽  
Bih-Ching Shu
Keyword(s):  
Health Beliefs ◽  
Chinese Culture ◽  
Health Workers ◽  
Cultural Beliefs ◽  
Culturally Competent ◽  
Health Practice ◽  
Urban District ◽  
Traditional Health ◽  
Health Related ◽  
The Impact

Purpose: This study investigated the health beliefs of Taiwanese women in Anping, an urban district in Taiwan that was introduced to Western medicine in the 1860s. Design: A qualitative design with content analysis was used. Fourteen Anping women aged 44 to 84 years were interviewed. Results: The women integrated both traditional and Western biomedicine without any dissonance. Three themes were found: cultural beliefs about medicine–diet homology or the lack of a distinction between medicine and food, reliance on both doctor and deity, and a pattern of health practice based on situational decision making about which health practice to employ. Implications: Understanding health-related viewpoints in Chinese culture and its rationale will help health workers provide culturally competent care.

scholarly journals Peripheral Artery Disease Among Indigenous Canadians: What Do We Know?

2018 ◽  
pp. 305-310
Author(s):  
Christopher Bonneau ◽  
Nadine R. Caron ◽  
Mohamad A. Hussain ◽  
Ahmed Kayssi ◽  
Subodh Verma ◽  
...  
Keyword(s):  
Peripheral Artery Disease ◽  
Health Care Access ◽  
Indigenous Communities ◽  
Culturally Competent ◽  
Peripheral Artery ◽  
Care Access ◽  
Disease Outcomes ◽  
Novel Approach ◽  
Artery Disease ◽  
Disproportionate Burden

Indigenous Canadians experience a disproportionate burden of chronic atherosclerotic diseases, including peripheral artery disease (PAD). Despite an estimated prevalence of 800 000 patients with PAD in Canada, the burden of the disease among Indigenous Canadians is unclear. Available evidence suggests that this population has a higher prevalence of several major risk factors associated with PAD (diabetes, smoking and kidney disease). Unique socioeconomic, geographic and systemic obstacles affecting Indigenous Canadians’ health and health care access may worsen chronic disease outcomes. Little is known about the cardiovascular and limb outcomes of Indigenous peoples with PAD. A novel approach via multidisciplinary vascular health teams engaging Indigenous communities in a culturally competent manner may potentially provide optimal vascular care to this population. Further research into the prevalence and outcomes of PAD among Indigenous Canadians is necessary to define the problem and allow development of more effective initiatives to alleviate the disease burden in this marginalized group.

Sign in / Sign up

Export Citation Format

Share Document