cultural responses to wellness cristina s. barroso, drph university of texas school of public...
TRANSCRIPT
![Page 1: Cultural responses to Wellness Cristina S. Barroso, DrPH University of Texas School of Public Health, Brownsville Regional Campus Presented at the Texas](https://reader035.vdocuments.us/reader035/viewer/2022062519/56649e915503460f94b95cd0/html5/thumbnails/1.jpg)
Cultural responses to Wellness
Cristina S. Barroso, DrPHUniversity of Texas School of Public Health, Brownsville Regional CampusPresented at the Texas Association of School Based Health Centers14th Annual Child & Adolescent ConferenceFebruary 12, 2010
![Page 2: Cultural responses to Wellness Cristina S. Barroso, DrPH University of Texas School of Public Health, Brownsville Regional Campus Presented at the Texas](https://reader035.vdocuments.us/reader035/viewer/2022062519/56649e915503460f94b95cd0/html5/thumbnails/2.jpg)
What is culture?What is wellness?
![Page 3: Cultural responses to Wellness Cristina S. Barroso, DrPH University of Texas School of Public Health, Brownsville Regional Campus Presented at the Texas](https://reader035.vdocuments.us/reader035/viewer/2022062519/56649e915503460f94b95cd0/html5/thumbnails/3.jpg)
WHAT IS PUBLIC HEALTH?
![Page 4: Cultural responses to Wellness Cristina S. Barroso, DrPH University of Texas School of Public Health, Brownsville Regional Campus Presented at the Texas](https://reader035.vdocuments.us/reader035/viewer/2022062519/56649e915503460f94b95cd0/html5/thumbnails/4.jpg)
Public Health
• The science and practice of protecting and improving the health of a community, as by preventive medicine, health education, control of communicable diseases, application of sanitary measures, and monitoring of environmental hazards.
The American Heritage Dictionary
![Page 5: Cultural responses to Wellness Cristina S. Barroso, DrPH University of Texas School of Public Health, Brownsville Regional Campus Presented at the Texas](https://reader035.vdocuments.us/reader035/viewer/2022062519/56649e915503460f94b95cd0/html5/thumbnails/5.jpg)
Public Health System of the 21st Century
Mgmt Care Orgs
Home Health
Parks
Economic Development
Mass Transit
Employers
Nursing Homes
Mental HealthDrug
Treatment
Civic GroupsCHCs
Laboratory Facilities
Hospitals
EMS Community Centers
Doctors
Health Dept
Churches
Philanthropist
Elected Officials
Tribal Health
Schools
Police
Fire
Corrections
Environmental Health
Lloyd Kolbe, 2007
![Page 6: Cultural responses to Wellness Cristina S. Barroso, DrPH University of Texas School of Public Health, Brownsville Regional Campus Presented at the Texas](https://reader035.vdocuments.us/reader035/viewer/2022062519/56649e915503460f94b95cd0/html5/thumbnails/6.jpg)
Community
• Functional spatial units that meet basic needs for sustenance
• Units of patterned social interaction
• Symbolic units of collective identity
• People coming together to act politically to make changes
Hunter, 1975; Eng & Parker, 1994
![Page 7: Cultural responses to Wellness Cristina S. Barroso, DrPH University of Texas School of Public Health, Brownsville Regional Campus Presented at the Texas](https://reader035.vdocuments.us/reader035/viewer/2022062519/56649e915503460f94b95cd0/html5/thumbnails/7.jpg)
Community = Multidimensional System
• People & organizations
• Consciousness
• Actions
• Contexts
![Page 8: Cultural responses to Wellness Cristina S. Barroso, DrPH University of Texas School of Public Health, Brownsville Regional Campus Presented at the Texas](https://reader035.vdocuments.us/reader035/viewer/2022062519/56649e915503460f94b95cd0/html5/thumbnails/8.jpg)
Socio-Ecological framework
![Page 9: Cultural responses to Wellness Cristina S. Barroso, DrPH University of Texas School of Public Health, Brownsville Regional Campus Presented at the Texas](https://reader035.vdocuments.us/reader035/viewer/2022062519/56649e915503460f94b95cd0/html5/thumbnails/9.jpg)
Mission of Public Health
• “…fulfilling society’s interest in assuring conditions in which people can be healthy…”
IOM, 1988
![Page 10: Cultural responses to Wellness Cristina S. Barroso, DrPH University of Texas School of Public Health, Brownsville Regional Campus Presented at the Texas](https://reader035.vdocuments.us/reader035/viewer/2022062519/56649e915503460f94b95cd0/html5/thumbnails/10.jpg)
Principles of Community Well-Being
• Focus is community
• Organized efforts to identify “problems”
• Decisions on how to address “problems”
![Page 11: Cultural responses to Wellness Cristina S. Barroso, DrPH University of Texas School of Public Health, Brownsville Regional Campus Presented at the Texas](https://reader035.vdocuments.us/reader035/viewer/2022062519/56649e915503460f94b95cd0/html5/thumbnails/11.jpg)
Principles of Community Well-Being
• Decisions on who will take action
• Power to decide & take action is within the community
• Community participation/engagement is key
![Page 12: Cultural responses to Wellness Cristina S. Barroso, DrPH University of Texas School of Public Health, Brownsville Regional Campus Presented at the Texas](https://reader035.vdocuments.us/reader035/viewer/2022062519/56649e915503460f94b95cd0/html5/thumbnails/12.jpg)
Principles of Community Well-Being
• Social Cohesion/social capital is necessary to create & sustain actions
• Social cohesion (glue): on-going process of developing a community of shared values, shared challenges & equal opportunity
• Social capital: “resource” for public good
![Page 13: Cultural responses to Wellness Cristina S. Barroso, DrPH University of Texas School of Public Health, Brownsville Regional Campus Presented at the Texas](https://reader035.vdocuments.us/reader035/viewer/2022062519/56649e915503460f94b95cd0/html5/thumbnails/13.jpg)
Community Building• Community is created or built, or not,
with:• Actions• Consciousness concerning ourselves,
others, & issues• Relationships
• Interchange between members; which changes them within the course of coming together
![Page 14: Cultural responses to Wellness Cristina S. Barroso, DrPH University of Texas School of Public Health, Brownsville Regional Campus Presented at the Texas](https://reader035.vdocuments.us/reader035/viewer/2022062519/56649e915503460f94b95cd0/html5/thumbnails/14.jpg)
Healthy, Wealthy, & Wise!
![Page 16: Cultural responses to Wellness Cristina S. Barroso, DrPH University of Texas School of Public Health, Brownsville Regional Campus Presented at the Texas](https://reader035.vdocuments.us/reader035/viewer/2022062519/56649e915503460f94b95cd0/html5/thumbnails/16.jpg)
Cultural Diversity
• We All Have It!
• Obvious manifestations• Ethnicity/race• Language• Gender• Religion
![Page 17: Cultural responses to Wellness Cristina S. Barroso, DrPH University of Texas School of Public Health, Brownsville Regional Campus Presented at the Texas](https://reader035.vdocuments.us/reader035/viewer/2022062519/56649e915503460f94b95cd0/html5/thumbnails/17.jpg)
Cultural Diversity• Less obvious manifestations– Age
– Education
– Occupation
– Economic status
– Sexual orientation
– Disabilities
![Page 18: Cultural responses to Wellness Cristina S. Barroso, DrPH University of Texas School of Public Health, Brownsville Regional Campus Presented at the Texas](https://reader035.vdocuments.us/reader035/viewer/2022062519/56649e915503460f94b95cd0/html5/thumbnails/18.jpg)
What is Culture?• Total sum of the way
of living– Values
– Beliefs
– Standards
– Language
– Thinking patterns
– Behavioral norms
– Communications styles
• Guides decisions & actions of a “group” through time
![Page 19: Cultural responses to Wellness Cristina S. Barroso, DrPH University of Texas School of Public Health, Brownsville Regional Campus Presented at the Texas](https://reader035.vdocuments.us/reader035/viewer/2022062519/56649e915503460f94b95cd0/html5/thumbnails/19.jpg)
Expression of Culture in Health Beliefs
• Defines & categorizes health & illness
• Offers explanatory models for health & illness
• Defines the specific scope of practice for interventionists (prevention, healers)
![Page 20: Cultural responses to Wellness Cristina S. Barroso, DrPH University of Texas School of Public Health, Brownsville Regional Campus Presented at the Texas](https://reader035.vdocuments.us/reader035/viewer/2022062519/56649e915503460f94b95cd0/html5/thumbnails/20.jpg)
WHAT IS CULTURAL SENSITIVITY?