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One major role of psychology is to improve the lives of the people we touch. Whether through research, service, or provision of primary or secondary health care, we look forward to the day when we can adequately prevent, diagnose, and treat diseases, and foster positive states of being in balance with others and the environment. This is not an easy task; a multitude of forces influences our health and the development of diseases. As we strive to meet this challenge, the important role of culture in contributing to the maintenance of health and the etiology and treatment of disease has become increasingly clear. Although our goals of maintaining health and preventing and treating diseases may be the same across cultures, cultures vary in their perceptions of illness and their definitions of what is considered healthy and what is considered a disease. From anthropological and sociological perspectives, disease refers to a âmalfunctioning or maladaptation of biologic and psychophysiologic processes in the individualâ and illness refers to the âpersonal, interpersonal, and cultural reactions to disease or discomfortâ (Kleinman, Eisenberg, & Good, 2006; p. 141). Thus, how we view health, disease, and illness, is strongly shaped by culture. This chapter explores how cultural factors sway physical health and disease processes, and investigates our attempts to treat both psychological and sociological influences. We begin with an examination of cultural differences in the definition of health and present three indicators of health worldwide: life expectancy, infant mortality, and subjective well-being. We will then review the considerable amount of research concerning the relationship between culture and heart disease, other physical disease processes, eating disorders, obesity, and suicide. Next, we will explore differences in health care systems across countries. Finally, we will summarize the research in the form of a model of cultural influences on health. CULTURAL DIFFERENCES IN THE DEFINITION OF HEALTH Comparison Across Cultures Before we look at how culture influences health and disease processes, we need to examine exactly what we mean by health. More than 60 years ago, the World Health Organization (WHO) developed a definition at the International Health Conference, at which 61 countries were represented. They defined health as âa state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity.â The WHO definition goes on further to say that âThe enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being, without distinction of race, religion, political beliefs or economic and social conditionsâ (World Health Organization, 1948). This definition of health is still used by the WHO today. In the United States, our views of health have been heavily influenced by what many call the biomedical model of health and disease (Kleinman et al., 2006). Trad.
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CHAPTER CONTENTS Cultural Differences in the Definition of Health Comparison Across Cultures Comparison Within Cultures Three Indicators of Health World Wide Life Expectancy Infant Mortality Subjective Well-Being Genetic Influences on Physical Health and Disease Psychosocial Influences on Physical Health and Disease Social Isolation and Mortality Sociocultural Influences on Physical Health and Disease Cultural Dimensions and Diseases Cultural Discrepancies and Physical Health Culture, Body Shape, and Eating Disorders Culture and Obesity Culture and Suicide Acculturation and the Immigrant Paradox Summary Differences in Health Care and Medical Delivery Systems A Model of Cultural Influences on Physical Health: Putting It All Together Exploration and Discovery Why Does This Matter to Me? Suggestions for Further Exploration Glossary One major role of psychology is to improve the lives of the people we touch. Whether through research, service, or provision of primary or secondary health care, we look forward to the day when we can adequately prevent, diagnose, and treat diseases, and foster positive states of being in balance with others and the environment. This is not an easy task; a multitude of forces influences our health and the development of diseases. As we strive to meet this challenge, the important role of culture in contributing to the maintenance of health and the etiology and treatment of disease has become increasingly clear. Although our goals of maintaining health and preventing and treating diseases may be the same across cultures, cultures vary in their perceptions of illness and their definitions of what is considered healthy and what is considered a disease. From anthropological and sociological perspectives, disease refers to a âmalfunctioning or maladaptation of biologic and psychophysiologic processes in the individualâ and illness refers to the âpersonal, interpersonal, and cultural reactions to disease or discomfortâ (Kleinman, Eisenberg, & Good, 2006; p. 141). Thus, how we view health, disease, and illness, is strongly shaped by culture. This chapter explores how cultural factors sway physical health and disease processes, and investigates our attempts to treat both psychological and sociological influences. We begin with an examination of cultural differences in the definition of health and present three indicators of health worldwide: life expectancy, infant mortality, and subjective well-being. We will then review the considerable amount of research concerning the relationship between culture and heart disease, other physical disease processes, eating disorders, obesity, and suicide. Next, we will explore differences in health care systems across countries. Finally, we will summarize the research in the form of a model of cultural influences on health. CULTURAL DIFFERENCES IN THE DEFINITION OF HEALTH Comparison Across Cultures Before we look at how culture influences health and disease processes, we need to examine ex ...
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