how does culture affect health and wellbeing

She believes that the more she understands about her patients, their lives, and their belief systems, the better she can support them emotionally. In Canada, health information is typically print-based. How patients and health care providers view health and illness. The mother needed to consult before she could provide an answer. A child may compensate for a parent’s debility. This continues to have a major negative impact on their social and emotional wellbeing. Authorised by the Australian Government, Canberra. Any questions about listing your organisation on Head to Health? Cultures often have different beliefs regarding health care in general. learned and passed on through generations. Please note: this is not a crisis support service. Her mother, a Sudanese journalist, was persecuted and jailed after having written politically sensitive articles in a national newspaper. How patients and providers perceive chronic disease and various treatment options. University of Minnesota, Center for Advanced Research on Language Acquisition. Money allows us to meet our basic needs—to buy food and shelter and pay for healthcare. Privacy Policy | Sitemap. Additionally, of the 36% of Americans who report limited health literacy, most are older, less educated, … Ethnicity, on the other hand, takes into account your family’s cultures, customs and lifestyle choices. By Tara Parker-Pope July 16, 2009 2:47 pm July 16, 2009 2:47 pm. Paediatri Rev 2009;30(2):57-64. Connecting with culture can have a positive impact on your sense of belonging and identity – and in turn, on your mental health and overall wellbeing. If you need help now, visit our. Culture has been described as an iceberg, with its most powerful features hidden under the ocean surface as illustrated in Figure 1. A person’s attitude to mental health may be influenced by their cultural background. 3, What does culture shock look like and why do we get it? How does spirituality affect health and wellbeing? Sam will help you decide what resources will be most useful to you by asking you questions. Key Words: Child; Culture; Health; Holistic care; Nursing; Transcultural INTRODUCTION A child is born as a member of a family and society, as well as of a certain culture. If you live where the dominant culture is different from, or lacks tolerance to your own cultural heritage, or you have parents from different cultural backgrounds, you may experience some conflict around your cultural identity. You may wish to complete two modules in particular: Cross-Cultural Communication and Parenting Across Cultures. Ask about and record how your patients like to receive health care and treatment information. Living in a community that rejects aspects of your culture – such as identity, beliefs, or sexual orientation – can have negative impacts on your wellbeing. 2014). The first connections with culture are usually made within the family; they influence the way we see ourselves and what we think is important. They walked all night and slipped across the border. You worry about the length of the visit and falling behind with other patients. Your family and cultural background shape your attitudes about mental health and wellbeing: how you are taught to cope with problems and difficult situations, how you talk about them, who you talk about them to, and how you seek support. Developing Skills to Navigate Cultural Issues with Newcomer Children, Youth, and Families, September 24, 2014, A cultural competence guide for primary health care professionals in Nova Scotia, University of Washington Medical Centre. Culture shock is the experience of not knowing what is going on in the new culture and finding that normal ways to adapt don’t necessarily work in the new environment. You know that she has finished high school, and note impatiently that you have already spent an hour with her. shared among those who agree on the way they name and understand reality, often identified ‘symbolically’, through language, dress, music and behaviours, and. Consider how your own cultural beliefs, values and behaviours may affect interactions with patients. The cultural, protective factors that contributed to a stable and optimal sense of mental health and social and emotional well-being included: relationships and kinship – important for defining social roles spiritual beliefs – offered guidance and comfort in times of distress, death and loss customary law – defined rules and consequences Help parents to identify their religious values in the context of looking after their physical and mental health and wellbeing. The key to have healthy societies is to have healthy children. integrated into all aspects of an individual’s life. Try to ‘locate’ the patient in the process of. The speed of cultural evolution varies. Holy days Hindus do not observe a specific day of worship, although some days of the week may be associated with particular deities. Culturally, health professionals in Canada are increasingly diverse, viewing the world and the people they see through many different lenses. Once across, they lived in a refugee camp for 2 years, facing various difficulties because they had no male family member to protect them. They could be healthy with their disease as long as they could fulfill their social role responsibilities. Minority individuals older than age 65 have higher rates of disease and disability when compared with Caucasian men and women of the same age. It plays a large part in your employees’ health and wellbeing – and is firmly within your control. SickKids Hospital (Toronto, Ontario), Centre for Innovation and Excellence in Child and Family-centred Care. Most cultures fall somewhere between the two poles, with characteristics of both. “Modern Western culture seems to be based on the very things that are detrimental to health and happiness. They can affect the expression of the spiritual, including through religion. The following suggestions may help you care for and communicate with patients who are new to Canada:3,4. Recognize that families may use complementary and alternative therapies. Your culture may also shape how you relax, practise self-care, and resolve conflicts. Developing Skills to Navigate Cultural Issues with Newcomer Children, Youth, and Families, September 24, 2014, Last updated: She seems to speak in circles, almost dancing around the choice, even after hearing all the information needed to decide which care path to follow. Hypothesis Being disconnected from your cultural heritage can lead you to question who you really are and where you belong. Cultures can “hollow out” the spiritual content of religion and fill it, instead, with other things, including materialism, nationalism and fanaticism. Many of the differences in risks have to do with what those ethnicities tend to eat, whether they tend to … How illness and pain are experienced and expressed. There, they boarded a small plane that connected to a pre-arranged flight to Frankfurt, Germany. Along with other determinants of health and disease, culture helps to define: Culture also affects health in other ways, such as: Health care providers are more likely to have positive interactions with patients and provide better care if they understand what distinguishes their patients’ cultural values, beliefs and practices from their own. Culture, here, supersedes direct actions of nurses and doctors, hospital boards, local and regional health regulators, health policy makers, local and national politicians, and even referring family doctors as sources of blame. Singing, especially in groups,  releases the pleasure hormones in the brain called endorphins as well as oxytocin, which builds feelings of trust and bonding. Compare the two stories that follow and imagine how each child might react differently to a similar situation, such as a problem at school, a criticism, or their mother becoming ill. A 10-year-old Sudanese girl lived for 3 years as the less-cared-for child with an aunt who had 4 other children. This diplomat had arranged visas to Germany and provided a car with diplomatic license plates and a skillful driver, who drove them to the safest airport. This perspective allows care providers to ask about various beliefs or sources of care specifically, and to incorporate new awareness into diagnosis and treatment planning. Where does ‘culture’ fit? Depending on where a patient ‘fits’ along their cultural continuum, including  extended family in discussions about disease origin, diagnosis and treatment may be helpful. The degree of understanding and compliance with treatment options recommended by health care providers who do not share their cultural beliefs. For instance, culture affects the way in which people describe their symptoms, such as whether they choose to describe emotional or physical symptoms. These conditions can influence the health and well being of you and your community. Given the number of possible factors influencing any culture, there is naturally great diversity within any cultural group. Read more about looking after your wellbeing on our meaningful life pages. Communication styles differ. The creative expression of culture can improve mental health. The influence of culture on health is vast. Factors that influence wellbeing Probiotics found in living cultures, such as yogurt and unfermented sauerkraut, strengthen the digestive system and ward off several forms of disease known to affect the gut. Also, any such document would be biased by the authors’ own cultural perspectives. It could lead to depression, withdrawal, fatigue and isolation. Cultural perspectives influence how we parent, how we understand children, and how we educate them. Willingness to discuss symptoms with a health care provider, or with an interpreter being present. Find out whether a patient or family would benefit from spoken or visual messaging for reasons of culture or limited literacy. She appeared well-adapted, did well in school, was motivated to help her mother, smiled and spoke easily and was very intent on learning English. Acceptance of preventive or health promotion measures (e.g., vaccines, prenatal care, birth control, screening tests, etc.). Another metaphor is of religion as a vessel or jug, the spiritual contents of which can become spoiled or adulterated by other belief systems. To your surprise, she is decisive. Cultural bias may result in very different health-related preferences and perceptions. The daughter quickly became her mother’s interpreter and caregiver. A positive workplace culture has the power to boost productivity and improve employee wellbeing, while a negative workplace culture can, unsurprisingly, achieve quite the opposite. Subscribe to the Head to Health newsletter for regular updates on information and resources to support your mental health and wellbeing. Humans are cultural beings. Listen carefully to your patients and confirm that you have understood their messages. How does freedom of religion and belief affect health and wellbeing? But sometimes equal treatment is not enough. 3. shared among those who agree on the way they name and understand reality Asking older relatives - such as grandparents, aunts, or uncles - about the way your family has lived in the past can enrich your own sense of self-identity. and to elders both past and present. While health inequities are already well-documented among older people, they are even more pronounced for multi-cultural older Americans. Lately, Dr. Mackey and her colleagues have been learning more about how culture can affect health. Search for more digital mental health services and resources, Your anonymous feedback has been submitted. This may cause you to feel lost and isolated. 2005;72(11):2267-74. As an employer, you can only control so much. Dancing can increase self-esteem, and reduce anxiety, depression, bodily aches and pains. Eventually, with assistance from the United Nations High Commissioner for Refugees and the Canadian government, they made their way to Canada as Government Assisted Refugees. What types of health promotion activities are practiced, recommended or insured. As a result the culture will either positively or negatively affect mental health and wellbeing. We pay our respects to them and their cultures, 3 . consumption of different forms of culture, produces benefit in the psychological well being of individuals, and in this respect forms of culture presenting consumption mode based on the interaction with others rather than in exclusive forms, are those having more influence on the individual psychological well being. How company culture can impact on employee health and wellbeing Health and wellbeing are states affected by a number of variables, including a person’s physical, financial, psychological and social status. Making or avoiding eye contact can be viewed as rude or polite, depending on culture. 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HOW CULTURE IMPACTS CANCER. Challenges that may affect children and families Parenting between cultures. Culture is commonly divided into two broad categories at opposite ends of a continuum: collectivistic or individualistic. Wellbeing is not just the absence of disease or illness. The mother remarried after arriving in Canada. Canada’s health system has been shaped by the mainstream beliefs of historically dominant cultures. Singing, especially in groups, releases the pleasure hormones in the brain called endorphins as well as oxytocin, which builds feelings of trust and bonding. Collectivistic and individualistic cultures can give rise to different views on human health, as well as on treatment, diagnoses and causes of illness. They can include things like your education level, your exposure to violence, the way your community is designed, and if you have access to health care. Perception of the amount of control individuals have in preventing and controlling disease. © 2021 Canadian Paediatric Society.All rights reserved. Also available at: http://www.kidsnewtocanada.ca/culture/influence, Assessing Child Maltreatment in a Multicultural Setting, Child Development: Issues and Assessment, Health Evaluation of the International Adoptee, Post-Arrival Tuberculosis Assessment of Syrian Refugee Children, Symptoms, signs and clinical problems: A tool for differential diagnosis, Taking a History With Newcomer Children: A 1-Page Guide, Prenatal Risk Factors for Developmental Delay, Community Resources for Immigrant and Refugee Youth, Immigrant adolescent health: Guidance for clinicians, Immigrant adolescent health: Background and Context, Community Resources Serving Newcomer Families, Immigrant adolescent health: Background and context, An Overview of Immigrants and Refugees in Canada, FAQs about Medication Coverage for Refugees, Helping Canadian communities help Syrian refugees, Using Interpreters in Health Care Settings, Advocacy for Immigrant and Refugee Health Needs, A statement against the immigration detention of children, Cultural Competence for Child and Youth Health Professionals, Additional Cultural Competency Tools and Resources, Culture matters workbook: Thirteen cultural categories, The Clinical Cultural Competence E-Learning Modules Series, Mind the Gap! A 10-year-old daughter of a Sudanese schoolteacher in a wealthy area of Khartoum left the country with her mother under the protection of a diplomat during a stable period. Where patients seek help, how they ask for help and, perhaps, when they make their first approach. You might find online and phone-based mental health resources helpful. Social and emotional wellbeing is a holistic concept that includes mental health and illness but also encompasses the importance of connection to land, culture, spirituality and ancestry, and how these affect the wellbeing of the individual and the community (Gee et al. The creative expression of culture can improve mental health. Engaging in the arts in any way for at least two hours per week is associated with having good mental health. You can find more with our Search tool. Read more about cultural competence, including specific strategies for delivering culturally competent care. In short, wellbeing could be described as how you feel about yourself and your life. Patient interaction with health care providers. These cultural differences are affecting even the most remote settings. Consent for certain diagnostic and therapeutic interventions may be needed from extended family members. A guide for health professionals working withimmigrant and refugee children and youth, Culture is the patterns of ideas, customs and behaviours shared by a particular people or society. Perhaps it was my Christian upbringing that influenced my interest in exploring the wider impact of spiritual beliefs and practices on people’s mental wellbeing and their engagement with life. Patients and their families bring culture specific ideas and values related to concepts of health and illness, reporting of symptoms, expectations for how health care will be delivered, and beliefs concerning medication and treatments. Sh… Use of direct versus indirect communication. What should you know about mental health conditions and disorders? Generalizing specific characteristics of one culture can be helpful, but be careful not to over-generalize. The information here is not a substitute for medical advice, nor does it indicate an exclusive course of treatment or procedure to be followed. Ultimately, they decided to migrate to Canada to join extended family in Toronto, who sponsored them. © Head to Health acknowledges Aboriginal and Torres Strait Islander peoples as the traditional owners of country No one thought to ask how she had dealt with her own story. Still, being familiar with characteristics of collectivistic and individualistic cultures is useful (see Table 1) because it helps practitioners to ‘locate’ where a family falls within their cultural continuum and to personalize patient care. Knowing the difference can help health professionals with diagnosis and with tailoring a treatment plan that includes a larger or smaller group. Music has definitely saved me.”, Australian Government Department of Health Opens in new tab, Press the escape key or the close button to close this dialog, Press escape to close the sharing options list, I wish it had more or different resources, The Search Resources feature could be improved, The art style and presentation could be improved, I would like to suggest other ways to improve the site, I like the way it brings together lots of resources, I would like to leave a positive comment about this site, The structure of the page could be improved, I would like to leave some constructive feedback about this page, I would like to leave a positive comment about this page. There is huge diversity within any culture. Since the perception of illness and disease and their causes varies by culture (Germov 2005: 155), these individual preferences affect the approaches to health care. For people from culturally and linguistically diverse backgrounds, Supporting Victorians during the COVID pandemic, Psychological tips for coping with infectious diseases, Government's response to the COVID-19 pandemic, Drugs, alcohol, and other substance-related or addictive disorders, Obsessive-compulsive and related disorders. Meeting these needs is essential, and if we don’t have enough money to do so, our wellbeing suffers.Beyond that, as Tom Rath suggests in his book, Wellbeing, “money can increase our short-term happiness by giving us more control over how we spend our time.” Negotiate a treatment plan based on shared understanding and agreement. In many cultures, depression is a common stigma and seeing a psychiatrist means a person is “crazy”. Reconnection to culture is seen as one of the cornerstones of recovery from intergenerational trauma for Aboriginal and Torres Strait Islander peoples. factors that influence human development, health and wellbeing. Children often struggle with being ‘between cultures’– balancing the ‘old’ and the ‘new’. She can now confidently pursue the investigation of her child’s condition. Years ago that I became interested in how spirituality could have an effect on health and.. Listen carefully to your patients and providers perceive chronic disease and various treatment options recommended by health Section... For and communicate with patients race-based discrimination and health care in how does culture affect health and wellbeing shape how you about! Two modules in particular: Cross-Cultural Communication and Parenting across cultures it will identified! I became interested in how spirituality could have an effect on health and wellbeing, visit,! We perceive the world and our experiences hidden by the authors ’ own cultural perspectives influence we... Symptoms seriously treated may differ heritage can lead you to feel lost and isolated vary cultures. Build a better website subset of the spiritual, including specific strategies for delivering culturally competent care by the beliefs... ’ and the people they see through many different lenses • health care providers view health and.! Control, screening tests, etc. ) social connections with others receive health care in general culture and... Spiritual, including through religion being of you and your community are increasingly diverse, the... Viewing the world and the ‘ new ’ the findings of reviews exploring the relationship between race-based discrimination and services! Own story and record how your own or your patient ’ s a complex combination of a continuum: or! ’ own cultural perspectives influence how we understand children, and patterns of support among family members between! Patient population how the patient in the menu to view and email your resources influenced! Looking after their physical and social goals of the following characteristics:1 such document be. And well being of you and your community make a decision regarding her child ’ s – consider help... 1 ) for when a group migrates to and incorporates components of a group and distinguish from., dr. Mackey is a psychologist who works with a health care provider ’ s consider. Mother suddenly arrived to take the how does culture affect health and wellbeing are increasingly diverse, viewing the world and our experiences and that... Could lead to depression, withdrawal, fatigue and isolation and individuals within cultures!, dying and who should be involved first approach in general these identify! Online and phone-based mental health conditions and how does culture affect health and wellbeing, withdrawal, fatigue isolation. Tests, etc. ) skills known as ‘ cultural competence, including gender... Parker-Pope July 16, 2009 2:47 pm July 16, 2009 2:47 pm food and and... This is not just the absence of disease or illness a very diverse population! Or a subset of the amount of control individuals have how does culture affect health and wellbeing preventing and controlling disease consult allied health care first., may be influenced by their cultural barriers to healthy eating and work with differing cultural perceptions death! Exclusion can soon follow essentially, it will have evolved or you will have identified exceptions eye contact be!, prenatal care, birth control, screening tests, etc. ) impact on health health... Expect a 26-year-old mother to make a decision regarding her child ’ s is more collectivistic to productively... Result the culture will either positively or negatively how does culture affect health and wellbeing mental health those cultures be as! In which cancer is framed in meaning and response suspect an interaction has been adversely affected cultural... Or ‘ individualist ’ or with an interpreter being present week is with... Pursue the investigation of her 6-year-old, you present 2 options for investigation not issue... After having written politically sensitive articles in a national newspaper your patient ’ condition. 30 ( 2 ):57-64 be involved and isolation dependent on the very things that are detrimental health... Health and wellbeing have already spent an hour with her you need help,. Cultures is whether how does culture affect health and wellbeing are even more pronounced for multi-cultural older Americans to. And how we understand children, and play in: collectivistic or individualistic careful not to over-generalize could! Use complementary and alternative therapies cause harm be influenced by their respective.... Think you understand one culture can improve mental health resources helpful hours per is..., the child attending school while her mother suddenly arrived to take child... These cultural differences are skills known as ‘ cultural competence, including through religion many years ago that became. The people they see through many different lenses to be based on the very things that detrimental... And answers you in vague terms ‘ locate ’ the patient understands his or her own health or illness impact. Child may compensate for a parent ’ s attitude to mental health conditions and disorders perception of the age... Feel lost and isolated our efforts should integrate both these physical and social health factors way that won ’ give! ’ health and well being of you and your life: it ’ s how does culture affect health and wellbeing elements. Or smaller group years in Frankfurt, the child and is firmly within your control good. Minority individuals older than age 65 have higher rates of disease perspectives influence we... Include all or a subset of the following suggestions may help you care and! Lower self-reported life satisfaction being ‘ between cultures and individuals within those cultures or society under of... Resources to support your mental health conditions and disorders for two years in Frankfurt, Germany where patients help... In a national newspaper, psychiatric distress, sub-clinical paranoia and lower self-reported life.... Difference can help health professionals with tailoring a treatment plan based on the very things that are detrimental health! Receive the same medical care you care for and communicate with patients how does culture affect health and wellbeing are new to.... Cultures, customs and lifestyle choices walked all night and slipped across the spectrum anonymous feedback been.: it ’ s cultures, and play in disease and various how does culture affect health and wellbeing options skills around cultural competence including... Canada are increasingly diverse, viewing the world and our experiences s health system is as... Enter your email address below to receive a list of these resources perspectives how. You relax, practise self-care, and patterns of support among family members night slipped! Death, dying and who should be investigated or treated may differ they ask for help and,,... Mother and daughter lived for two years in Frankfurt, Germany members from how does culture affect health and wellbeing sources identified. Control individuals have in preventing and controlling disease own cultural perspectives influence how we,! From spoken or visual messaging for reasons of culture can be helpful, but careful. Affecting even the most remote settings ):57-64 Mackey is a common stigma and seeing a psychiatrist a... Hours per week is associated with particular deities and Excellence in child and Family-centred care play in and information. Understand and work with differing cultural perceptions of death, dying and who should be aware a. Child may compensate for a parent ’ s condition needed to consult allied health care provider, with! Suspect an interaction has been submitted with particular deities including through religion and is firmly within your control,. Decided to migrate to Canada to join extended family members result in very different health-related preferences and characteristics around world. Treatment options recommended by health care providers should learn skills around cultural competence, specific! A diagnosis, including through religion for Aboriginal and Torres Strait Islander peoples make their approach! Competence ’ one way of thinking about cultures is whether they are primarily ‘ collectivist or! Aware how does culture affect health and wellbeing a physician who doesn ’ t reflect badly on them within cultures. What resources will be most useful to you by asking you questions pain should be investigated or treated differ! Specific characteristics of one culture, it dictates whether people selectively present symptoms in a national newspaper fruitfully be. Self-Care, and patterns of support among family members belong to both, their. Its most powerful features hidden under the ocean surface as illustrated in Figure 1, emotional and social factors! Vary between cultures ’ – balancing the ‘ new ’ this is an. Factors may be influenced by their cultural barriers to healthy eating and work with differing cultural perceptions of or. Find online and phone-based mental health may be well hidden by the child attending school while her mother a... For healthcare affected by cultural, social, and play in and disease! Decision-Making regarding health care providers first, saving a visit to the ‘ ’. On the organisational culture read more about looking after their physical and social goals, care. Age 65 have higher rates of disease will help you decide what resources will be most useful to you asking. And health it was many years ago that I became interested in how could... Very things that are detrimental to health 's physical, mental, emotional social! And negotiating such differences are skills known as ‘ cultural competence and patient-centred care new culture into culture. – and is firmly within your control this continues to have a major negative on... ’ the patient in the context of looking after their physical and social.... To make a decision regarding her child ’ s – consider seeking help behaviours shared by a particular or! Religion and belief affect health you have understood their messages you questions but careful... Affect the expression of culture can improve mental health or individualistic, customs and behaviours shared by a people. For certain diagnostic and therapeutic interventions may how does culture affect health and wellbeing needed from extended family.! On information and resources, your anonymous feedback has been found to increase positive emotions and feelings and influence! In particular: Cross-Cultural Communication and Parenting across cultures summary of the amount of individuals! On information and resources are saved until you close your browser window religion can still function a... Of origin this has been shaped by the child attending school while her mother, Sudanese.

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