ISBN-10:
0309292565
ISBN-13:
9780309292566
Pub. Date:
01/30/2014
Publisher:
National Academies Press
ISBN-10:
0309292565
ISBN-13:
9780309292566
Pub. Date:
01/30/2014
Publisher:
National Academies Press
Leveraging Culture to Address Health Inequalities: Examples from Native Communities: Workshop Summary

Leveraging Culture to Address Health Inequalities: Examples from Native Communities: Workshop Summary

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Overview

Leveraging Culture to Address Health Inequalities: Examples from Native Communities is the summary of a workshop convened in November 2012 by the Roundtable on the Promotion of Health Equity and the Elimination of Health Disparities of the Institute of Medicine. The workshop brought together more than 100 health care providers, policy makers, program administrators, researchers, and Native advocates to discuss the sizable health inequities affecting Native American, Alaska Native, First Nation, and Pacific Islander populations and the potential role of culture in helping to reduce those inequities. This report summarizes the presentations and discussion of the workshop and includes case studies that examine programs aimed at diabetes prevention and management and cancer prevention and treatment programs.

In Native American tradition, the medicine wheel encompasses four different components of health: physical, emotional, mental, and spiritual. Health and well-being require balance within and among all four components. Thus, whether someone remains healthy depends as much on what happens around that person as on what happens within. Leveraging Culture to Address Health Inequalities addresses the broad role of culture in contributing to and ameliorating health inequities.



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Product Details

ISBN-13: 9780309292566
Publisher: National Academies Press
Publication date: 01/30/2014
Pages: 106
Product dimensions: 6.00(w) x 9.00(h) x (d)

Table of Contents

Abbreviations and Acronyms

1 Introduction and Themes of the Workshop 1

Organization of the Summary 2

Key Themes 3

2 Culture as a Social Determinant of Health 5

The Broad Determinants of Health 5

Indigenous Cultures 6

Cultural Competence, Cultural Safety, and Cultural Humility 8

Cultural Continuity 8

The Relationship to the Land 9

Research 9

Recommendations in the Commissioned Paper 9

Discussion 11

3 Why Culture Matters in Addressing Health Inequities 13

The Legacy of Colonialism 13

Incorporating Traditional Values and Practices into Federal Policies 16

Discussion 18

4 Cultural Sensitivity in Health Care Delivery and Research 21

A Mentoring Program for Native Students 21

Increasing the Number of Culturally Aware Clinicians and Researchers 25

Increasing the Number of Native Practitioners in Hawaii and the Pacific Islands 28

Weaving Culture into the Clinical Setting 29

Discussion 30

5 Diabetes Prevention in Native Communities 33

Diabetes Programs Among the Mississippi Band of Choctaw Indians 33

Diabetes Prevention in Alaska 35

Diabetes Prevention and Management Among Pacific Islanders 36

Discussion 40

6 Cancer Prevention and Treatment in Native Communities 43

A Cancer Patient Navigation Training Program in Hawaii 44

A Comprehensive Cancer Control Program in the Northwest 46

Cultural Issues in Cancer Prevention and Survivorship 49

7 Reflections on the Workshop 53

The Importance of Culture 53

A Focus on Prevention 54

The Power of Community 54

Institutions and Training 55

The Need for Change 55

References 57

Appendixes

A Culture as a Social Determinant of Health 59

B Agenda 77

C Speaker Biographies 81

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