Cultural sensitivity
Download
1 / 20

Cultural Sensitivity - PowerPoint PPT Presentation


  • 104 Views
  • Uploaded on
  • Presentation posted in: General

Cultural Sensitivity. Resnicow et al., 2002. Ethnic or cultural characteristics, experiences, norms, values, behavior patterns, beliefs of a target population Relevant historical, environmental, & social factors Design, delivery, & evaluation of targeted health interventions.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha

Download Presentation

Cultural Sensitivity

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Cultural Sensitivity

Resnicow et al., 2002

Ethnic or cultural characteristics, experiences, norms, values, behavior patterns, beliefs of a target population

Relevant historical, environmental, & social factors

Design, delivery, & evaluation of targeted health interventions


Cultural Competence

Resnicow et al., 2002

Capacity of individuals to exercise interpersonal cultural sensitivity


Cultural Humility

Minkler, 2005, p. 10

Lifelong commitment to self evaluation & self critique to redress power imbalances


Surface Structure

Resnicow et al., 2002

Observable social & behavioral characteristics of a target population


Deep Structure

Resnicow et al., 2002

How cultural, social, psychological, environmental, & historical factors influence health behaviors differently across racial & ethnic populations


Examples in the African American Community

  • Surface structure:

    • Dialect

    • Female head of household

    • Church

  • Deep structure:

    • Slavery

    • Tuskegee (Syphilis) Experiment

    • HIV/AIDS and the US government


Why Cultural Sensitivity?

  • Ethical/moral argument

  • Economic argument

  • Pragmatic argument (health communication perspective)


Why Target & Tailor Interventions?

  • Disease prevalence

  • Risk factor prevalence

  • Socio-economic distribution

  • Physiological differences

  • Environmental differences

  • Behavioral differences

  • Socio-cultural differences


Inequality Exists


Definitions of “Health Disparities”

  • Whitehead/WHO (1992)

    Differences in health that are “not only unnecessary and avoidable but, in addition, are considered unfair and unjust.”

  • NIH (2005)

    “…differences in the incidence, prevalence, mortality and burden of disease and other adverse conditions that exist among specific populations groups in the US.”

  • NCI (2005)

    “…occur when members of certain population groups do not enjoy the same health status as other groups. Disparities are often identified along racial and ethnic lines-show, [but] also extend beyond race and ethnicity.”


Health Disparities/Inequalities

  • Population-specific differences in the presence of disease, health outcomes, or access to health care

    • Gaps in the quality of health & health care across populations


Ethnic Variation in Heart Disease Mortality

Age-adjusted per 100,000

National Center for Health Statistics, 2004


Ethnic Variation in Cancer Mortality

Age-adjusted per 100,000

SEER Cancer Statistics Review, 1975-2002


Prevalence of Overweight* in Texas Children by Race/Ethnicity, School Physical Activity & Nutrition (SPAN) Study

% of population

HP 2010

Goal

*Overweight is > 95th Percentile for BMI by Age/Sex

Hoelscher et al., 2004


What Can We Do?


Community-Based Participatory Research (CBPR)

  • “… a partnership approach to research that equitably involves, for example, community members, organizational representatives, and researchers in all aspects of the research process”

    Israel et al., 2003


Translation

  • All vested parties work jointly to achieve a common goal by contributing different

    • Instruments

    • Talents

    • Knowledge

    • Expertise


Key Principles

  • Builds on strengths & resources within the community

  • Addresses health from an ecological perspective

  • Collaborative partnerships in all phases of research

Israel et al., 1998


Key Principles

  • Integrates knowledge & action for mutual benefit of all partners

  • Promotes co-learning & empowering process that attends to social inequalities

  • Findings & knowledge disseminated to all partners

  • Cyclical & iterative process

Israel et al., 1998


ad
  • Login