Jewish russian immigrants in the us and around the world health needs
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Jewish Russian Immigrants in the US and around the world. Health Needs. Part 2: Health challenges Olga Greg and the Supercourse team University of Pittsburgh. Somatic problems:. Acute physical illness Chronic diseases Disabilities. Jewish Genetic Disorders.

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Jewish russian immigrants in the us and around the world health needs

Jewish Russian Immigrants in the US and around the world. Health Needs.

Part 2: Health challenges

Olga Greg and the Supercourse team

University of Pittsburgh


Somatic problems
Somatic problems: Health Needs.

  • Acute physical illness

  • Chronic diseases

  • Disabilities


Jewish genetic disorders
Jewish Genetic Disorders Health Needs.

  • Mendelian Disorders are the direct result of mutated genes

  • Disease Predisposition Genes are disorders which result from the combination of specific genes


Mendelian disorders
Mendelian Disorders Health Needs.

  • Bloom Syndrom

  • Canavan Disease

  • Crohn's Disease

  • Factor XI Deficiency

  • Familial Dysautonomia (Riley-Day syndrome)

  • Fanconi Anemia

  • Gaucher Disease

  • Mucolipidosis IV

  • Niemann-Pick Disease

  • Non-Classical Adrenal Hyperplasia

  • Nonsyndromic Hearing Loss

  • Tay-Sachs Disease

  • Torsion Dystonia


Disease predisposition genes
Disease Predisposition Genes Health Needs.

  • Breast Cancer (BRCA1 and BRCA2)

  • Familial Colon Cancer and BRCA2)


Common diseases seen in immigrants from russia include
Common diseases seen in immigrants from Russia include: Health Needs.

  • diabetes

  • hypertension

  • coronary disease

  • gastrointestinal problems

  • tuberculosis

  • alcohol and substance abuse


Alcohol problems
Alcohol Problems: Health Needs.

  • The alcohol dehydrogenase (ADH2) gene relates to alcohol dependence, alcohol consumption, and reported alcohol-related symptoms. However, the association of ADH2 with alcohol-related behavior is not well characterized in Ashkenazic Jews*.

  • Although alcoholism is a tremendous problem in Russia, the incidents of alcohol abuse in Russian immigrants is very low.**


Cultural beliefs influencing health behaviors
Cultural beliefs influencing health behaviors Health Needs.

  • Some immigrants believe that disability or illness is caused by something the individual did not do right, such as not eating well or not dressing warmly enough.

  • Good health is equated with absence of pain. Illnesses that do not cause pain often go undiagnosed and under-treated, such as Type 2 diabetes, hypertension, and high cholesterol.


Non somatic problems
Non-somatic problems: Health Needs.

  • Stress / Distress

  • Intergenerational conflict

  • Language barrier

  • Social isolation


Demoralization
Demoralization Health Needs.

  • Depression resulting from an undermining of morale

  • Upset or destruction of normal function

  • A state of disorder and confusion


Symptoms of demoralization
Symptoms of demoralization:* Health Needs.

  • loss of control

  • loss of hope

  • anger/bitterness

  • sense of failure

  • feeling life was a burden

  • loss of meaning and a belief that life's meaning is dependent on health


Stigma around mental illness
Stigma around mental illness Health Needs.

  • Mental illness is often regarded as disgraceful.

  • Immigrants often do not disclose a family history of mental illness or past treatment.


Acculturation challenges
Acculturation challenges Health Needs.

  • Acculturation to both American and Jewish cultures is related to psychological adaptation, peer relations, and school and family outcomes. Both acculturations reduce loneliness and increase perceived support from parents. Different dimensions of acculturation, such as language and identity, are differentially related to adaptation.


Language problems
Language Problems Health Needs.

  • Refugees and migrants from non-English speaking cultures have little preparation for their new English speaking environment

  • Their limited English language skills exacerbate resettlement problems regardless of previous economic and social status


Communication challenges
Communication challenges Health Needs.

  • No ability to discuss health promotion issues such as smoking, diet, physical activity, vitamins and medication intake with their physician.

  • Lack of knowledge of medical terminology

  • Relying on relatives with lack of medical knowledge to translate medical documents

  • Lack of knowledge about preventive behaviors


Cultural difficulties
Cultural difficulties Health Needs.

  • Lack of understanding of US health care etiquette

  • Expect more compassion and emotional closeness with their physician

  • Rather than appreciating the privacy and autonomy of the American medical culture, patients may complain about the quality of medical treatment they receive

  • Question the physician’s ability to understand their problems.


Home remedies use
Home remedies use Health Needs.

  • Often doctor’s health recommendations are rejected or substituted by home remedies and treatments

  • Home remedies are often used prior to seeking medical attention


Conclusions and patient care implications
Conclusions and patient care implications Health Needs.

  • It is important to understand patients’ background and cultural norms. Russian Jewish immigrants might have needs and cultural norms that are different from other population groups

  • Address the physical, emotional, and spiritual health of individuals and families

  • Ensure effective patient-provider communication


Recommendations
Recommendations? Health Needs.

Get to know your patients on an individual level.

Not all patients from diverse populations conform to commonly known culture-specific behaviors, beliefs, and actions.

Failing to support and foster culturally competent health care for racial and ethnic minorities can increase costs for individuals and society through increased hospitalizations and complications.


Conclusions
Conclusions Health Needs.

  • Russian Jewish immigrants have unique educational, cultural, and health background

  • Several genetic mutations (such as breast cancer associated BRCA) are more prevalent in Jewish populations

  • While public health programs have been tailored to different ethnic, racial, and cultural minorities, they rarely addressed the needs of this population group

  • This lecture provides a short summary about this group that would be helpful in guiding public health interventions and educational programs


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