Topic 3 - Cross-cultural health beliefs related to food Flashcards

1
Q

Food as Medicine

Almost all cultures use dietary practices to maintain health or to treat illness

Cultures that view food as medicine: A_____, C______, South _______, Latin Americans.

A

Arabs, Chinese, South Asians, Latin Americans

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2
Q

Health Canada - Office of Nutrition Policy and Promotion

2007 food guide included the 4 food groups

1) Vegetables and fruit
2) Grain products
3) Milk and alternatives
4) Meat and alternatives

A

1) Vegetables and fruit
2) Grain products
3) Milk and alternatives
4) Meat and alternatives

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3
Q

The Nutrition Facts Table seeks to help to _______ information about healthy eating practices, increase ____________ of the links between nutritional health and well-being, and help people reduce the risk of chronic nutrition-related diseases.

A

reinforce information about healthy eating practices

increase understanding of the links between nutritional health and well-being

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4
Q

Health beliefs are ________. Therefore understanding of the cause, prevention, and treatment of disease will differ.

A

cultural

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5
Q

Health beliefs will impact:
– The ________ a person considers to be a health problem
– Trust or distrust of _________ advice or procedures;
– An individual’s desire to keep a disease __________
– Tendencies toward stoicism or dramatic reactions to discomfort or pain;
– Social support provided by family and community.

A
– Symptoms 
– Medical advice
– confidential, confidentiality
– reactions to discomfort or pain;
– Types of social support provided by family and community (Social Capital)
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6
Q

Biomedicine is system of clinical medicine based off of principles of biology, physiology, and biochemistry.

Focuses on internal workings

Disease is seen as a ________ of the body

A

malfunction

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7
Q

Biomedicine identifies three causes of disease.

1) _________ causes: bacteria, viruses, toxins, tumors, injury
2) _________ causes: smoking, high cholesterol levels, glucose intolerance, or nutritional deficiencies
3) _______ causes: hereditary predisposition, obesity.

A

Biomedicine identifies three causes of disease.

1) Immediate - bacteria, viruses, toxins, tumors, injury
2) Underlying - smoking, high cholesterol levels, glucose intolerance, or nutritional deficiencies
3) Ultimate - hereditary predisposition, obesity.

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8
Q

Evidence-based medicine applies the best evidence from the scientific method to clinical decision making.

Therefore it places placebo-controlled clinical trials at the ____ and conventional wisdom at the _______.

A

Placebo-controlled clinical trials at the top

Conventional wisdom at the bottom

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9
Q
Traditional medicine (Indigenous
medicine or folk medicine)

Describes medical knowledge _______ which developed over centuries within different societies.

A

knowledge systems

Ayurvedic medicine and traditional Chinese medicine.

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10
Q

Traditional Health Beliefs in Mexico

  • A holistic system focuses on sorcery, soul loss, and loss of homeostasis between the body’s hot and cold humors;
  • Illness can be the result of God’s will, fate, or unnatural (evil) forces;
  • Illness cannot therefore always be avoided by the individual.
A

Fatalistic, deterministic

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11
Q

Health Beliefs in India

  • Illness caused by ______: ____ _____ actions affect one’s present life
  • Indians may rely on _____ remedies as the principal means of preventing and curing illnesses.
  • ________ dietary system of India: Hindus, Sikhs, some Muslims
A

karma, past life

herbal remedies

Ayurvedic

– Diet, herbal remedies, meditation • 1,400 plants used
– Hot and cold foods and conditions

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12
Q

Traditional Health Beliefs of Southeast Asia

  • Typically combine facets of ________ ______ systems.
  • May hold beliefs dating back to the ancient religions of the region.
  • Many believe in spirits and ghosts of ________ who have the ability to act as guardians against misfortune or who can cause harm and suffering.
  • ___/___/____ are believed to cause disease (i.e.; protection from cold wind is important)
  • Hot and Cold beliefs prevail
A

multiple belief systems

spirits and ghost of ancestors

Wind/air/drafts believed to cause disease

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13
Q

Health Beliefs in the Philippines

  • Life is __________ God’s will and supernatural forces.
  • Illness is a punishment for ______________ against God.
  • Illness due to the evil eye, witchcraft and the unhappy ghosts of one’s ancestors.
  • Mexican hot-cold theory used to treat sickness

• _________is used to cleanse the body of
impurities or evil forces through vomiting,
perspiration.

A

Life is controlled

illness is punishments for transgressions against god, and or the evil eye/witchcraft/unhappy ancestors.

Flushing used to cleanse impurities

– Vinegar mixed with water, salt and chile peppers is taken to stimulate sweating.

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14
Q

The Evil Eye (mal de ojo)

  • Some Middle Eastern, African , Mediterranean and Latin American countries
  • Amulets may be worn to protect from the .
  • The _________ is a popular palm-shaped amulet used throughout North Africa and the Middle East to ward off the evil eye.
A

worn to protect from the “evil eye”

Khamsa

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15
Q

Response to illness is based on
belief in its cause…

  • Personal responsibility
  • Fatalistic attitude

• Sickness is considered a punishment for the
violation of religious laws, or is part of God’s plan.

A

– Illness caused by actions of gods, spirits, or the ghosts of ancestors

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16
Q

Ancient Greek Medical System

• 4 elements: earth, wind, fire and water

• Humours:
– blood (\_\_\_\_\_\_),
– yellow bile (\_\_\_\_\_\_), 
– black bile (\_\_\_\_\_\_\_), 
– phlegm (\_\_\_\_\_\_)

When a person is healthy, the four humors are balanced.

A

– blood (heart),
– yellow bile (liver),
– black bile (spleen),
– phlegm (brain)

17
Q

Ancient Greek Medical System

– When a person is ill, they should ingest foods with qualities that ______ those of the illness, which is based on the premise that imbalances among the humors could be corrected by administering drugs or foods with appropriately _______ properties

A

oppose those of the illness

18
Q

Balance – other systems

  • Humoral system of _________ Medicine
  • Hot & Cold folk system of Latin America
  • Yin (cool) & Yang (hot) system of traditional Chinese medicine
A

Humoral Islamic medicine

19
Q

Hot and Cold food beliefs

  • Some foods are perceived to be “hot” and some are “cold”.
  • Some are neutral.
  • These perceptions are based on how foods are thought to affect body functions.
A

• There is a difference in perception of “hot” and “cold” foods depending on the traditional system of medicine.

20
Q

Traditional Chinese Medicine

Yin

Most ______, _______ and seafoods,
Fish,
Honey,
Oysters Legumes

A

Mostly fruits, vegetables and fruits

21
Q

Traditional Chinese Medicine

Yang

\_\_\_\_\_\_
Black or chili pepper 
Coffee
Onions, garlic, ginger Smoked fish
Alcoholic beverages
A

meats

22
Q

Mexican folk medicine

Cold

_____ and inexpensive meats (chicken, rabbit, goats)

tropical fruits citrus (acidic)

corn products dairy products

A

Beans

23
Q

Hot

\_\_\_\_\_
chili peppers 
temperate \_\_\_\_\_\_
cereal grains 
goat’s milk
oils
hard liquor chocolate
A

beef

temperate fruits

24
Q

India - Ayurveda

  • The body is comprised of three forces (___“___).
  • One or more doshas will predominate in every individual.
  • The state of equilibrium between the ___“___is a state of health; the state of imbalance results in ______ and _____ disturbance.
A

doshas - the three forces of the body

imbalance = disease and mental disturbance

• The Ayurvedic physician tries to balance the doshas using different kinds of therapies, including food.

25
Q

Herbal Medicinal Products in Western Countries

  • ↑ sales of Indian HMPs - not just to individuals of Indian origin but to the population at large.
  • The US is the largest market for Indian HMP accounting for about __% of the total exports.
A

50%

26
Q

• Ayurvedic medicines sold on the Internet were tested for content. Medicines manufactured in the U.S. and India were tested.

_/5 contained detectable lead, mercury,
or arsenic.

A

1/5 contained heavy metals

27
Q

Countries like China, India and ______ are practicing a combination of traditional healing practices in addition to Biomedicine.

A

China, India and Mexico

28
Q

Worldwide 17%-78% of patients with diabetes use ____________ and _________ medicine (CAM) therapies, including nutritional supplements; herbals; nutritional counseling; spices; plant foods; and such techniques as acupuncture, spiritual healing, Chinese medicine, and mindfulness, often concurrently with conventional healthcare.

A

complementary and alternative medicine

29
Q

T2DM is a preventable disease associated with lifestyle.

– Do at least _____ minutes of moderate- to vigorous-intensity aerobic exercise each week (i.e.; 30 minutes, 5 days a week).

– Follow Eating Well with Canada’s Food Guide, which includes limiting the amount of fat you eat.

– Maintain a healthy body weight.

A

150 min/week

30
Q

South Asian and Chinese Traditional Medicine T2DM Treatments

• Bitter melon and _______ (methi in India)
to lower blood sugar

  • Bitter melon (kǔ guā 苦瓜) is yin (cooling)
  • Not clear if evidence-

based medicine supports
their use

A

Bitter melon and fenugreek

31
Q

Chinese cultural barriers to initiating insulin therapy for diabetes

• Diabetes is believed to be caused by a combination of factors, including _______ stress and worry.

• Distrust of Western medicines.
– Insulin is considered ‘___’
– Western medications are “too _____” for small bodies, so medications are adjusted.

  • Greater familiarity with/easier access to traditional medicines.
  • Problems with translation between English and Chinese language when seeking treatment.
A

Emotional stress and worry

Insulin considered “hot”
Western medicine “too hot”

32
Q

First Nations perceptions of diabetes

  • Some see diabetes as coming from the “white man” and the loss of ________ _________ .
  • Diabetes may be considered a fact of life. Attitudes are therefore ________.
  • First Nation traditional healing practices may be used.

– Persons may not share this fact with health professionals for fear of being ridiculed or because the methods are considered sacred.

A

traditional lifestyles

fatalistic
– “I guess pretty soon that everybody here on the reserve will be like that.” (Garro 1996)

33
Q

Mexican Folk beliefs about T2DM

  • It is the result of _____ (susto) resulting in the loss of the soul.
  • Treatment includes home remedies such as _____ plants (nopalitos), prayer, spiritual healing and massage as complements to hypoglycemic medicines.
  • Individuals may consult a ____ (curandero), herbalist or other folk medicine practitioner.
A

result of fright

cactus plant

consult a healer