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- Creators: Barrett, The Honors College
Description
Over the past three decades, medical anthropology research, published within both public health and anthropological journals, demonstrates both the prevalence of traditional folk medicine in Latino populations in the United States and the potential difficulty of negotiating these beliefs and practices with clinical, western biomedicine. I bring attention to what might be a narrative of divergent values that occurs in Latino communities in the United States. A well-documented source (Pachter, 1994) of this clash is the culturally pervasive use of folk medicine in Latino layperson populations seeking biomedical care in the Unites States (U.S.). Numerous studies (Padilla, 2001; Koss 1972) suggest that a significant portion of Latinos in the continental United States call upon folk knowledge to diagnose, reinterpret, and treat illness. The Puerto Rican population seems to be no exception, though few studies are specific to native-born Puerto Ricans living in Puerto Rico, where the issue of access to quality public health care becomes increasingly problematic. In this honors undergraduate thesis project, I conduct a review of the literature that bridges anthropology and public health research and proceed to describe a study I conducted on Culebra Island, Puerto Rico in May of 2015. The study aims to determine whether patient satisfaction can be linked to being treated by a physician hailing from a similar cultural background, or if an irredeemable disparity between patient and provider present a roadblock to health outcomes. I found that the Puerto Rican physicians are receptive to folk illness (symptoms) and consider folk therapy as part of the treatment regimen. The physicians make patients feel understood, which might improve treatment adherence and thus health outcomes. Still, respondents demonstrated that there is high patient trust in the biomedical model by emphasizing the use of conventional medications in tandem with the folk therapy. Nevertheless, the health care provider's disposition in regards to folk knowledge and modalities are important but does not present a roadblock to optimal care and health outcomes as much as access, available services or clinic resources.
ContributorsVanasse-Torres, Elena Georgina (Author) / Maupin, Jonathan (Thesis director) / Maienschein, Jane (Thesis director) / MartÃÂnez, AirÃÂn (Committee member) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
Over the last century, the Latino population in the United States has increased dramatically. Like most ethnic groups, Latinos highly value their culture and bring aspects of it with them when they come to the United States. One such aspect of Latino culture is the use of traditional medicine. As the Latino population in the United States continues to grow, it is important that physicians and future physicians understand how the use of and belief in traditional medicine within different Latino populations can affect the healthcare experience for both provider and patient. Many physicians lack this knowledge and therefore are unsure how to proceed when confronted with these situations; in order to remedy this issue, this project seeks to propose and demonstrate a potential course that would be intended to inform pre-medical and pre-health students about traditional medicine in different Latin American countries so that they will be better prepared.
In this 3-credit course, students will gain awareness and understand the importance of Latino traditional medical practices from the perspective of future medical professionals. Students will learn about concepts such as folk illnesses and traditional religious practices within different Latino populations and will discover how these cultural beliefs can affect a patient’s attitude and cooperation in the medical office.
Through study of the traditional medicines of Puerto Rico, Mexico, and Cuba, students will be exposed to new concepts that will allow them to gain a broader understanding of their future patients, which will allow them to provide the best possible care as a physician. Students will reflect on the importance of having respect for a patient’s cultural beliefs in the medical profession, regardless of their knowledge of Spanish, so that they will be best equipped to handle these situations within the United States and abroad.
In this 3-credit course, students will gain awareness and understand the importance of Latino traditional medical practices from the perspective of future medical professionals. Students will learn about concepts such as folk illnesses and traditional religious practices within different Latino populations and will discover how these cultural beliefs can affect a patient’s attitude and cooperation in the medical office.
Through study of the traditional medicines of Puerto Rico, Mexico, and Cuba, students will be exposed to new concepts that will allow them to gain a broader understanding of their future patients, which will allow them to provide the best possible care as a physician. Students will reflect on the importance of having respect for a patient’s cultural beliefs in the medical profession, regardless of their knowledge of Spanish, so that they will be best equipped to handle these situations within the United States and abroad.
ContributorsIncha, Carmen (Author) / Estévez, Dulce (Thesis director) / Oberstein, Bruce (Committee member) / School of Molecular Sciences (Contributor) / School of International Letters and Cultures (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
Description
This study evaluates medical pluralism among 1.5 generation Indian American immigrants. 1.5 generation Indian Americans (N=16) were surveyed regarding their engagement in complementary and alternative medical systems (CAM), how immigration affected that, and reasons for and for not continuing the use of CAM. Results indicated most 1.5 Indian immigrants currently engage in CAM, given that their parents also engage in CAM. The top reasons respondents indicated continued engagement in CAM was that it has no side effects and is preventative. Reasons for not practicing CAM included feeling out of place, not living with parents or not believing in CAM. After immigration, most participants decreased or stopped their engagement in CAM. More women than men continued to practice CAM after immigration. From the results, it was concluded that CAM is still important to 1.5 generation Indian immigrants.
ContributorsMurugesh, Subhiksha (Author) / Stotts, Rhian (Thesis director) / Mubayi, Anuj (Committee member) / School of Human Evolution & Social Change (Contributor) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
Description
Background:
In Navajo (Diné) populations, the two main forms of medicine that people use include traditional Diné medicine and Western medicine. Traditional medicine can be understood primarily through the concept of maintaining Hózhó or “balance”, while Western medicine is defined through the use of scientific evidence-based techniques and research. The reasons and barriers to using each form of medicine respectively are varied depending on aspects such as accessibility, familiarity, trust, or cost. Overall, there is a current lack of community viewpoints in regards to past examples of the intersection between traditional and Western medicine. This thesis examines reasons behind why Diné individuals use traditional Diné medicine and Western medicine respectively, and their viewpoints on the potential intersection.
Methods:
An anonymous online survey was distributed via snowball sampling from November 2023 to February 2024 after obtaining ASU IRB approval. It consisted of questions focused on demographics, use of traditional medicine, use of Western medicine, and opinion on the intersection between traditional and Western medicine. Statistical analysis and emerging themes were then performed and noted respectively.
Results:
There were a total of 15 responses to the online survey. A majority of participants previously used traditional medicine (80%), while all had previously used Western medicine (100%). There was a similar level of satisfaction and perceived efficiency for each, averages ranging from 3.8 to 4.0 respectively on a scale of 1 to 5. Many respondents used traditional medicine for more cultural and spiritual/mental health reasons, while many used Western medicine for more physical health reasons. Cost was the main barrier for each. Participants showed overall positive receptibility to potential intersections, but there was some hesitance in regards to scenarios where Western providers recommended traditional medicine use.
Conclusion:
Many reasons and barriers behind participant use of traditional and Western medicine were reflective of what was found in the literature review. The overall frequency of use, satisfaction, and efficiency can be further understood by a majority of participants living outside the Navajo Nation for long periods of time. The use of traditional medicine also made participants feel more connected to their culture, which can also contribute to the high levels of satisfaction/efficiency for traditional medicine. Interestingly, cost was found to be the primary barrier of each, which indicates room for growth in both respective fields to increase patient use. There was overall positive receptiveness to a possible intersection for delivery methods of medicine which indicates an overall desire to maintain Hózhó and holistic health, however the type of questions and recommendations made by respective providers needs to be done with care. This type of intersection should continue to be explored through community driven discussion and creativity in future studies.
ContributorsMazeika, Anika (Author) / Maupin, Jonathan (Thesis director) / Cordell, Zach (Committee member) / Barrett, The Honors College (Contributor) / School of Molecular Sciences (Contributor) / School of Community Resources and Development (Contributor)
Created2024-05