Health and illness practices that may augment problems associated with the treatment of hypertension for Chinese-American clients

Full Answer Section

• Belief in "Balance": TCM focuses on restoring balance in the body. Chinese-Americans may be hesitant to take medications seen as disrupting this balance.

• "Utang na Loob" (Debt of Gratitude): This concept emphasizes social obligation and respect for authority figures. Filipino-Americans with this strong "utang na loob" may hesitate to challenge a doctor's recommendations or ask clarifying questions, potentially leading to medication non-adherence.
• "Hiya" (Shame): The concept of "hiya" emphasizes avoiding shame or causing dishonor to oneself or family. Filipino-Americans with hypertension may be reluctant to seek treatment due to fear of being perceived as weak or a burden.

• "Thầy Thuốc Nam" (Traditional Healers): Many Vietnamese-Americans value folk medicine and traditional healers ("Thầy Thuốc Nam") who use herbal remedies and spiritual practices. They may rely on these practices for hypertension before seeking conventional medical care, potentially delaying effective treatment.
• Family as Decision-Makers: Healthcare decisions in Vietnamese families may involve consultations with extended family members who may hold traditional beliefs about illness. This can influence treatment choices.

• Culturally sensitive healthcare providers can build trust with these communities by:
  • Understanding and acknowledging their cultural beliefs about health and illness.
  • Offering information on managing hypertension in a way that is compatible with these beliefs whenever possible.
  • Encouraging open communication and addressing concerns about medications or treatment.

Sample Answer

Cultural Considerations in Health: Chinese-Americans, Filipino-Americans, and Vietnamese-Americans

Chinese-Americans and Hypertension Treatment:

Several health and illness practices in Chinese culture may complicate hypertension treatment for Chinese-Americans:

• Dietary Practices: Traditional Chinese diets may emphasize high-sodium foods like preserved vegetables and fermented bean products.
• Limited Trust in Western Medicine: Some Chinese-Americans may prioritize traditional Chinese medicine (TCM) practices like herbal remedies or acupuncture. While these may offer some benefits, they may not effectively control hypertension alone.