Ch 2-Social, Cultural, Religious, and Family Influences on Child Health Promotion

Question 1

What is family

Answer 1

Defined in terms of the individual’s own frame of reference, values, or discipline
No universal definition

Family Systems
Family Stress
Developmental Stages (Duvall)

Question 2

Family Structure

Answer 2

Traditional
Nuclear
Blended or household
Extended or household
Single-parent
Binuclear
Polygamous
Communal
Lesbian, Gay, Bisexual, Transgender, Queer, Intersex and Asexual Families (LGBTQIA)

Question 3

Parenting Styles

Answer 3

Authoritative vs. Permissive
Types of Discipline to minimize misbehavior
Reasoning
Scolding
Behavioral Modification (reward)
Ignoring
Time-out
Corporal (Physical punishment)

Question 4

Sociocultural Influences on Families

Answer 4

> Sociopolitical context – social ecological model
- Multifactorial layers of influence

> Influences on the surrounding environment
- School Health & School Connectedness

> Broader influences on social health
- Social Media & Mass Media

> Social determinants:
-Race & ethnicity influence
-Poverty & Economy
-Parental education
-Land of origin & Immigration Status
-Religion & Spiritual Identity

Question 5

Understanding Culture

Answer 5

Cultural Definitions

Asking questions like:
- What do you think caused your child’s health problems?
- What do you think it started when it did?
- How severe is your child’s sickness? Will it have a short or long course?

Question 6

Cultural Humility & Healthcare Providers’ Contributions

Answer 6

> Address the significance of equity, fairness & caring
Culturally competent care through teaching & training
Culture includes social class
Recognize the attributes of cultural humility
-Openness, self-awareness, egolessness, supportive interactions, self-reflection and critique
-Use of transformational learning environments

Question 7

Cultural Traditions to Maintain, Protect, and Restore Health

Answer 7

> Physical aspects of caring for the body
-Special clothes
-Foods
-Medicines

> Feelings, attitudes, rituals, and actions related to health

> Spiritual aspects of health
-Identity (who I am)
-Customs/prayers/healing

Question 8

Health Beliefs and Practices

Answer 8

Natural forces
Supernatural forces
Imbalance of forces
Health protection
Folk healers
Practices and remedies
Faith healing and religious rituals

Question 9

Children may feel that they are responsible for their parents’ divorce and interpret the separation as punishment. At what age is this most likely to occur?

Answer 9

4 years

Later Preschool children age 3-5 years (Box 2.4 p 24)
Fear of abandonment
Blame themselves for the divorce; decreased self-esteem
Bewilderment regarding all human relationships
Become more aggressive in relationships with others (e.g. siblings, peers)
Engage in fantasy to seek understanding of the divorce