Experiences of Latinos with Diabetes in the Central San Joaquin Valley Page: 23
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This is an essential ideology that must be addressed in public health and anthropology
discourse. Recognizing biomedicine as ethnomedicine, a culturally bound framework for
understanding and interpreting health and illness could strip away the tensions and frayed
connections that occur at cultural intersections. Hahn and Inhorn further detail the disconnect
that is often made as public health interventions have traditionally operated under assumptions
that communities were simply in need of information and knowledge, "empty vessels" to be
filled and accepting of health promotion efforts (Hahn and Inhorn 2009, 10). This model of
intervention has not produced very efficacious programs and use of local contextual knowledge
demonstrated by anthropology can improve program outcomes.
Sara H. Cody and colleagues provide an illustrative example of utilizing information
about local health belief models to inform improved intervention strategies in, "Knowing
Pneumonia: Mothers, Doctors, and Sick Children in Pakistan" (1997). The research aim of this
study was to improve diagnosis and treatment for acute respiratory infection (ARI) among third
world nations by the World Health Organization (WHO); which stressed breathing rate
assessments as its method of diagnosis. Through discussions, health seeking practices and
preferences revealed that WHO clinical training may not be as effective in reaching target groups
or match cultural beliefs of Pakistani doctors and patients. Researchers uncovered the humoral
'hot/cold' explanatory models used to assess and determine the presence of illness and
pneumonia; which were unaccounted for in the WHO programs administered by local hospitals.
Cody and colleagues also discovered that home remedies (teas, ointments, wraps, etc.) were used
before proceeding to a local bazaar practitioner or clinical doctor. Rejection of biomedical sites
and explanations for ARI in favor or culturally produced humoral models reveal that recognition
of signs and symptoms may differ from Western prescribed etiology.23
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Cortez, Jacqueline Nicole. Experiences of Latinos with Diabetes in the Central San Joaquin Valley, thesis, May 2018; Denton, Texas. (https://digital.library.unt.edu/ark:/67531/metadc1157605/m1/30/?q=green+energy: accessed July 17, 2024), University of North Texas Libraries, UNT Digital Library, https://digital.library.unt.edu; .