Leveraging Culture to Address Health Inequalities Examples from Native Communities: Workshop Summary (2013) / Chapter Skim
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3 Why Culture Matters in Addressing Health Inequities
3 Why Culture Matters in Addressing Health Inequities
Pages 13-20
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From page 13... ...
Michael Trujillo, associate dean for the Outreach and Multicultural Affairs Program and professor in the department of internal medicine at the University of Arizona College of Medicine in Phoenix, recounted some of the efforts he made as a federal policy maker to incorporate culture into health care systems and described the potential that remains. The Legacy of Colonialism Colonialism is a cultural event (Kelm, 1998)
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From page 14... ...
The 1948 United Nations (UN) Universal Declaration of Human Rights stated, "The principle of universality of human rights is the cornerstone of international human rights law." The 2007 UN Declaration on the Rights of Indigenous Peoples affirmed that "indigenous peoples and individuals have the right not to be subjected to forced assimilation or destruction of their culture." It added that "states shall provide effective mechanisms for prevention of, and redress for any action which has the aim or effect of depriving them of their integrity as distinct peoples, or of their cultural values or ethnic identities." The relationship between indigenous knowledge and Western science continues to be overshadowed by the history of colonialism, Duran said.
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From page 15... ...
The project is assessing and describing the impact of governance -- and tribal sovereignty in particular -- on community-based participatory research processes and outcomes across communities of color, including Native American communities. It is examining the associations among group dynamic processes and recording three major outcomes of this research: culturally responsive and culturally centered interventions; strengthened research infrastructure and other community capacities; and new health-enhancing policies and practices.
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From page 16... ...
Revitalization of culture through indigenous health promotion and treatment, as a hybrid approach, can be much more effective than a reliance purely on Western medicine. -- Bonnie Duran Incorporating Traditional Values and Practices into Federal Policies When Michael Trujillo, University of Arizona College of Medicine in Phoenix, was director of the Indian Health Service (IHS)
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From page 17... ...
For example, Trujillo has been involved with the Translational Genomics Research Institute in Arizona, which developed a research protocol with one of the tribes in the valley. The tribe has had complete control of the process, including tissue banking and collection of tissue.
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From page 18... ...
. Researchers need to do to research "with the tribes, not on them." -- Michael Trujillo Discussion During the discussion session following the panel presentations, Frank James, a physician and health officer for the Nooksack Tribe, noted that his tribe was the recipient of more than $2 million from the Substance Abuse and Mental Health Services Administration (SAMHSA)
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From page 19... ...
Trujillo said that people in federal agencies and on Capitol Hill need to recognize continually the factors that matter for the recipients of health care or research. This requires constant work to reorient these individuals.
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