Cross-cultural Use of the Edinburgh Postnatal Depression Scale

Although the cultural aspects of the pregnancy-related period in women’s lives have been studied extensively worldwide, the impact of cultural factors upon pregnancy-related depression has been investigated far less. Most research into pregnancy-related depression has been conducted in Western Europe, the U.S., Canada, and Australia. This research has been based primarily on studies of Western...
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Addressing Disparities In Mental Health Care For Latinos

Addressing disparities in mental health care for Latinos is of particular importance given their considerable population growth in the United States. The 2010 US Census reports: Latino Americans comprise the largest ethnic/racial minority group in the United States (50.5 million or 16.3%). Latinos are also the largest ethnic minority group of children (11.6 million) in the United States,1...
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Reading Between the Head Nods

It is important for U.S. healthcare providers to understand some key aspects of how language and culture can affect interactions with patients and families who have come to this country from other cultures―especially recent immigrants and refugees. Providers may not be prepared for the high context communication style that is normal in many societies. A lack of awareness of how this manifests in...
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What’s In a Frying Pan?

I recently visited a practice in Aurora, CO with a client base made up largely of immigrants and refugees. Dr. P.J.  Parmar, MD is doing some tremendous work with people from a variety of cultures who come to Colorado with limited English proficiency, limited understanding of western medicine, and low health literacy. I was seeking Dr. Parmar’s ideas about using motivational interviewing...
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Screening for Pregnancy-related Depression In Private Practice Settings: Cross-Cultural Considerations

  Although the cultural aspects of the pregnancy-related period have been studied extensively worldwide, the impact of cultural factors upon pregnancy-related depression ( also known as postpartum depression) has been less investigated. Most research into pregnancy-related depression has been conducted in Western, developed countries (see reviews by Kumar, 1994; O’Hara & Swain,...
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The Challenge of Low Health Literacy Among Patients and Caregivers of ALL Cultures

Recognizing the impact of low health literacy on patient compliance and health outcomes is extremely important. A strong body of evidence points directly to the importance of caregiver health literacy as a factor in child health outcomes specifically. Education, written literacy, numerical literacy, socio-economic status, limited English proficiency and culturally-based understanding of illness...
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Conversations with Hispanic Parents About Flu Shots

According to the CDC 2011-2012 National Immunization Survey (NIS) report on flu vaccine coverage, *Hispanic adults 18 and older have the lowest influenza vaccination rates in the United States. Only 29.4% of Hispanic adults got a flu shot last year compared to 47.6% of white non-Hispanic adults. Perhaps surprisingly, Hispanic children 6 months to 17 years have the highest rates of flu...
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How Individualism and Collectivism Manifest in Child Rearing Practices

Pediatricians providing anticipatory guidance to parents from diverse cultural backgrounds need to understand the different value systems operating in individualistic and collectivist societies. Questions about child behavior, development and parenting are central to well-child visits, and pediatricians will encounter a range of parenting styles and beliefs that may be at odds with their...
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