Journal of Immigrant and Minority Health
Volume 13, Issue 2, 2011, Pages 385-394
Explanatory models of health and disease among south Asian immigrants in Chicago (Article)
Tirodkar M.A.* ,
Baker D.W. ,
Makoul G.T. ,
Khurana N. ,
Paracha M.W. ,
Kandula N.R.
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a
National Committee for Quality Assurance, 1100 13th Street NW, Washington, DC 20005, United States
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b
Institute for Healthcare Studies, Northwestern University Feinberg School of Medicine, Chicago, United States, Division of General Internal Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States
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c
Division of General Internal Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States, St. Francis Hospital and Medical Center, Hartford, CT, United States
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d
Division of General Internal Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States
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e
Division of General Internal Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States
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f
Institute for Healthcare Studies, Northwestern University Feinberg School of Medicine, Chicago, United States, Division of General Internal Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States, Asian Human Services Family Health Center, Inc., Chicago, IL, United States
Abstract
To identify concepts of health and disease as part of a study on designing culturally-targeted heart disease prevention messages for South Asians. We conducted qualitative, semi-structured interviews in English, Hindi and Urdu with 75 respondents from a federally qualified health center and at a community center for South Asian immigrants in Chicago, Illinois. Age ranged from 20 to 70 years; 60% were women; 60% held advanced degrees; 70% migrated to the US in the last 10 years; and 60% of the interviews were in Hindi or Urdu. Concepts of health and disease fell into four domains: behavioral, physical, psycho-social and spiritual. Muslim participants consistently evoked spiritual factors such as faith and prayer. Women more frequently included performing home duties and positive affect in their concept of health. Men more frequently cited behavioral factors such as smoking and drinking as the cause of disease. Many South Asians have a holistic conceptualization of health and disease, incorporating spiritual, physical and psycho-social factors. Health promotion strategies aimed at South Asians in the US should take into account this holistic model of health and disease, while also recognizing that variations exist within South Asians, by gender and religion. © 2010 Springer Science+Business Media, LLC.
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-79960126388&doi=10.1007%2fs10903-009-9304-1&partnerID=40&md5=f8853cdad96c8cfb47fb8013b6bce6ae
DOI: 10.1007/s10903-009-9304-1
ISSN: 15571912
Cited by: 21
Original Language: English