University of Technology Sydney · FACULTY OF HEALTH & MEDICINE

95743 Chap.5 Cultural Factors That Shape Health

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Chapter 5 of 12 · 95743

Cultural Factors That Shape Health

Biology, culture or both

The second Module 3 lecture asks how much of the difference in health between groups is cultural.

It begins with inherited risk concentrated in some populations, then turns to places known for long lives, where diet, social networks, work and outlook seem to matter as much as genes.

Three points of contact

Culture meets health at three loci: how common a risk is in a group, how people seek and accept treatment, and whether changes in behaviour last long enough to improve outcomes.

Seven factors with evidence

The lecture names seven cultural factors, each attached to a published study: stigma and prejudice, social capital and belonging, agency and access, demographic challenges, language and health literacy, traditions and behaviours, and the way a culture perceives disease.

The Module 3 pre-work asks you to find a further study of your own.

In this chapter

What this chapter covers

  • 01

    Genetic predisposition in populations

  • 02

    Nature or nurture in long-lived communities

  • 03

    Prevalence, treatment and outcomes

  • 04

    Stigma and social capital

  • 05

    Agency, access and demographic pressure

  • 06

    Language and health literacy

  • 07

    Traditions and perceptions of disease

Worked example · free

Locate each barrier at the prevalence, treatment or outcomes stage

Q [3 marks]. AskSia-authored practice. An invented heart health program for a migrant community records three problems: (a) the community has a high rate of an inherited cholesterol disorder; (b) many people who are referred never attend the clinic because staff do not speak their language; (c) people who change their diet during the program return to old habits within months. Place each problem at one of the three loci and name the cultural factor involved. The marks shown are a practice weighting set by AskSia and are not an official University marking scheme.
Three points where the deep aspects of culture meet health.Three points where the deep aspects of culture meet health. Read the boxes from left to right: culture affects who carries a risk, how people seek or accept treatment, and whether behaviour change lasts long enough to improve outcomes, while the band underneath shows culture running through all three stages.Culture shapes every stagePrevalenceWho carries riskTreatmentHow care is soughtOutcomesChange that lasts
Three points where the deep aspects of culture meet health. Read the boxes from left to right: culture affects who carries a risk, how people seek or accept treatment, and whether behaviour change lasts long enough to improve outcomes, while the band underneath shows culture running through all three stages.
  • 1Problem (a) is prevalence: the group carries a higher risk through inherited predisposition.
  • 1Problem (b) is treatment: language and health literacy block people from using care they have been offered.
  • 1Problem (c) is outcomes: traditions and behaviours around food pull people back, so the change is not sustained.
(a) prevalence, genetic predisposition; (b) treatment, language and health literacy; (c) outcomes, traditions and behaviours. A program that fixes only the referral step will still lose people at the outcomes stage unless the dietary advice fits everyday food practices.
Sia tip — Name the locus before the factor: the same factor, such as language, can act at different stages, and markers want to see where in the pathway it bites.
Glossary

Key terms

Genetic Predisposition
An inherited tendency towards a condition that is more common in some populations because of their history.
Social Capital
The value a group gains from networks, trust and shared information, which can protect members' health.
Health Literacy
The ability to find, understand and use health information and services to make decisions.
Minority Stress
Ongoing strain experienced by members of stigmatised groups, which the lecture links to poorer health.
Blue Zones
A popular name for regions such as Okinawa, Ikaria and Sardinia where people tend to live unusually long lives.
FAQ

Cultural Factors That Shape Health FAQ

What does the lecture conclude from long-lived communities?

Research on places such as Okinawa, Ikaria and Sardinia points to a mix of diet, genetics, social networks, work and mental focus. The lecture reads this as evidence that culture, the unseen and non-biological side of life, may matter as much as biology, or more.

Do I need to remember the studies attached to each factor?

Knowing the population each study looked at is useful for quizzes and gives you ready examples for the essay. For instance, the language factor is illustrated with asthma management among newly arrived migrants in Canada, and traditions with diabetes self-management among Maltese immigrants in Australia.

How does perception of disease change over time?

The lecture notes that ideas about what counts as illness are cultural and can shift, citing the DSM-II, which classed homosexuality as a disorder until 1974. Other cultures explain illness through spirits, imbalance, the evil eye or broken taboos.

How do I use a cultural factor in the comparative essay?

Name the factor, show where it acted on the pathway from risk to treatment to lasting change, and cite evidence for it in each campaign. A factor that helped one campaign and hindered the other, such as trusted community networks, makes a strong comparative point.

Study strategy

Assessment move

Learn the seven factors as a numbered list with one example population each, then practise placing scenarios on the three loci. Start the Module 3 pre-work early: the paper you find, with its factor named and a model linked to it, can become one of the two campaigns in your essay. When you summarise a study, always say which locus the factor affects and what a culturally sensitive redesign would change.

Remember that the lecture calls its list a starting point: an essay may add a factor of your own as long as you define it and support it with literature. A quick self-test is to take one factor and explain how it could raise prevalence, block treatment or undo outcomes.

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