Ethiopian Culture and Diabetes. Emily Clairmont, Olivia Davis, Ashley Ayres Interview with Workie Wubshet of Saba Ethiopian

Transcription

1 Ethipian Culture and Diabetes Emily Clairmnt, Olivia Davis, Ashley Ayres Interview with Wrkie Wubshet f Saba Ethipian

2 Backgrund Hrn f Africa Ethipia, Eritrea, Sudan, Smalia, Djibuti Nearly 85% live in rural areas Subcultures within Ethipia Orm Tigray (Tigre) Amhara Religin Islam (Muslim) Ethipian Orthdx Church (Christian) The Great Lent (ABIY TSOM) 80 languages and 200 dialects

3 Backgrund Arrived as refugees in ,000-7,000 in Seattle Majrity receive health care at HMC Incme generally supprts family in U.S. and Ethipia

4 Language & Other Barriers Limited english ESL classes available but wrking t reach everyne Results in lw- paying jbs Uncmfrtable with interpreters Gender differences Plitical & ethnic differences Religius differences Cst & access t health care Little is knwn abut Basic Health Plan Little is knwn abut ptins fr health facilities

5 Health Care Beliefs Understanding and explanatin will help t develp gd cmmunicatin with patients Illness is cnsidered a punishment frm Gd An anger f spirits (mental illness) Mental illness is a result f evil spirits Health is an equilibrium f the bdy and the utside Sunstrke, knwn as mitch Babies are fed butter t develp a sft vice Eyes painted with kuul fr beautiful eyebrws Replace lst bld with fresh bld f sheep r cw

6 Traditinal Medical Practices Traditinal healers Prayer & blessing Herbal and animal remedies Dying ut with the expansin f mdern medicine A mvement twards preventin 80% f ppulatin relies n traditinal medicine Culturally entrenched, affrdable, accessible Scattered ppulatin makes it dif]icult t institute health and scial prgrams Prefer injectins ver tablets Tuberculsis and malaria treatment

7 Experience with Western Medicine Antibitics and ther medicatins are used frequently where allpathic medicine is available Overall dissatisfactin with diagnstic health care mdel in U.S., reduced cmpliance and fllw- up Urban vs. rural refugees Urban - mre acquainted with allpathy Rural - dif]iculty understanding cncept f disease (cause, transmissin, preventin) Businesslike vs. interpersnal apprach t health care Diagnsis are cnveyed thrugh family Decreases discuragement

8 Experience with Western Medicine Misunderstanding f diagnsis mdel Feelings f being misunderstd Herb- drug interactins Cautin with traditinal herbal remedies Failure t disclse use due t judgment

9 Ethipian Fd Practices

10 Cre Traditinal Fds Cereals: teff, srghum, maize Tubers and rt crps: ensete, ptates, sweet ptates Pulses: lentils, chickpeas, brad beans Oil seeds Spices: chili (berberre, mitmitta) Tej (hney wine) and ther fermentatins

11 Cking Methds

12 Nutritin Widespread malnurishment Fd insecurity Overppulatin Nutritinal cntent Rising besity Increasing urbanizatin Lss f traditinal diets Decreases in physical activity Early life malnutritin "Diabetes is a rich man's disease."

13 Diabetes in The Hmeland By millin Sub- Saharan Africans expected t be diabetic. Rise in Diabetes related t Obesity Change in dietary habits Physical inactivity Sciecnmic changes Excess alchl cnsumptin

14 Diabetes Research A recent study lked at hypertensin and diabetes awareness and knwledge in Ethipian adults 2,153 participants underwent questinnaires, physical measurements and bichemical tests

15 Results Of the 548 participants fund t be diabetic r pre- diabetic 17% were unaware f their disease. Wmen age had a higher prevalence. Distributin f BMI by gender

16 Diabetes in Puget Sund East African immigrants in Puget Sund 30,000-40,000 In April 2010, a shrt survey was cnducted with 40 crss- generatinal members. American phenmenn. Western medicine k fr shrt term treatment. Diabetes is n the rise

17 What needs t happen Educatin f diabetes prgressin and medicatin interactins is key t help this cmmunity understand treatment. Safe ways t incrprate daily exercise in WA

18 Resurces Washingtn State Health Care Authrity, Basic Health Ethipian Cmmunity Mutual Assciatin, Diabetes awareness classes diabetes- awareness- classes/ Orm Cmmunity Organizatin Hrn f Africa Services Tigray Cmmunity Center 1902 E. Yesler, Seattle, WA 98122, (206)

19 References Hdes, RM. Crss- cultural medicine and diverse health beliefs: Ethipians abrad. West J Med 1997; 166: Beyene, Y. Medical disclsure and refugees: Telling bad news t Ethipian patients. In Crss- cultural Medicine [special issue] West J Med 1992 Sep; 157: McGuigan, CL. Diabetes in the Eritrean and Ethipian Cmmunity: Cultural Infrmatin and Recmmendatins fr Diabetes Educatrs. Ethnmed Web. 1 Feb Lemba DN., Reese A, Gelaye B, Lemma S, Berhane Y, Williams MA. "Prevalence f hypertensin and diabetes amng Ethipian adults". Diabetes & Metablic Syndrme: Clinical Research & Reviews 6 (2012) Nutritin Cuntry Pr]iles: Federal Demcratic Republic f Ethipia. Agriculture and Cnsumer Prtectin Department. Fd and Agriculture Organizatin f the United Natins Accessed January 31, 2013.

20 References Selinus R. The Traditinal Fds f the Central Ethipian Highlands. traditinal- fds- f- the- central- ethipian Accessed January 30, Gabre- Kidan, Tesfai. ABIY TSOM The Great Lent ethnmed.rg/crss- cultural- health/religin/abiy- tsm- the- great- lent. Accessed January 31, Gall, A., Shenkute, Z. Ethipian Traditinal and Herbal Medicatins and Their Interactins with Cnventinal Drugs. Ethnmed Nvember 03, 2009.