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  • Mediterranean Populations

    Lifestyle, health beliefs, and Disparities of

    Amish, Roma

    &

    Arab

    Populations

    By: Jordan Svehla, Alicia Watson, Allison Bodle, Bukky Ogunfeitimi,

    Camry Grigsby, & Josh Yonker

  • AmishAmericansLifestyle:

    TheAmishlifestyleisverydifferentthanthatofmostAmericans.TheyliveincommunitieswithotherAmishfamiliesandtendtostaywithintheircommunity.Theyavoidusingtechnologyofkindandhaveverytraditionalgenderrolesandlifestyles.Theyareagriculturallybasedcommunitieswhereasingleparenthouseholdisveryrare.Theytendtohavelargefamilieswheretheeldestmanistheheadofthehouse.TheAmishareveryreligiousandmodeltheirfamilyvaluesfromtheBible..

    HealthBeliefs:BelievesinisthecauseofillnessUseholistic&naturalremediessuchasherbsandreligiousritualsHavelittlecontactwithhealthcareprofessionalsPracticereflexologyUseamedleyofherbsduringpregnancycalled5-Wthatisbelievedtopromotewellnessofthebaby

    HealthDisparities:HavealowhealthliteracyDuetoavoidanceofmedicalfacilities,theytraditionallydon'tgetvaccinatedwhichincreasestheirriskofgettingacommunicablediseaseandspreadingittoeachotherTheymarryandhavechildrenwithotherAmishpeopleintheircommunitywhichmeansthatinbreedingiscommon.Thiscausesalotofgeneticdisorderstoappear,likeEllis-vanCreveldsyndromeorcartilage-hairhypoplasia.TheyouthparticipateinaritualcalledRumspringawheretheyareallowedtoleavethecommunityandlivelifeasatypicalAmericancitizen.Thisritualpromotesriskyhealthbehaviorinyouthlikebingedrinking,riskysexualbehavior,drugabuse,andcancausementalissueslikedepression.

  • BenefitsoftheAmishlifestyle?Highlevelsofphysicalactivityleadtolowerratesofobesityand

    heartdisease.

    Amishtendtohavelowlevelsofallergiesandlowratesofasthmaaswellaslowcancerrates.

    Theirsimpleapproachtolifeleadstoarelativelystress

    freeadulthoodduetolimitsontechnologyuse,strongfamily

    support,andemphasisonreligion.

    TreatmentsNaturalhealingherbsusedinteasorotheradministeredmethodsReflexology(pressurepointsinthefeet)ChiropractorsPrefermidwivestoassistwomenthroughpregnancyandusedfordelivery

  • Roma(Gypsy)PopulationLifestyleRomanipeopleareanotherisolated,ethnocentricgroupofpeople.TheymostlyassociateonlywithotherRomapeoplebecausetheybelievenon-romasareunclean.Theyarehistoricallynomadicandtravelinlargegroups.Theyplacealargeemphasisonthefamilyandextendedfamilies.Theytendtoadoptthepredominatereligionofthecountrytheyareinbutdon'tplacemuchimportanceinfaith.Romapeoplelivebyastrictcodeofcleanliness,respect,honor,andjustice.

    HealthBeliefsFollowastrictcleansingritualabouttheideasofWuzho(pure)andMarime(impure)wheretheycleantheupperhalfofthebodywithaseparatetowelandsoapthanthelowerhalfoftheirbodybecausethelowerbodysecretionsarebelievedtobeimpure.BelieveGadje(non-roma)areimpurebecausetheydon'tpracticebodyseparation.Beingfatandhavinggoodfortunearesignsconsideredtoshowgoodhealth.Oldermembersofthefamilymakealldecisions,includingmedicalones.RomaAmericansavoidhospitalsbecausetheyare"unclean"butifamemberoftheclanishospitalized,thewholeclanisexpectedtobetheretoperformhealingrituals.AwomanisbelievedtobeimpurethroughpregnancyDiseasesarecategorizedaseitherRomaorGadjeandsomeillnessesarebelievedtobecausedbyspirits.

  • HealthDisparitiesRomaAmericansareresistanttovaccinationssotheytendtospreaddisease.Theirdietishighinfatsandsodiumwhichcauseshypertension,heartdisease,andotherailments.Theirclosenessoflivingconditionspromotesthespreadofcommunicablediseases,suchashepatitis.Romanichildrenhaveahigherriskofbeingbornprematurelyorwithalowbirthweight.Increasedinstanceofconsanguineousmarriageshasledtoanincreasedriskofbirthdefects.LifeexpectancyismuchlowerthantheaverageAmerican.Theyareonlyexpectedtolivebetween48and55years.Theyarenottrustedorunderstoodbyoutsiderssotheyexperiencediscrimination.

    Howtopracticebodyseparation

    Wuzho(Pure) Marime(impure)

  • Arab&MiddleEasternPopulations

    TheArabpopulationsarefamilycenteredwithaheavyfocusontheirreligion,whichisusually

    Muslim.Menandwomenareseenasequalsbutwomentendtobecensoredinthenameof

    modesty.Theyhaveveryclosefamilialrelationshipswhichoftenincludesextendedfamily.Thispopulationdoesnotisolatethemselveslikethe

    otherpopulationsdobuttheydonotfullyassimilatetothedominatecultureeither.ManyArab-Americanscameovertoescapepolitical

    persecutionintheirowncountries.

    Lifestyle

    HealthBeliefsUsewesternmedicinealongwithnaturalremedieslikeherbalteas,etc.BelievebadthoughtstowardsomeonecancausethemillnessUseofamuletsandprayerfromQuranforalternativehealing.ConsiderillnesstobepunishmentfortheirsinsPlaceimportanceonhygieneandahealthydietUseofhennatowardoffevil

  • HealthDisparitiesIslamophobiahasbecomeveryprevalentintheU.S.afterthe9/11terroristattackswhichhaveledtothediscriminationofArabs.ArabswhoarerefugeesthatweredisplacedbywartendtohavePTSDandothermentalissues.Theirprincipalofmodestymakesitdifficultfordoctorstotreatpatientsoftheoppositegender.Smokinghabitshaveshownincreasedratesofrespiratoryissuesandlungcancer.Ramadanfastingcanbedangerousforsomewithpoorhealth

    InterestingFacts:Arabpeopledon'tviewnursesashealthcareprofessionals,theyviewthemashelpers.Nursesmedicaladviceandsuggestionsarenottakenseriously.U.S.censussaysthatthereareapproximately1.9millionArabAmericanslivingintheunitedstatestodaybuttheybelievethisnumbertobeunder-reportedduetobiasagainstIslamiccultures.MuslimsprayfivetimesadayArabsacceptfoodwiththeirrighthandonlybecausetheirlefthandisusedforcleaningupwhileusingtherestroom.Orthodoxmuslimsfollowastrictno-porkdietsosometimes,theirfoodmustbepreparedalittledifferently.