Abstract
Culture may be one of the most important influences on nutritional and exercise patterns and is therefore a critical determinant of adolescent nutritional health. Nutritional health care for adolescents cannot be effectively delivered without a thorough understanding of their cultural context. To complicate matters, culture is always changing and adolescents are often the drivers of these changes, which means that there may be cultural differences between adolescents and their caregivers which affect the nutritional health of the whole family. This chapter will begin with an overview of several cultural elements that have a particularly high impact on adolescent nutritional health, including traditional beliefs about nutrition and health, gender roles, body image, general functioning with the health care system, and acculturation. Subsequently, the chapter will discuss how providers can increase their cultural awareness of their patients and families as they obtain nutritional histories, optimize communication with families, and develop culturally appropriate management plans for each adolescent.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Aceves-Martins M, Llauradó E, Tarro L, Solà R, Giralt M. Obesity-promoting factors in Mexican children and adolescents: challenges and opportunities. Glob Health Action. 2016;9:29625. https://doi.org/10.3402/gha.v9.29625. eCollection 2016.
Becker DM, Yanek LR, Koffman DM, et al. Body image preferences among urban African-American and Whites from low income communities. Ethn Dis. 1999;9:377.
Diep CS, Leung R, Thompson DI, Gor BJ, Baranowski T. Culture and diet among Chinese American children aged 9-13 years: a qualitative study. J Nutr Educ Behav. 2017;49(4):275–284.e1. https://doi.org/10.1016/j.jneb.2016.11.002. Epub 2016 Dec 24.
Dumith SC, Gigante DP, Domingues MR, Kohl HW. Physical activity change during adolescence: a systematic review and a pooled analysis. Int J Epidemiol. 2011;40:685–98.
Evans P, McConnell A. Do racial minorities respond in the same way to mainstream beauty standards? Social comparison processes in Asian, black, and white women. Self Identity. 2003;2:153–67.
Ferguson GM, Muzaffar H, Iturbide MI, Chu H, Meeks GJ. Feel American, watch American, eat American? remote acculturation, TV, and nutrition among adolescent-mother dyads in Jamaica. Child Dev. 2018;89(4):1360–77. https://doi.org/10.1111/cdev.12808. Epub 2017 Apr 25.
Ferguson WJ, Candib LM. Culture, language, and the doctor–patient relationship. Fam Med. 2002;34:353–61.
Fitzgibbon ML, Blackman LR, Avellone ME. The relationship between body image discrepancy and body mass index across ethnic groups. Obes Res. 2000;8:582–9.
Gilbert PA, Khokhar A. Changing dietary habits of ethnic groups in Europe and implications for health. Nutr Rev. 2008;66(4):203–15.
Gil-Kashiwabara E. Body image disturbance and disordered eating in African-American and Latina women. In: Collins L, Dunlap M, editors. Charting a new course for feminist psychology. Westport: Greenwood Press; 2002.
Gupta N, Goel K, Shah P, Misra A. Childhood obesity in developing countries: epidemiology, determinants, and prevention. Endocr Rev. 2012;33(Suppl 1):48–70. [PubMed].
Haddad L, Pena C, Nishida C, Quisumbing A, Slack A. Food security and nutrition implications of intrahousehold bias: a review of the literature. Food Consumption and Nutrition Division, Discussion Paper No. 19. International Food Policy Research Institute, Washington, DC, 1996.
Hadley C, Lindstrom D, Tessema F, Belachew T. Gender Bias in the food insecurity experience of Ethiopian adolescents. Soc Sci Med. 2008;66(2):427–38. https://doi.org/10.1016/j.socscimed.2007.08.025.
Harris-Fry H, Shrestha N, Costello A, Saville NM. Determinants of intra-household food allocation between adults in South Asia - a systematic review. Int J Equity Health. 2017;16(1):107. https://doi.org/10.1186/s12939-017-0603-1.
Hassapidou M, Papadopoulou SK, Frossinis A, Kaklamanos I, Tzotzas T. Sociodemographic, ethnic and dietary factors associated with childhood obesity in Thessaloniki, Northern Greece. Hormones (Athens). 2009;8:53–9.
Kleinman L, Eisenberg B. Good. Culture, illness, and care: clinical lessons from anthropologic and cross-cultural research. Ann Intern Med. 1978;88:251–8.
Kumar MM, AlBuhairan F, Galagali P, Dixon Docter A, Weiss A, Keough L, The Society for Adolescent Health and Medicine. Addressing nutritional disorders in adolescents. J Adolesc Health. 2018;62:120–3.
Martorell R, Zongrone A. Intergenerational influences on child growth and undernutrition. Paediatr Perinat Epidemiol. 2012;26:302–14.
Naigaga DA, Jahanlu D, Claudius HM, Gjerlaug AK, Barikmo I, Henjum S. Body size perceptions and preferences favor overweight in adult Saharawi refugees. Nutr J. 2018;17(1):17. https://doi.org/10.1186/s12937-018-0330-5.
Naseem S. “Breaking breast cancer news” with ethnic minority: a UK experience. J Multidiscip Healthc. 2018;11:317–22.
Padgett J, Biro FM. Different shapes in different cultures: body dissatisfaction, overweight, and obesity in African-American and caucasian females. J Pediatr Adolesc Gynecol. 2003;16(6):349–54.
Paternotte E, van Dulmen S, van der Lee N, Scherpbier AJ, Scheele F. Factors influencing intercultural doctor-patient communication: a realist review. Patient Educ Couns. 2015;98(4):420–45.
Powell AD, Kahn AS. Racial differences in women’s desires to be thin. Int J Eat Disord. 1995;17:191.
Saulle R, Del Prete G, Stelmach-Mardas M, De Giusti M, La Torre G. A breaking down of the Mediterranean diet in the land where it was discovered. A cross sectional survey among the young generation of adolescents in the heart of Cilento, Southern Italy. Ann Ig. 2016;28(5):349–59. https://doi.org/10.7416/ai.2016.2115.
Schouten BC, Meeuwesen L. Cultural differences in medical communication: a review of the literature. Patient Educ Couns. 2006;64:21–34.
Simeon DT, Rattan RD, Panchoo K, Kungeesingh KV, Ali AC, Abdool PS. Body image of adolescents in a multi-ethnic Caribbean population. Eur J Clin Nutr. 2003;57(1):157–62.
Spencer RA, Rehman L, Kirk SF. Understanding gender norms, nutrition, and physical activity in adolescent girls: a scoping review. Int J Behav Nutr Phys Act. 2015;12:6. https://doi.org/10.1186/s12966-015-0166-8.
Watson HJ, O'Brien A, Sadeh-Sharvit S. Children of parents with eating disorders. Curr Psychiatry Rep. 2018;20(11):101. https://doi.org/10.1007/s11920-018-0970-3.
Yanez AM, Peix MA, Atserias N, Arnau A, Brug J. Association of eating attitudes between teenage girls and their parents. Int J Soc Psychiatry. 2007;53(6):507–13.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Kumar, M.M. (2020). Culturally Appropriate Care. In: Evans, Y.N., Dixon Docter, A. (eds) Adolescent Nutrition. Springer, Cham. https://doi.org/10.1007/978-3-030-45103-5_10
Download citation
DOI: https://doi.org/10.1007/978-3-030-45103-5_10
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-45102-8
Online ISBN: 978-3-030-45103-5
eBook Packages: MedicineMedicine (R0)