Skip to main content

Culturally Appropriate Care

  • Chapter
  • First Online:
Adolescent Nutrition

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. 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.

    Article  PubMed  Google Scholar 

  2. 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.

    CAS  PubMed  Google Scholar 

  3. 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.

    Article  PubMed  Google Scholar 

  4. 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.

    Article  Google Scholar 

  5. 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.

    Article  Google Scholar 

  6. 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.

    Article  PubMed  Google Scholar 

  7. Ferguson WJ, Candib LM. Culture, language, and the doctor–patient relationship. Fam Med. 2002;34:353–61.

    PubMed  Google Scholar 

  8. 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.

    Article  CAS  Google Scholar 

  9. Gilbert PA, Khokhar A. Changing dietary habits of ethnic groups in Europe and implications for health. Nutr Rev. 2008;66(4):203–15.

    Article  Google Scholar 

  10. 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.

    Google Scholar 

  11. 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].

    Article  CAS  Google Scholar 

  12. 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.

    Google Scholar 

  13. 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.

    Article  PubMed  Google Scholar 

  14. 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.

    Article  PubMed  PubMed Central  Google Scholar 

  15. 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.

    Article  Google Scholar 

  16. Kleinman L, Eisenberg B. Good. Culture, illness, and care: clinical lessons from anthropologic and cross-cultural research. Ann Intern Med. 1978;88:251–8.

    Article  CAS  Google Scholar 

  17. 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.

    Google Scholar 

  18. Martorell R, Zongrone A. Intergenerational influences on child growth and undernutrition. Paediatr Perinat Epidemiol. 2012;26:302–14.

    Article  Google Scholar 

  19. 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.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Naseem S. “Breaking breast cancer news” with ethnic minority: a UK experience. J Multidiscip Healthc. 2018;11:317–22.

    Article  Google Scholar 

  21. 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.

    Article  Google Scholar 

  22. 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.

    Article  Google Scholar 

  23. Powell AD, Kahn AS. Racial differences in women’s desires to be thin. Int J Eat Disord. 1995;17:191.

    Article  CAS  Google Scholar 

  24. 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.

    Article  CAS  PubMed  Google Scholar 

  25. Schouten BC, Meeuwesen L. Cultural differences in medical communication: a review of the literature. Patient Educ Couns. 2006;64:21–34.

    Article  Google Scholar 

  26. 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.

    Article  CAS  Google Scholar 

  27. 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.

    Article  PubMed  PubMed Central  Google Scholar 

  28. 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.

    Article  PubMed  Google Scholar 

  29. 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.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Maya Michelle Kumar .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

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)

Publish with us

Policies and ethics