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Population Health and
   Social Change
How do changing social conditions influence health?
• Social change is a normal process that
  occurs throughout human society
• It occurs over time in response to complex
  environmental, political and social factors.
Pressure for Change


       CHANGE
Pressure for Change


Social   CHANGE
Pressure for Change


Social   CHANGE




         Economic
Pressure for Change


Social   CHANGE     Political




         Economic
Why Demography is important
Why Demography is important

• Estimation of current social needs and prediction
  of future social needs.
Why Demography is important

• Estimation of current social needs and prediction
  of future social needs.

    • Size
Why Demography is important

• Estimation of current social needs and prediction
  of future social needs.

    • Size
    • Distribution
Why Demography is important

• Estimation of current social needs and prediction
  of future social needs.

    • Size
    • Distribution
    • Structure- age, gender, ethnicity, wealth
Why Demography is important

• Estimation of current social needs and prediction
  of future social needs.

    • Size
    • Distribution
    • Structure- age, gender, ethnicity, wealth
    • Fertility, morbidity and mortality
Why Demography is important

• Estimation of current social needs and prediction
  of future social needs.

    • Size
    • Distribution
    • Structure- age, gender, ethnicity, wealth
    • Fertility, morbidity and mortality
    • Migration
Why Demography is important

• Estimation of current social needs and prediction
  of future social needs.

    • Size
    • Distribution
    • Structure- age, gender, ethnicity, wealth
    • Fertility, morbidity and mortality
    • Migration
    • Future trends
Largest Cities 2015




 Source: UN Dept. of Economic and Social Affairs, Population Division (2005)
Largest Cities 2015
     Tokyo                                                                                  35.4
   Mumbai                                                      21.8
Mexico City                                                21.5
  Sao Paulo                                              20.5
  New York                                              19.8
      Delhi                                         18.6
   Shanghai                                      17.2
   Calcutta                                     16.9
     Dhaka                                      16.9
    Jakarta                                     16.8
London (29)                   8.6

              0                     10                     20                     30               40



              Source: UN Dept. of Economic and Social Affairs, Population Division (2005)
Global Urbanisation




Source: UN Dept. of Economic and Social Affairs, Population Division (2005)
Global Urbanisation
3,000

                                                                                                                        2,414
2,400

1,800
                                                                                                                  1,363
1,200

                                                                                    579               644
 600                                                    522 542
                                                                              394
                                   249 332        276                                           294         234
                 21 29       109                                     70                    32
         7
   0
        50

                 00

                       25


                              50

                                      00

                                             25


                                                  50

                                                        00

                                                               25


                                                                     50

                                                                              00

                                                                                    25


                                                                                           50

                                                                                                 00

                                                                                                      25


                                                                                                            50

                                                                                                                   00

                                                                                                                          25
        19

             20

                      20


                            19

                                   20

                                           20


                                                  19

                                                        20

                                                             20


                                                                    19

                                                                          20

                                                                                    20


                                                                                           19

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                                                                                                      20


                                                                                                            19

                                                                                                                  20

                                                                                                                        20
                                         ica




                                                          pe




                                                                                       n
                 ia




                                                                                                 a




                                                                                                                   ia
                                                                                                ric
                                                                                       a
                 an




                                                                                                                  As
                                                                                    be
                                                        ro
                                        er




                                                                                                Af
             ce




                                                       Eu




                                                                                  ib
                                    Am
             O




                                                                                ar
                                                                               /C
                                   th
                                 or




                                                                              ica
                              N




                                                                          er
                                                                         Am
                                                                    tin
                                                                    La




                      Source: UN Dept. of Economic and Social Affairs, Population Division (2005)
Household Trends

 % living alone   % lone parent




Source: ONS Census 2001
Household Trends

             % living alone          % lone parent

12


 8


 4


 0
     1961   1971              1981        1991       2000


            Source: ONS Census 2001
Household Trends

                % living alone          % lone parent

12


 8
                                                        12
                                           11
 4                               8
            6
     4

 0
     1961   1971                 1981        1991        2000


            Source: ONS Census 2001
Household Trends

                 % living alone           % lone parent

12


 8
                                                          12
                                             11
                                                     10        10
 4                                8
             6                        6
     4                 4
         3
 0
     1961    1971                 1981         1991        2000


             Source: ONS Census 2001
Cultural Change
Cultural Change
   Culture refers to values, customs, traditions and norms of
    behaviour shared by a community.
Cultural Change
   Culture refers to values, customs, traditions and norms of
    behaviour shared by a community.
   Cultural values shape the way we think about and interpret the
    world; they provide us with a world view and are the basis for
    communication.
The extent of cultural influences
The extent of cultural influences

People who share a culture
tend to associate with each
other
The extent of cultural influences

People who share a culture
tend to associate with each
other

Values are pervasive, not
equally shared by
individuals within a
community
The extent of cultural influences

People who share a culture
tend to associate with each
other

Values are pervasive, not
equally shared by
individuals within a
community

The degree of commitment
to cultural values varies
according to age, gender,
social layer etc.,
‘Traditional’ Cultures
‘Traditional’ Cultures
‘Traditional’ Cultures
Relationships    Formality       Co-dependent        Cultural Conformity



 Knowledge      Experiential       Authority              Tradition



                                 Nature, spirits,
  Religion      Many Gods                                 Primary
                               ancestors, cyclical



  Lifestyle     Consistency         Maturity             Collectivist
‘Traditional’ Cultures
Relationships    Formality       Co-dependent        Cultural Conformity



 Knowledge      Experiential       Authority              Tradition



                                 Nature, spirits,
  Religion      Many Gods                                 Primary
                               ancestors, cyclical



  Lifestyle     Consistency         Maturity             Collectivist
‘Traditional’ Cultures
Relationships    Formality       Co-dependent        Cultural Conformity



 Knowledge      Experiential       Authority              Tradition



                                 Nature, spirits,
  Religion      Many Gods                                 Primary
                               ancestors, cyclical



  Lifestyle     Consistency         Maturity             Collectivist
‘Traditional’ Cultures
Relationships    Formality       Co-dependent        Cultural Conformity



 Knowledge      Experiential       Authority              Tradition



                                 Nature, spirits,
  Religion      Many Gods                                 Primary
                               ancestors, cyclical



  Lifestyle     Consistency         Maturity             Collectivist
‘Traditional’ Cultures
Relationships    Formality       Co-dependent        Cultural Conformity



 Knowledge      Experiential       Authority              Tradition



                                 Nature, spirits,
  Religion      Many Gods                                 Primary
                               ancestors, cyclical



  Lifestyle     Consistency         Maturity             Collectivist
‘Traditional’ Cultures
Relationships    Formality       Co-dependent        Cultural Conformity



 Knowledge      Experiential       Authority              Tradition



                                 Nature, spirits,
  Religion      Many Gods                                 Primary
                               ancestors, cyclical



  Lifestyle     Consistency         Maturity             Collectivist
‘Traditional’ Cultures
Relationships    Formality       Co-dependent        Cultural Conformity



 Knowledge      Experiential       Authority              Tradition



                                 Nature, spirits,
  Religion      Many Gods                                 Primary
                               ancestors, cyclical



  Lifestyle     Consistency         Maturity             Collectivist
‘Traditional’ Cultures
Relationships    Formality       Co-dependent        Cultural Conformity



 Knowledge      Experiential       Authority              Tradition



                                 Nature, spirits,
  Religion      Many Gods                                 Primary
                               ancestors, cyclical



  Lifestyle     Consistency         Maturity             Collectivist
‘Traditional’ Cultures
Relationships    Formality       Co-dependent        Cultural Conformity



 Knowledge      Experiential       Authority              Tradition



                                 Nature, spirits,
  Religion      Many Gods                                 Primary
                               ancestors, cyclical



  Lifestyle     Consistency         Maturity             Collectivist
‘Traditional’ Cultures
Relationships    Formality       Co-dependent        Cultural Conformity



 Knowledge      Experiential       Authority              Tradition



                                 Nature, spirits,
  Religion      Many Gods                                 Primary
                               ancestors, cyclical



  Lifestyle     Consistency         Maturity             Collectivist
‘Traditional’ Cultures
Relationships    Formality       Co-dependent        Cultural Conformity



 Knowledge      Experiential       Authority              Tradition



                                 Nature, spirits,
  Religion      Many Gods                                 Primary
                               ancestors, cyclical



  Lifestyle     Consistency         Maturity             Collectivist
‘Traditional’ Cultures
Relationships    Formality       Co-dependent        Cultural Conformity



 Knowledge      Experiential       Authority              Tradition



                                 Nature, spirits,
  Religion      Many Gods                                 Primary
                               ancestors, cyclical



  Lifestyle     Consistency         Maturity             Collectivist
‘Traditional’ Cultures
Relationships    Formality       Co-dependent        Cultural Conformity



 Knowledge      Experiential       Authority              Tradition



                                 Nature, spirits,
  Religion      Many Gods                                 Primary
                               ancestors, cyclical



  Lifestyle     Consistency         Maturity             Collectivist
‘Traditional’ Cultures
Relationships    Formality       Co-dependent        Cultural Conformity



 Knowledge      Experiential       Authority              Tradition



                                 Nature, spirits,
  Religion      Many Gods                                 Primary
                               ancestors, cyclical



  Lifestyle     Consistency         Maturity             Collectivist
‘Traditional’ Cultures
Relationships    Formality       Co-dependent        Cultural Conformity



 Knowledge      Experiential       Authority              Tradition



                                 Nature, spirits,
  Religion      Many Gods                                 Primary
                               ancestors, cyclical



  Lifestyle     Consistency         Maturity             Collectivist
‘Traditional’ Cultures
Relationships    Formality       Co-dependent        Cultural Conformity



 Knowledge      Experiential       Authority              Tradition



                                 Nature, spirits,
  Religion      Many Gods                                 Primary
                               ancestors, cyclical



  Lifestyle     Consistency         Maturity             Collectivist
‘Modern’ Cultures
‘Modern’ Cultures
‘Modern’ Cultures
Relationships   Informality   Independence   Transcultural



 Knowledge      Scientific      Rationality    Currency



  Religion      One God         One Life      Secondary



  Lifestyle      Change          Youth       Individuality
‘Modern’ Cultures
Relationships   Informality   Independence   Transcultural



 Knowledge      Scientific      Rationality    Currency



  Religion      One God         One Life      Secondary



  Lifestyle      Change          Youth       Individuality
‘Modern’ Cultures
Relationships   Informality   Independence   Transcultural



 Knowledge      Scientific      Rationality    Currency



  Religion      One God         One Life      Secondary



  Lifestyle      Change          Youth       Individuality
‘Modern’ Cultures
Relationships   Informality   Independence   Transcultural



 Knowledge      Scientific      Rationality    Currency



  Religion      One God         One Life      Secondary



  Lifestyle      Change          Youth       Individuality
‘Modern’ Cultures
Relationships   Informality   Independence   Transcultural



 Knowledge      Scientific      Rationality    Currency



  Religion      One God         One Life      Secondary



  Lifestyle      Change          Youth       Individuality
‘Modern’ Cultures
Relationships   Informality   Independence   Transcultural



 Knowledge      Scientific      Rationality    Currency



  Religion      One God         One Life      Secondary



  Lifestyle      Change          Youth       Individuality
‘Modern’ Cultures
Relationships   Informality   Independence   Transcultural



 Knowledge      Scientific      Rationality    Currency



  Religion      One God         One Life      Secondary



  Lifestyle      Change          Youth       Individuality
‘Modern’ Cultures
Relationships   Informality   Independence   Transcultural



 Knowledge      Scientific      Rationality    Currency



  Religion      One God         One Life      Secondary



  Lifestyle      Change          Youth       Individuality
‘Modern’ Cultures
Relationships   Informality   Independence   Transcultural



 Knowledge      Scientific      Rationality    Currency



  Religion      One God         One Life      Secondary



  Lifestyle      Change          Youth       Individuality
‘Modern’ Cultures
Relationships   Informality   Independence   Transcultural



 Knowledge      Scientific      Rationality    Currency



  Religion      One God         One Life      Secondary



  Lifestyle      Change          Youth       Individuality
‘Modern’ Cultures
Relationships   Informality   Independence   Transcultural



 Knowledge      Scientific      Rationality    Currency



  Religion      One God         One Life      Secondary



  Lifestyle      Change          Youth       Individuality
‘Modern’ Cultures
Relationships   Informality   Independence   Transcultural



 Knowledge      Scientific      Rationality    Currency



  Religion      One God         One Life      Secondary



  Lifestyle      Change          Youth       Individuality
‘Modern’ Cultures
Relationships   Informality   Independence   Transcultural



 Knowledge      Scientific      Rationality    Currency



  Religion      One God         One Life      Secondary



  Lifestyle      Change          Youth       Individuality
‘Modern’ Cultures
Relationships   Informality   Independence   Transcultural



 Knowledge      Scientific      Rationality    Currency



  Religion      One God         One Life      Secondary



  Lifestyle      Change          Youth       Individuality
‘Modern’ Cultures
Relationships   Informality   Independence   Transcultural



 Knowledge      Scientific      Rationality    Currency



  Religion      One God         One Life      Secondary



  Lifestyle      Change          Youth       Individuality
‘Modern’ Cultures
Relationships   Informality   Independence   Transcultural



 Knowledge      Scientific      Rationality    Currency



  Religion      One God         One Life      Secondary



  Lifestyle      Change          Youth       Individuality
Values, customs and traditions
Values, customs and traditions


Shared values, traditions and lifestyles of a
group or community
Values, customs and traditions


Shared values, traditions and lifestyles of a
group or community
   Terminal values: Why we live our life.
   (wealth, happiness, religion.)
Values, customs and traditions


Shared values, traditions and lifestyles of a
group or community
   Terminal values: Why we live our life.
   (wealth, happiness, religion.)
   Instrumental values: How we live our life
   (the things we value, family, technology,
   clothes, cars etc.)
Values, customs and traditions


Shared values, traditions and lifestyles of a
group or community
   Terminal values: Why we live our life.
   (wealth, happiness, religion.)
   Instrumental values: How we live our life
   (the things we value, family, technology,
   clothes, cars etc.)
Customs: Contemporary ways of doing things
Values, customs and traditions


Shared values, traditions and lifestyles of a
group or community
   Terminal values: Why we live our life.
   (wealth, happiness, religion.)
   Instrumental values: How we live our life
   (the things we value, family, technology,
   clothes, cars etc.)
Customs: Contemporary ways of doing things
Tradition: Historical ways of doing things
Values, customs and traditions


Shared values, traditions and lifestyles of a
group or community
   Terminal values: Why we live our life.
   (wealth, happiness, religion.)
   Instrumental values: How we live our life
   (the things we value, family, technology,
   clothes, cars etc.)
Customs: Contemporary ways of doing things
Tradition: Historical ways of doing things
Value sets: Collection of values adopted by a
cultural group or sub group
Acculturation
               Resistance/Receptiveness



 Duration
& Intensity          Variables            Cultural Similarity
of Contact




                Degree of Integration

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Social Change

  • 1. Population Health and Social Change How do changing social conditions influence health?
  • 2. • Social change is a normal process that occurs throughout human society • It occurs over time in response to complex environmental, political and social factors.
  • 5. Pressure for Change Social CHANGE Economic
  • 6. Pressure for Change Social CHANGE Political Economic
  • 7. Why Demography is important
  • 8. Why Demography is important • Estimation of current social needs and prediction of future social needs.
  • 9. Why Demography is important • Estimation of current social needs and prediction of future social needs. • Size
  • 10. Why Demography is important • Estimation of current social needs and prediction of future social needs. • Size • Distribution
  • 11. Why Demography is important • Estimation of current social needs and prediction of future social needs. • Size • Distribution • Structure- age, gender, ethnicity, wealth
  • 12. Why Demography is important • Estimation of current social needs and prediction of future social needs. • Size • Distribution • Structure- age, gender, ethnicity, wealth • Fertility, morbidity and mortality
  • 13. Why Demography is important • Estimation of current social needs and prediction of future social needs. • Size • Distribution • Structure- age, gender, ethnicity, wealth • Fertility, morbidity and mortality • Migration
  • 14. Why Demography is important • Estimation of current social needs and prediction of future social needs. • Size • Distribution • Structure- age, gender, ethnicity, wealth • Fertility, morbidity and mortality • Migration • Future trends
  • 15. Largest Cities 2015 Source: UN Dept. of Economic and Social Affairs, Population Division (2005)
  • 16. Largest Cities 2015 Tokyo 35.4 Mumbai 21.8 Mexico City 21.5 Sao Paulo 20.5 New York 19.8 Delhi 18.6 Shanghai 17.2 Calcutta 16.9 Dhaka 16.9 Jakarta 16.8 London (29) 8.6 0 10 20 30 40 Source: UN Dept. of Economic and Social Affairs, Population Division (2005)
  • 17. Global Urbanisation Source: UN Dept. of Economic and Social Affairs, Population Division (2005)
  • 18. Global Urbanisation 3,000 2,414 2,400 1,800 1,363 1,200 579 644 600 522 542 394 249 332 276 294 234 21 29 109 70 32 7 0 50 00 25 50 00 25 50 00 25 50 00 25 50 00 25 50 00 25 19 20 20 19 20 20 19 20 20 19 20 20 19 20 20 19 20 20 ica pe n ia a ia ric a an As be ro er Af ce Eu ib Am O ar /C th or ica N er Am tin La Source: UN Dept. of Economic and Social Affairs, Population Division (2005)
  • 19. Household Trends % living alone % lone parent Source: ONS Census 2001
  • 20. Household Trends % living alone % lone parent 12 8 4 0 1961 1971 1981 1991 2000 Source: ONS Census 2001
  • 21. Household Trends % living alone % lone parent 12 8 12 11 4 8 6 4 0 1961 1971 1981 1991 2000 Source: ONS Census 2001
  • 22. Household Trends % living alone % lone parent 12 8 12 11 10 10 4 8 6 6 4 4 3 0 1961 1971 1981 1991 2000 Source: ONS Census 2001
  • 24. Cultural Change  Culture refers to values, customs, traditions and norms of behaviour shared by a community.
  • 25. Cultural Change  Culture refers to values, customs, traditions and norms of behaviour shared by a community.  Cultural values shape the way we think about and interpret the world; they provide us with a world view and are the basis for communication.
  • 26. The extent of cultural influences
  • 27. The extent of cultural influences People who share a culture tend to associate with each other
  • 28. The extent of cultural influences People who share a culture tend to associate with each other Values are pervasive, not equally shared by individuals within a community
  • 29. The extent of cultural influences People who share a culture tend to associate with each other Values are pervasive, not equally shared by individuals within a community The degree of commitment to cultural values varies according to age, gender, social layer etc.,
  • 32. ‘Traditional’ Cultures Relationships Formality Co-dependent Cultural Conformity Knowledge Experiential Authority Tradition Nature, spirits, Religion Many Gods Primary ancestors, cyclical Lifestyle Consistency Maturity Collectivist
  • 33. ‘Traditional’ Cultures Relationships Formality Co-dependent Cultural Conformity Knowledge Experiential Authority Tradition Nature, spirits, Religion Many Gods Primary ancestors, cyclical Lifestyle Consistency Maturity Collectivist
  • 34. ‘Traditional’ Cultures Relationships Formality Co-dependent Cultural Conformity Knowledge Experiential Authority Tradition Nature, spirits, Religion Many Gods Primary ancestors, cyclical Lifestyle Consistency Maturity Collectivist
  • 35. ‘Traditional’ Cultures Relationships Formality Co-dependent Cultural Conformity Knowledge Experiential Authority Tradition Nature, spirits, Religion Many Gods Primary ancestors, cyclical Lifestyle Consistency Maturity Collectivist
  • 36. ‘Traditional’ Cultures Relationships Formality Co-dependent Cultural Conformity Knowledge Experiential Authority Tradition Nature, spirits, Religion Many Gods Primary ancestors, cyclical Lifestyle Consistency Maturity Collectivist
  • 37. ‘Traditional’ Cultures Relationships Formality Co-dependent Cultural Conformity Knowledge Experiential Authority Tradition Nature, spirits, Religion Many Gods Primary ancestors, cyclical Lifestyle Consistency Maturity Collectivist
  • 38. ‘Traditional’ Cultures Relationships Formality Co-dependent Cultural Conformity Knowledge Experiential Authority Tradition Nature, spirits, Religion Many Gods Primary ancestors, cyclical Lifestyle Consistency Maturity Collectivist
  • 39. ‘Traditional’ Cultures Relationships Formality Co-dependent Cultural Conformity Knowledge Experiential Authority Tradition Nature, spirits, Religion Many Gods Primary ancestors, cyclical Lifestyle Consistency Maturity Collectivist
  • 40. ‘Traditional’ Cultures Relationships Formality Co-dependent Cultural Conformity Knowledge Experiential Authority Tradition Nature, spirits, Religion Many Gods Primary ancestors, cyclical Lifestyle Consistency Maturity Collectivist
  • 41. ‘Traditional’ Cultures Relationships Formality Co-dependent Cultural Conformity Knowledge Experiential Authority Tradition Nature, spirits, Religion Many Gods Primary ancestors, cyclical Lifestyle Consistency Maturity Collectivist
  • 42. ‘Traditional’ Cultures Relationships Formality Co-dependent Cultural Conformity Knowledge Experiential Authority Tradition Nature, spirits, Religion Many Gods Primary ancestors, cyclical Lifestyle Consistency Maturity Collectivist
  • 43. ‘Traditional’ Cultures Relationships Formality Co-dependent Cultural Conformity Knowledge Experiential Authority Tradition Nature, spirits, Religion Many Gods Primary ancestors, cyclical Lifestyle Consistency Maturity Collectivist
  • 44. ‘Traditional’ Cultures Relationships Formality Co-dependent Cultural Conformity Knowledge Experiential Authority Tradition Nature, spirits, Religion Many Gods Primary ancestors, cyclical Lifestyle Consistency Maturity Collectivist
  • 45. ‘Traditional’ Cultures Relationships Formality Co-dependent Cultural Conformity Knowledge Experiential Authority Tradition Nature, spirits, Religion Many Gods Primary ancestors, cyclical Lifestyle Consistency Maturity Collectivist
  • 46. ‘Traditional’ Cultures Relationships Formality Co-dependent Cultural Conformity Knowledge Experiential Authority Tradition Nature, spirits, Religion Many Gods Primary ancestors, cyclical Lifestyle Consistency Maturity Collectivist
  • 47. ‘Traditional’ Cultures Relationships Formality Co-dependent Cultural Conformity Knowledge Experiential Authority Tradition Nature, spirits, Religion Many Gods Primary ancestors, cyclical Lifestyle Consistency Maturity Collectivist
  • 50. ‘Modern’ Cultures Relationships Informality Independence Transcultural Knowledge Scientific Rationality Currency Religion One God One Life Secondary Lifestyle Change Youth Individuality
  • 51. ‘Modern’ Cultures Relationships Informality Independence Transcultural Knowledge Scientific Rationality Currency Religion One God One Life Secondary Lifestyle Change Youth Individuality
  • 52. ‘Modern’ Cultures Relationships Informality Independence Transcultural Knowledge Scientific Rationality Currency Religion One God One Life Secondary Lifestyle Change Youth Individuality
  • 53. ‘Modern’ Cultures Relationships Informality Independence Transcultural Knowledge Scientific Rationality Currency Religion One God One Life Secondary Lifestyle Change Youth Individuality
  • 54. ‘Modern’ Cultures Relationships Informality Independence Transcultural Knowledge Scientific Rationality Currency Religion One God One Life Secondary Lifestyle Change Youth Individuality
  • 55. ‘Modern’ Cultures Relationships Informality Independence Transcultural Knowledge Scientific Rationality Currency Religion One God One Life Secondary Lifestyle Change Youth Individuality
  • 56. ‘Modern’ Cultures Relationships Informality Independence Transcultural Knowledge Scientific Rationality Currency Religion One God One Life Secondary Lifestyle Change Youth Individuality
  • 57. ‘Modern’ Cultures Relationships Informality Independence Transcultural Knowledge Scientific Rationality Currency Religion One God One Life Secondary Lifestyle Change Youth Individuality
  • 58. ‘Modern’ Cultures Relationships Informality Independence Transcultural Knowledge Scientific Rationality Currency Religion One God One Life Secondary Lifestyle Change Youth Individuality
  • 59. ‘Modern’ Cultures Relationships Informality Independence Transcultural Knowledge Scientific Rationality Currency Religion One God One Life Secondary Lifestyle Change Youth Individuality
  • 60. ‘Modern’ Cultures Relationships Informality Independence Transcultural Knowledge Scientific Rationality Currency Religion One God One Life Secondary Lifestyle Change Youth Individuality
  • 61. ‘Modern’ Cultures Relationships Informality Independence Transcultural Knowledge Scientific Rationality Currency Religion One God One Life Secondary Lifestyle Change Youth Individuality
  • 62. ‘Modern’ Cultures Relationships Informality Independence Transcultural Knowledge Scientific Rationality Currency Religion One God One Life Secondary Lifestyle Change Youth Individuality
  • 63. ‘Modern’ Cultures Relationships Informality Independence Transcultural Knowledge Scientific Rationality Currency Religion One God One Life Secondary Lifestyle Change Youth Individuality
  • 64. ‘Modern’ Cultures Relationships Informality Independence Transcultural Knowledge Scientific Rationality Currency Religion One God One Life Secondary Lifestyle Change Youth Individuality
  • 65. ‘Modern’ Cultures Relationships Informality Independence Transcultural Knowledge Scientific Rationality Currency Religion One God One Life Secondary Lifestyle Change Youth Individuality
  • 66. Values, customs and traditions
  • 67. Values, customs and traditions Shared values, traditions and lifestyles of a group or community
  • 68. Values, customs and traditions Shared values, traditions and lifestyles of a group or community Terminal values: Why we live our life. (wealth, happiness, religion.)
  • 69. Values, customs and traditions Shared values, traditions and lifestyles of a group or community Terminal values: Why we live our life. (wealth, happiness, religion.) Instrumental values: How we live our life (the things we value, family, technology, clothes, cars etc.)
  • 70. Values, customs and traditions Shared values, traditions and lifestyles of a group or community Terminal values: Why we live our life. (wealth, happiness, religion.) Instrumental values: How we live our life (the things we value, family, technology, clothes, cars etc.) Customs: Contemporary ways of doing things
  • 71. Values, customs and traditions Shared values, traditions and lifestyles of a group or community Terminal values: Why we live our life. (wealth, happiness, religion.) Instrumental values: How we live our life (the things we value, family, technology, clothes, cars etc.) Customs: Contemporary ways of doing things Tradition: Historical ways of doing things
  • 72. Values, customs and traditions Shared values, traditions and lifestyles of a group or community Terminal values: Why we live our life. (wealth, happiness, religion.) Instrumental values: How we live our life (the things we value, family, technology, clothes, cars etc.) Customs: Contemporary ways of doing things Tradition: Historical ways of doing things Value sets: Collection of values adopted by a cultural group or sub group
  • 73. Acculturation Resistance/Receptiveness Duration & Intensity Variables Cultural Similarity of Contact Degree of Integration

Notas do Editor

  1. Culture refers to values, customs, traditions and norms of behaviour shared by a community. Cultural values shape the way we think about and interpret the world; they provide us with a worldview and are the basis for communication. Training for health professionals in the UK emphasises the need for a participatory relationship between professionals and their clients reflecting an emphasis on cultural values such as individuality, choice and autonomy. Over the last twenty years medical practice in diagnostic disclosure has slowly shifted from non-disclosure to full disclosure at the patient’s request. However in other cultures diagnostic disclosure to patients, especially where there is a poor prognosis, is considered to be undesirable. In Singapore, Chinese patients may hold a strong preference for non-disclosure of a cancer diagnosis. Families often request that the patient is not informed and some patients will actively avoid discussion about their diagnosis if they suspect cancer. Discussion of treatment options and involvement in decision-making is considered to be the responsibility of family members rather than patients. For Chinese patients cancer may be “attributed to bad luck, punishment for sins committed in this life or a previous one, an unbalanced ‘yin-yang’ or the will of a supreme being” The use of the term cancer by clinicians could bring about a family crisis due to the social stigma associated with cancer.
  2. Culture refers to values, customs, traditions and norms of behaviour shared by a community. Cultural values shape the way we think about and interpret the world; they provide us with a worldview and are the basis for communication. Training for health professionals in the UK emphasises the need for a participatory relationship between professionals and their clients reflecting an emphasis on cultural values such as individuality, choice and autonomy. Over the last twenty years medical practice in diagnostic disclosure has slowly shifted from non-disclosure to full disclosure at the patient’s request. However in other cultures diagnostic disclosure to patients, especially where there is a poor prognosis, is considered to be undesirable. In Singapore, Chinese patients may hold a strong preference for non-disclosure of a cancer diagnosis. Families often request that the patient is not informed and some patients will actively avoid discussion about their diagnosis if they suspect cancer. Discussion of treatment options and involvement in decision-making is considered to be the responsibility of family members rather than patients. For Chinese patients cancer may be “attributed to bad luck, punishment for sins committed in this life or a previous one, an unbalanced ‘yin-yang’ or the will of a supreme being” The use of the term cancer by clinicians could bring about a family crisis due to the social stigma associated with cancer.