Using family members to interpret is seen to disturb family dynamics, especially respect of elders.xv Vietnam-born women often prefer to be treated by female health care providers.xvi Health in Australia In 2012, average life expectancy in Vietnam was Culture Clues™is designed to increase awareness about concepts and preferences of patients from the diverse cultures served by University of Washington Medical Center. Because they value politeness and respect for authority, patients may not voice concerns or ask providers questions. Today, the Vietnamese practice a variety of religions. Vietnamese American seniors do have difference in their medical profiles. Accessed July 22, 2018. Approximately one in five of all adults in the U.S. experiences mental illness in a given year. There is no tipping culture. These standards include cultural competency practices to help improve the quality of healthcare, and reduce unequal treatment of people of different cultures. contents on the Vela Learn site are for informational purposes only. Each personâs preferences, practices, and health outcomes are shaped by many factors. Cultural Humility. It is much more interdependent and tight-knit than what many Western cultures are familiar with. When caring for a Vietnamese patient, caregivers and providers may want to consider these suggestions about communication: Also, Vietnamese use different terms to address relatives and strangers. Very importantly, being culturally competent also helps prevent miscommunication and treatment errors. More than 125,000 Vietnamese who had ties with the government or with Americans escaped from invading communists. Molina Institute for Cultural Competency. Parents today take more of an advisory role in the choice of a childâs mate. *, *Adapted from: https://www.samhsa.gov/capt/applying-strategic-prevention/cultural-competence. Health Care Disparities in the Vietnamese American community Racial and ethnic minority groups in the U.S. not only face social inequalities, but discrimination in our healthcare system, language barriers and limited access to health care 13 Mai-Nhung Le and Tu-Uyen Nguyen. Many Vietnamese believe emotional pain to be a physical symptom and may resist referrals to mental health clinics. In Seattle’s International District, there are several Vietnamese markets that carry more traditional foods. Rates of smoking among men are very high with smoking-related cancer endemic in this population. In 1999, the average life expectancy at birth was 65.71 years for men and 70.64 years for women. They feel that the length of oneâs life is predetermined, and that prolonging life is futile. Moxibustion, often combined with acupuncture, is the process of making superficial circular burns on the skin with ignited incense or other material placed directly on the skin. Rice is a staple of the region. Vietnamese women have a 2.5x higher incidence of cervical cancer than any other racial or ethnic group. Culture Clues™Patient and Family Education Services. The Vietnamese people generally have a high trust level with healthcare personnel. A typical Vietnamese diet is generally healthy, with rice or noodles, fresh vegetables, and fish or meat. When a person dies, it is customary for the coffin to be placed in the home for 3 days, so that family and friends can visit and pay their respects. Many then made their way to the U.S. This has been attributed, in part, to individuals of Vietnamese descent having high rates of hepatitis B, a major risk factor for liver cancer. “Vietnamese Cultural Profile.” Reviewed and updated December, 2010. Often, elders do not trust Western medicine and use it only as a last resort. Usually, it will be an elder man who will make the final decisions. The rate of liver cancer for Vietnamese-American men is 13 times higher than it is for men of non-Asian descent. [1] Zong, Jie and Batalova, Jeanne. Health is viewed as the result of a harmonious balance between the poles of hot and cold that govern bodily functions. Cultural Considerations: Beliefs Related to Medical Care. Vietnamese men have very high rates of lymphoma, liver cancer, and nasopharynx cancer. Many are Roman Catholics, a result of Vietnamâs occupation by the French, Portuguese, and Spanish. Due to the impact of the Vietnam War, children who were born to American soldiers often struggle with identity, as they may have been rejected by the Vietnamese community. Every person is … If you feel the service has gone … Family is the most important aspect of life in Vietnam. 3. The rituals communicate communal responsibilities and can recreate social order by conveying who will take the place of the deceased. When a caregiver or healthcare professional understands cultural differences and practices, he/she is able to use this knowledge to provide more accurate care and treatment. culture briefs, is to present readers with a quick overview of the Vietnam culture and to introduce references that will provide more in-depth perspectives. The traditional diet is mostly rice, fish, and vegetables, plus pork or chicken when available. Cultural Awareness Health Beliefs and Practices in the Vietnamese culture Mystical beliefs explain physical and mental illness. Dairy and soy products are not part of a typical Vietnamese diet, although most children drink milk. The most common cancers seen are prostate, breast, lung, and colorectal cancer. “End of Life Care: The Vietnamese Culture.” Available at: https://depts.washington.edu/pfes/PDFs/End%20of%20Life-Vietnamese.pdf. Healthcare providers and caregivers should check with the patient and family in the beginning to learn how medical information should be disclosed, and to whom. Minnesota was home to 23,000 foreign-born Vietnamese in 2013, who largely arrived in the 1980s. Mass immigration to the U.S. began in 1975 with the fall of Saigon at the end of the Vietnam War (often referred to as the American War by Vietnamese). Older immigrants are less likely to have English skills which may increase the loneliness, isolation, and depression. Vietnamese women may expect health professionals to provide advice regarding infant care. Family members are expected to work and behave for the good of the group. Available at: https://ethnomed.org/culture/vietnamese/vietnamese-cultural-profile#section-15. In Vietnam, elders had authority and were respected, but they have lost much of this status in the U.S., leaving many depressed and lonely. Vietnamese patients may smile easily and often, regardless of underlying emotions. In 2013, the US Office of Minority Health developed a set of standards [Culturally and Linguistically Appropriate Services (CLAS)] for health organizations. The profiles provide information for health care providers on the communication … Red meat is avoided. Accessed July 23, 2018. The information provided is not intended to replace advice, diagnosis, or treatment by a medical professional. Family. Cultural reliance on traditional Eastern-based practices to treat mental illness such as herbal medicine and spiritual healing. Cutaneous hematomas are made on the face and trunk by pinching and pulling the skin to release excessive air, by rubbing skin with a coin or spoon, or by cuppingâheating air in a cup with a flame, then placing the cup on the skin. In Vietnam, people with mental illness were hidden. https://www.samhsa.gov/capt/applying-strategic-prevention/cultural-competence, https://www.thinkculturalhealth.hhs.gov/clas, https://www.cia.gov/library/publications/resources/the-world-factbook/geos/vm.html, https://ethnomed.org/culture/vietnamese/vietnamese-cultural-profile#section-15, https://geriatrics.stanford.edu/ethnomed/vietnamese/patterns.html, http://www.molinahealthcare.com/providers/nm/medicaid/resource/PDF/health_nm_vietnameseculture-influencesandimplicationsforhealthcare_materialandtest.pdf, https://depts.washington.edu/pfes/PDFs/End%20of%20Life-Vietnamese.pdf, https://www.migrationpolicy.org/article/vietnameseimmigrants-united-states, http://www.pewsocialtrends.org/fact-sheet/asian-americans-vietnamese-in-the-u-s-fact-sheet/, https://www.cdc.gov/tb/publications/guidestoolkits/ethnographicguides/vietnam.pdf, California (Los Angeles, San Jose, San Francisco, San Diego), Loyalty and lifelong obligation to family, parents and elders, Strong respect for education and authority, Guarding and preserving the family reputation. 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