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Purnell's
Model
Overview/Heritage:
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5 Communication
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Family
roles & organization
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Workforce
issues
Biocultural
ecology
High-risk
behaviors
Nutrition
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Pregnancy
Death
rituals
Spirituality
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Health
care practices
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Health
care practitioners
References
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Haitian society is a matriarchal
society, yet the man has the ultimate control.15, 28, 29, 30, 35,
36
However, once Haitians
come to the U.S., the relationship may become more egalitarian. 32 Over 80% of unions in Haiti are common-law or plasaj.4, 15, 21, 24
Having several plasaj
relationships is not uncommon and polygamy is accepted among males.15, 28, 29, 30, 35 The person that makes the
health care decisions may vary between mother, father or elder
family member.29 In homes with two parents, the roles appear to follow gender lines.
Women are responsible for the children and the home, but in Haiti
economics seem to dictate that the woman earn a wage. Since many Haitian
households are single-parent, the women are forced to do all of the work,
including financially supporting the family. Haitian women
rank near the bottom of various gender equality
surveys and suffer from a high rate of domestic abuse.24
Married women in
Haiti were legally considered minors until 1979.24 -
Family is very important to Haitians, and emigration does not mean
that their obligation to the family in Haiti has lessened. Family
members that have emigrated are still financially responsible to those in
Haiti. They also may help to finance others' immigration to the U.S.
When new immigrants arrive, they often live with a friend or relative.4, 35 Haitians are expected to be
generous and often will take in new refugees, even if there are no
ties to these individuals.4, 17
Family Roles and Organization:
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