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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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Family Roles and Priorities
Children are
viewed as a gift from God and must be well cared for
to fulfill God's blessing.4, 21, 38, 39 Because they are so cherished, the whole
family and, sometimes the community, feel responsible for raising the
child. For Haitians in the U.S. this may lead to sending a child
back to Haiti to be raised, or it may lead to having a child sent from Haiti to the
U.S. to stay at a
relative's home.4
Women in Haiti will go hungry so
their children can go to school, and will feed the children before
they eat.24
In
Haiti, extended family networks can help with children. The lack of extended family and kin support
has been noted to be one of the
most difficult aspects of raising children in the United States.40,
41
Discipline
of children is swift and physical
which may be considered abuse by American standards.4, 15, 35, 40
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Elderly parents often live with
their children and a child usually considers it an honor that
a parent has chosen their home to live in.35
Elders are viewed as knowledgeable
and their counsel is often sought.35
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In rural areas of Haiti, extended
families are common.21
It is
not uncommon for individuals to have two nuclear families, one in Haiti and
one in the U.S. 4, 42
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Gay and lesbian relationships in
Haitian culture are not recognized.29, 30
In Haiti, there is a very large
distinction between the upper and lower class with very little
middle class. The upper class traditionally had lighter skin, more
money, better education, was proficient in French, and
controlled the government.
Education is important to Haitians as it
can improve social status.15, 21
Family Roles
and Organization:
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