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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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Sexually
transmitted diseases (STDs) are a common health problem in Haiti.
The rates can be attributed to the acceptance of the polygamous lifestyles of men.
Also, due to their health belief system, many Haitians do not
associate STDs with sexual intercourse.15, 42 Haitian men are generally not willing to use
contraceptives.42 In addition, STDs are more difficult to
eliminate in this population because it is common to stop taking
antibiotics once symptoms subside.15, 42
Many Haitian immigrants
don't see the importance of exercise or feel they don't
have the time.51 For Haitians in the U.S., having the time to
go to the gym is viewed as a luxury.52 - One study that analyzed cardiovascular risk factors in
Afro-Caribbean individuals in the U. S., found that 26% of their sample smoked,
and 67% of their sample was overweight.53 These results could be interpreted as a change in lifestyle
as Haitians assimilate to U.S. culture.
In traditional Haitian culture,
being fat means being healthy, whereas being thin
indicates poor health.30, 31, 32
Traditionally, Haitians tend to seek care from a biomedical
practitioner only when all other options are exhausted.42, 51, 54 Illness is associated with not being
able to work. For a further description of health care seeking see
section on
Health Care
Practices.
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