Cultural expressions of bodily awareness among chronically ill Filipino Americans.
OBJECTIVE
To describe Filipino Americans' cultural traditions surrounding bodily awareness, especially how the principle of balance informs their views, and the link to self-management of chronic illness.


METHODS
This qualitative study used semistructured interviews with 85 Filipino Americans between the ages of 46 and 97 years. Volunteers were recruited from numerous health care sites in 1 geographic location in the United States. Respondents had 1 or more chronic illnesses. Taped and transcribed interviews were coded and evaluated for themes.


RESULTS
The concept of balance was central to Filipino Americans' portrayal of bodily awareness of signs and symptoms related to chronic illnesses, as well as to actions they took to manage their chronic illnesses. Efforts were made to control chronic illnesses through a variety of self-care practices. Diet posed a particular challenge because of the symbolic importance of food in Filipino culture and its use in the maintenance of social relationships.


CONCLUSIONS
The ways in which Filipino Americans combine attention to the body, values of balance and harmony, and emphasis on social well-being result in heightened attention to bodily processes. Filipino Americans' emphasis on bodily awareness suggests that this particular cultural strength can be used to enhance chronic illness management. Awareness of the cultural traditions of Filipino Americans can facilitate patient education about how to manage chronic illnesses.
Becker
Gay
G
Institute for Health and Aging, University of California, San Francisco, Calif 94143-0646, USA. becker@itsa.ucsf.edu
D000203:Activities of Daily Living / Q000523:psychology; D000223:Adaptation, Psychological; D000368:Aged; D000369:Aged, 80 and over; D000884:Anthropology, Cultural; D001213:Asian / Q000523:psychology*; D001294:Attitude to Health; D001364:Awareness / Q000502:physiology*; D001828:Body Image; D002908:Chronic Disease / Q000453:epidemiology / Q000523:psychology*; D004641:Emigration and Immigration; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010549:Personal Satisfaction; D011788:Quality of Life / Q000523:psychology; D012648:Self Care / Q000523:psychology; D012803:Sick Role; D013315:Stress, Psychological / Q000453:epidemiology / Q000209:etiology / Q000523:psychology; D014481:United States