Transcript chapter7
Central Europeans, People of the
Former Soviet Union (FSU)
and Scandinavia
Chapter 7
Introduction
Some of the earliest and largest ethnic
groups to the US
Contributions include
◦
◦
◦
◦
Bread baking
Dairy farming
Meat processing
Beer brewing
Central Europe
FSU/Russian
Federation
Germany
Armenia
Austria
Azerbaijan
Hungary
Belarus
Romania
Georgia
Czech Republic
Kazakstan
Slovakia
Kyrgyzstan
Poland
Rep of Moldavia
Switzerland
Tajikistan
Liechtenstein
Turkmenistan
FSU/Baltic
States
Ukraine
•Estonia
Uzbekistan
•Latvia
•Lithuania
Immigration Patterns: Germans
Largest ethnic group in US and least visible
Earliest in early 1700’s
◦ Pennsylvania Dutch seeking religious freedom
German farmers in Pennsylvania, Ohio, and Indiana
Second group in 1800’s
◦ Farmers and their families
Early 1900’s
◦ Unmarried industrial workers
◦ Descendants of Germans who had settled in
Russia
1930’s brought Jewish refugees
After WWII there were German refugees
Immigration Patterns: Poles
Earliest to US was 1608
Most came between 1860 and 1914
◦ German ruled areas of Poland
◦ Western Germany
After 1890 Poles from areas under
Austrian and Russian rule
◦ Chicago, Buffalo, and Cleveland
After WWI came from political
dissatisfaction
Immigration Patterns: Others
Austrians
◦ Initially classified with Hungarians and unskilled
◦ Austrian Jews fled Hitler’s arrival
Hungarians
◦ Early immigrants were wealthy political refugees
after 1848
◦ Later Ohio, West Virginia, N Illinois, Indiana coal
mines
Czechs
◦ Nebraska, Wisconsin, Texas, Iowa, Minnesota
farmers
◦ Skilled laborers settling in the urban areas of
New York, Cleveland, and Chicago.
Immigration Patterns: Others
Slovaks
◦ Northeast and Midwest
◦ Coal mines, steel mills, and oil refineries
Swiss
◦ Artisans or professionals
◦ Urban areas of New York, Philadelphia,
Chicago, Cincinnati, St. Louis, San
Francisco, and Los Angeles
Gypsies or Roma
◦ Insular ethnic group found throughout the
world
◦ In US primarily from central Europe
Immigration Patterns: FSU
◦ Often listed as Russians
Lithuania
◦ After 1861 and then after WWII
Ukraine
◦ Recruited to coals mines of Pennsylvania
◦ Factory work in Ohio, New York, and Michigan
Armenia
◦ First in 1890 for economic opportunity
◦ Armenians from Turkey came after both WW
◦ Los Angeles, Boston, New York, Detroit,
Chicago, and the agricultural region of Fresno,
California.
Current Demographics and
Socioeconomic Status
Germans
◦ Some maintain aspects of their heritage
◦ higher in economic achievement and are
generally conservative in attitudinal
ratings
◦ Heavy anti-German sentiment after WWI
◦ Rapid assimilation
Poles
◦ Just below or solidly at middle-class level
◦ Formation and leadership in labor unions
Current Demographics and
Socioeconomic Status: Others
Austrian
◦ Clothing and tailoring, mining
◦ Bakeries, meatpacking operations, and
restaurants
Hungarians
◦ Urban, white collar workers
◦ Engineers
Czech
◦ Sales, machinist, or white-collar jobs
◦ Founded businesses in cigars, beer and
watches
Current Demographics and
Socioeconomic Status: Others
Slovak
◦ White collar families with high incomes
◦ Strong family and cultural ties likely
Swiss
◦ Multicultural, multilingual
◦ Work in Swiss companies
Gypsies
◦ Tradition of roaming, are very mobile
◦ Independent trades and service positions
◦ Women are often in the mystical arts
Fortunetelling
Current Demographics and
Socioeconomic Status: Russia/FSU
Recent immigrants settle in urban
areas
◦ Ukrainians in PA
◦ Armenians in CA
Most have easily assimilated
◦ In part due to anticommunist sentiments
Recent immigrants with advanced
degrees
Recent Armenian immigrants may be
far below poverty line
Worldview – Religion: Germans
Early immigrants primarily Lutheran
Some Jewish
Some Roman Catholic
Mennonites
◦ From the Anabaptist movement
◦ Simple lifestyle
◦ Rejection of oaths, public office, military
service
Amish
◦ Strict sect of Mennonites
◦ No electricity or cars
Worldview – Religion: Poles,
Others
Poles
◦ Devout Catholics
Austrians
◦ Most Catholic
◦ Some Jewish
Hungarian and Slovaks
◦ Primarily Catholic
Czech
◦ Catholic, but many have left the church
Worldview – Religion: Gypsies
From Asian Indian religions
Worldview called Romaniya
◦ Believe in God, devil, ghosts, and
predestination.
◦ Persons and things are either pure or
polluted.
◦ Preserve purity
◦ Avoid contamination through contact with
non-gypsies
Some Gypsy Americans are Christian
◦ Often fundamentalists
◦ Combined Christian and Gypsy concepts
Worldview – Religion:
Russians and People of the FSU
Russia
◦ Majority are of the Russian Orthodox
Church
◦ Soviet Jews
Ukrainian and Lithuanian Americans
◦ Roman Catholic
Armenian Americans
◦ Armenian Apostolic Church
◦ Armenian Rite of the Roman Catholic
Church
Worldview: Family
Germans
◦ Traditionally large families on farms, later
in businesses.
◦ Pennsylvania Dutch (descendants of
German immigrants) and the Amish still
have large families
Poles
◦ Patriarchal with mother caring for home.
◦ Wives and children rarely worked outside
the home
Family: Others
Austrian
◦ Tight nuclear family with father in charge
of finances and mother ruling home life.
Czech and Hungarian
◦ Male dominated with many relatives.
Slovaks
◦ Strong family ties with respect for parents.
Family: Gypsies
Maintain extended family
Temporarily band together while
traveling with multifamily groups.
Father in charge of all public matters
Women take care of family income
and manage all money matters
◦ Retain power due to ability to
communicate with the supernatural world
Arranged marriages are common
Family: Russians
Traditionally large families
Women legally dependent on their
husbands
◦ Changing
◦ Families are smaller due to women
working and with more education
◦ Still maintain all household chores
Russian families have fewer children
Education emphasized
◦ Russian language
Family: FSU
Ukrainian and Lithuanian early
immigrants were single men who were
basically forced to intermarry with other
ethnic groups.
Men dominate the household
Women run the home
Extended family is the norm
Armenians are tight-knit with respect for
elders maintained
All are similar to the average American
household
Traditional Health Beliefs and
Practices: Germans
German biomedicine uses botanicals
extensively
Illness may be believed to be caused by
infection or stress
Expected consequence of hard labor
Dress properly, avoid drafts, breathe
fresh air
Exercise, work hard
Take cod liver oil
Suffering is “a blessing from God”
Lots of home remedies used
Traditional Health Beliefs and
Practices: Pennsylvania Dutch
Hearty diet
Home remedies, homeopathy, healers
common
Sympathy healing
◦
◦
◦
◦
Laying on of hands
Powwowing or Brauche
Charms, spells, and blessings to cure symptoms
Healer acts as God’s instrument and requests
God’s direct assistance in treatments
Reflexology
Herbal Teas
Traditional Health Beliefs and
Practices: Poles
Shortage of medical supplies in Poland
led to widespread use of faith healers
Faith in God
Religious medals
Avoid sick people
Healthy diet
Sleep
Keep warm
Exercise
Loving home
Avoid gossip
Traditional Health Beliefs and
Practices: Gypsies
Health maintained through marimé
◦ Purity and pollution related to Asian Indian
beliefs
Separate clean from unclean
◦ Upper body and all secretions pure
◦ Lower half unclean and shameful
◦ Avoid contamination of upper body by
touching lower body
Left hand only for personal care
Menstrual blood especially impure
◦ Avoid public places non-Gypsies frequent
◦ Don’t touch contaminated surfaces
Traditional Health Beliefs and
Practices: Gypsies
Illness due to
◦ Contact with non-Gypsies
◦ Conditions caused by spirits, ghosts, the
devil, or breaking cultural rules
Home remedies
Gypsy healers
Non-Gypsy conditions are suitable for
treatment by non-Gypsy physicians
◦ May still consult a non-Gypsy folk healer
Traditional Health Beliefs and
Practices: Russian and the FSU
Natural cures, alternative medicine used
extensively
Often integrated with biomedical therapy
Saunas
Massage
Steam baths
Balneotherapy
◦ Bathing in mineral springs
Mud baths, sulfurated hydrogen baths
Homeopathic preparations and herbals
Traditional Health Beliefs and
Practices: Russian and the FSU
Magic and the occult
◦ Cure illnesses due to supernatural
◦ Psychics and Znakarki
Elder women who whisper charms and sprinkle water with
magic powers
Siberia
◦ Spiritual crisis, soul loss, evil spirits, breach of taboos,
curses
◦ Shamans realigned life forces, retrieved souls
Visualization, singing, chanting, prognostication, dream
analysis, séances
Russians who don’t believe in occult practices
◦ Illness from social conflict, political problems, war,
poor medical care, starvation
Traditional Food Habits:
Ingredients and Common Foods
Determined by what
grows in cooler, damper
climates
Potatoes, Beans, Beets
Cabbage and cabbage
family
Eggs and Dairy products
Pork, Beef, Fish
Seafood from the Baltic
Fresh fish from local
lakes
Apples
Rye, Wheat, Barley
Traditional Food Habits:
Ingredients and Common Foods
Dried, pickled, or fermented for
preservation
◦ Cucumber pickles
◦ Sour cream
◦ Sauerkraut
Traditional Food Habits:
Ingredients & Common Foods: Breads
Rye and other grains
Darker
◦
◦
◦
◦
◦
◦
Whole or cracked wheat
Black
Rye or pumpernickel
Caraway, egg, or potato
Cornmeal
Pretzels
Dumplings
◦ May be stuffed or
unstuffed
Pastries
Stuffed pockets
Buckwheat - Russia
Traditional Food Habits:
Ingredients & Common Foods: Meats
Pork is the most
popular
◦ Goose
◦ Schnitzel
German Holidays
◦ Chicken Kiev
Meat cutlet
◦ Ham
Beef
◦ Sauerbraten
◦ German National
Dish
Veal
◦ Young calf
Poultry
Russia
Game meats
◦ Hasenpfeffer
German rabbit dish
◦ Bigos
Polish “Hunter’s
Stew”
Traditional Food Habits: Ingredients and
Common Foods: Ground Meats
Seasoned with a binder to stretch meat
when it was expensive or scarce
Steak Tartare
◦ Raw ground beef on toast
Ground meat to stuff vegetables or make
meatballs
Hungary known for gulyás
◦ Goulash
◦ Paprika-spiced stew
◦ Sweet Hungarian Paprika is ground, dried,
red chile peppers with sugar added
Traditional Food Habits: Ingredients and
Common Foods: Sausages (Wurst)
Rohwurst
◦ Cured and smoked
◦ Can be eaten as is
Bruhwurst
◦ Kikielbasa
Garlic flavored
Kockwurst
◦ Like a cold cut
Austria
◦ Wieners
◦ Frankfurter
Polish
Czechs and
Slovaks
Bratwurst
◦ Jaternice
◦ Similar to raw
sausage links
◦ Jelita
from pork
blood sausage
Traditional Food Habits:
Ingredients and Common Foods: Fish
Fresh and salt water fish
◦ Fresh, smoked or cured
Trout, carp, and eel
Germany
◦ Pickled herring
Russia
◦ Smoked salmon and sturgeon
Caviar (sturgeon roe)
Poland
◦ Fish is not popular as associated with Soviet
rule
Traditional Food Habits: Ingredients and
Common Foods: Dairy products
Eaten daily
Cheeses served at any meal
May be fresh and sweet or strongly flavored
Fresh milk
Butter
Butter milk
◦ Kefir (FSU)
Sour cream
Fresh cream
Whipped cream daily in Austria and Germany
Traditional Food Habits: Ingredients and
Common Foods: Fruits/Vegs
Cold weather fruits and vegetables
Red and green cabbage
Potatoes
Beets
Kohlrabi
Cucumbers
Onions
Mushrooms
◦ In Poland a meat substitute on religious fast days
Temperate vegetables more common now
◦ Cauliflower and tomatoes
Apples, cherries, plums, berries
Traditional Food Habits: Ingredients and
Common Foods: Sweets
Enjoyed daily
Cheesecake, coffee cakes, doughnuts, nut or
fruit-filled individual pastries
Apple, cherry, raspberry, chocolate, almond,
poppy seed flavors
Austria:
◦ Apple strudel
Germany:
◦ Black Forest Cake
Lithuania and Poland:
◦ Branch Cake
Russia
◦ Cooked fruits such as the berry pudding kisel
Traditional Food Habits: Ingredients and
Common Foods: Beverages
Central Europe
◦ Coffee is most common
Russia
◦ Strong tea
◦ Served in samovar
Brass urn heated by charcoal
Traditional Food Habits: Ingredients and
Common Foods: Beverages
Germany, Austria, Hungary,
◦ Beer most popular
◦ Excellent wines
German beer can be sweet, bitter, weak
strong and typically bottom-fermented
◦ Lager
◦ Bock beer is strong flavored
◦ Marzenbier
Midway between pilsner and bock
◦ Weissbier
Wheat beer with lemon or raspberry fruit syrup
◦ Schnapps
Fruit brandy
Traditional Food Habits: Ingredients and
Common Foods: Beverages
Czechs
◦ Pilsner Beer
Bitter but light in color
Poland
◦ Goldwasser
Has flakes of gold
◦ Mead
Fermented from honey
Russia
◦ Kvass
Sour beer fermented from rye bread or beets
◦ Vodka
Distilled spirit from potatoes
Popular in Poland and Russia
Switzerland
Known for Fondue
◦ Hot dish of melted cheese, etc., in which
food is dipped
Zesty cheeses with holes
◦ Emmenthal
Original Swiss cheese
◦ Gruyère.
Armenia
Cuisine greatly influenced by Greeks,
Turks, Persian, Syrians and other
Arabs
Word for bread is “meal” or “food”
Lamb is staple meat, pork rarely eaten
Freshwater fish
Yogurt and cheese daily
Fresh, dried and pickled fruits and
vegetables
Armenian Dinner
Mezze with anise-flavored aperitif raki
Soups made with yogurt, eggs, lemon,
tomatoes
Salads
Kebabs, stew or casserole
Bread such as pita
Fruit for dessert
Coffee, tea, than
◦ Yogurt thinned with water and flavored with
mint
Wine and brandy
Meal Composition and Cycle:
Daily Patterns
Central Europe
◦ 5 – 6 large meals daily in the past
◦ Today 3 meals plus snacks
Gypsies
◦ Two meals daily
◦ Morning and late afternoon
◦ Social occasions
Russia and the FSU
◦ 3 hearty meals daily
◦ Snacking is rare
Meal Composition and Cycle:
Daily Patterns: Central Europe
Breakfast
◦
◦
◦
◦
◦
Coffee
Tea
Hot chocolate
Pastries
Bread and fruit OR
A small sandwich
Lunch
◦
◦
◦
◦
◦
Bread
Butter and jam
Hardboiled eggs
Cheese
Ham
Midmorning breakfast
◦
◦
◦
◦
◦
◦
Soup
Fish, 1-2
Meat dishes with vegetables
Stewed fruit
Dessert with whipped cream
Mid-afternoon break
◦ Coffee or tea, cake or
cookies
Evening meal
◦
◦
◦
◦
◦
Lighter
Salads
Pickled or smoked fish
Cheese, ham and sauces
Selection of breads
Meal Composition and Cycle:
Daily Patterns: Russia and the FSU
Bread
Soup made from beets
◦ Borscht
Cabbage
Fish
Kasha
◦ Cooked porridge from barley, buckwheat or
millet
Lithuania
◦ Soup is replaced with salad
Meal Composition and Cycle:
Daily Patterns: Russia
Czars ate 4 meals
daily
Zakuski
◦ Part of the traditional
czarist evening meal
◦ “Small bites”
◦ Still part of Russia
today
◦ An array of
appetizers
◦ From simple to
countless
Etiquette
More formal than Americans
Germany
◦ Invitations for dessert or wine later in the evening
Host begins meal with appropriate announcement
Gifts are good quality dessert wines, candies, or pastries
◦ Not Vodka where it is served
Fork in left hand, knife in right
◦ In Germany do not use knives unless absolutely necessary
◦ Knife to cut potatoes, etc., an insult as it implies the food is tough
Hands above the table with wrists on edge
Pass dishes to left
Specific glasses for each beverage that will be refilled quickly
◦ Consume vodka in one shot
Special Occasions
Usually have religious significance
Traditions often have pre-Christian
roots
Christmas and Easter are major
holidays
Immigrants brought to the US
◦ Christmas tree
◦ Easter egg hunt
Special Occasions: Germany
Land of popular festivals
Lots of food and drink
Munich’s Oktoberfest
◦ Sausage eating and beer drinking
◦ World’s largest public event
Easter bunny hides eggs on Easter
Ham and pureed peas for Easter
dinner
Special Occasions: Germany
Advent and Christmas are holiest seasons
◦
◦
◦
◦
Tree lit on Christmas Eve
Christ Child brings presents
Take tree down on Epiphany
Large dinner on Christmas
Christmas Carp on Christmas Eve
Hare or goose with apples and nuts on
Christmas Day
Marzipan
Spice cakes
Cookies
Fruit cakes
Gingerbread houses
Special Occasions: Poland
Christmas and Easter are the most
important
Easter dinner
◦ Roast suckling pig, hams, coils of sausages
and roast veal
◦ Painted hard boiled eggs, grated horseradish
◦ Paschal lamb sculpted from butter or white
sugar
◦ Babka is a rich yeast cake
◦ All food blessed by the priest
Special Occasions: Poland
Christmas Eve is a fast day
◦ Meatless meal served when the first star of the
evening is seen
◦ Barszcz Wigilijny
Soup similar to borscht made with mushrooms and beets
◦ Carp on Christmas Even
◦ Makowiec
A rich Christmas cake
New Year’s Eve
◦ Paczki
Jelly doughnuts
New Year’s Day
◦ Bigos
◦ Washed down with vodka
Special Occasions: Czech
Republic
Czechs
◦ Eat carp four ways
at Christmas
Breaded and fried
Baked with dried
prunes
Cold in aspic
Fish soup
◦ Vanocka
Christmas bread
◦ Easter dinner is ham
or roasted kid
Special Occasions: Slovakia
Christmas
Break Advent fast with
oplatky
Easter
Dinner dessert called
paska
◦ Wafer with honey
Christmas Eve meal
◦
◦
◦
◦
◦
◦
Wild mushroom soup
Cabbage
Potato dumplings
Stuffed cabbage
Mulled wine
Babalky
◦ Pyramid shaped dessert
Meal will be blessed by
the priest on Holy
Saturday
Ham, sausages, duck or
goose
Horseradish
Syrek
◦ Easter cheese
Bread with poppy seeds
Hrudka
◦ Imitation cheese ball
Special Occasions: Hungary
Easter is most important holiday
Pancakes are eaten on Shrove
Tuesday
Sour eggs and herring salad on Ash
Wednesday
Easter week has new spring
vegetables and painted Easter eggs
Good Friday meal with wine-flavored
soup, stuffed eggs and baked fish
Special Occasions: Easter
Feast of Easter Eve
◦ Rich chicken soup with dumplings or
noodles
◦ Roasted meat
◦ Pickled vegetables
◦ Stuffed cabbage rolls
◦ Cakes and pastries
◦ Coffee
Special Occasions: Hungary
Christmas Eve
◦ Meatless with fish and potatoes
Christmas Day
◦
◦
◦
◦
Roast turkey, chicken or goose
Roast potatoes
Stuffed Cabbage
Desserts
Brandied fruits
Fruit compote
Poppy seed and nut cakes
Special Occasions: Austria
Christmas and Easter
Fasching
◦
◦
◦
◦
Originally a pagan ceremony
Drive out the evil spirits of winter
Parade down the streets ringing cow bells
Now a multi-day carnival associated with
Lent
◦ Doughnuts, fritters, other sweets are
typical food
Special Occasions: Russia and
the FSU
Fast days
◦ Fish
◦ Mushrooms
Forest meat
Easter is most significant holiday
Butter Festival
◦ Maslenitas
◦ Precedes the 40 days of Lent
◦ Blini
Raised buckwheat pancakes
Numerous toppings
Butter is traditional as can’t be consumed during Lent
Special Occasions: Russia and
the FSU
Easter meal after midnight Mass
◦ Pasha
Cake decorated with XB (Christ is Risen)
◦ Kulich
Cake made from rich, sweet yeast dough
◦ Red or hand decorated eggs
Pentecost (Trinity) Sunday
◦ Kulich leftover from Easter eaten
Special Occasions:
Russia and the Ukraine
Christmas Eve
◦ 12 different dishes represent the 12 apostles
◦ Kutia or Sochivo
Porridge of wheat grains, honey, poppy seeds and
stewed, dried fruit
Christmas Day celebrated with festive meal
New Year’s
◦ Children receive gifts
◦ Spicy ginger cakes
Krendel
◦ Pretzel shaped sweet bread
◦ Eaten on wedding anniversaries and name days
Therapeutic Use of Food:
Germans
Chicken soup
◦ Diarrhea, vomiting, sore throats
Tea
◦ Upset stomach
Milk with honey
◦ Coughs
Pennsylvania Dutch
◦ Cold drinks are unhealthy
◦ Eat meat 3 times per day
◦ Herbal teas for many complaints
Therapeutic use of food: Poles
Colic
◦ Tea, soda water, sauerkraut
Cramps
◦ Chamomile tea
Colds
◦ Tea with dried raspberries
◦ Wine
High blood pressure
◦ Cooked garlic
Coughs
◦ Warm beverages
“Sweat out” an illness
◦ Tea with honey and alcoholic spirits
Therapeutic Use of Food:
Gypsies
Fresh food most nourishing
◦ Leftovers unwholesome
◦ Canned and frozen items not fresh
Non-Gypsies carry disease
◦ Use disposable plates and utensils in public places
Insufficient intake of lucky foods cause poor
health
◦ Salt, pepper, vinegar, garlic
Home remedies are common
◦ Tea with crushed strawberries
◦ Asafetida (devil’s dung)
◦ Ghost vomit (Fuligo septica)
Therapeutic Use of Food:
Russia & the FSU
Butter
◦ Eyesight
Dill
◦ Kvass cures hangovers
◦ Dyspepsia
Honey
Teas
◦ Raspberry, chamomile,
eucalyptus, cornsilk
Vodka with herbs
◦ Supplement
◦ Consumed as a shot
◦ Added to coffee or tea
Gogomul
◦ Egg yolk, sugar, milk,
baking soda
◦ Respiratory infections
Balsam flavored vodka
◦ Cures anything
◦ Flatulence
Alcoholic beverages
Full hearty meals
◦ To maintain health
Adaptations of Food Habits in
US
Diet not significantly different from U.S. fare
Quantity did increase
◦ Especially of meat
Many traditional foods have become common US
fare
3 meals a day but with more dairy and sausages
More traditional meals served at special
occasions
Amish families celebrate religious holidays only
◦ Add a day to the celebration
◦ Celebrate quietly at home with family
Nutritional Status
Central European diet among highest in
animal products, potatoes, sweets,
refined/processed items
Germany
◦ Highest in fats and oils of animal origin
◦ 50% German woman are obese, 66% for men
Slightly lower rates in Czech Republic,
Slovakia and Hungary
Recent Russian and FSU immigrants
consume diet high in saturated fats, sodium,
sugar
All at risk of developing CVD and other
conditions associated with high-fat items
Nutritional Status: Russia and
FSU
Immigrant nutritional deficiencies from
lack of vegs/fruit
Dietary selenium deficiency, moderate
iron and manganese deficiencies
High rates of diabetes, HTN, HLD, CVD,
TB, HIV
Leukemia and thyroid cancer rates
increased
◦ 80% of Russian immigrants from regions
affected by Chernobyl
May resist x-rays
Nutritional Status: Russia and
FSU
Strongly support breastfeeding
High rates of iron-deficiency anemia and
endemic goiter
Heavy alcohol use in Russia, some FSU nations
and Poland
High rates of gastric cancer Lithuania
◦ Due in part to a high consumption of salted and cured
meats and fish
Homemade cheeses with unpastuerized milk
◦ Increased risk of listeria
Eggs sometimes used raw in uncooked dishes
◦ Increased risk of salmonella
Nutritional Status: Gypsies
Boston Study:
◦ High rates of HTN, Type 2 Diabetes, Vascular disease
◦ Obesity at 85%
◦ Chronic renal insufficiency
Europe
◦ Dyslipidemia, obesity and insulin resistance
At risk for genetic problems
◦
◦
◦
◦
◦
PKU
Galactokinase deficiency
Citrullinaemina
Wilson’s Disease
Metchromatic Leucodystrophy
High rates of infant mortality and unfavorable birth outcomes
Life expectancy overall is low
Counseling
May be a language barrier with Russians
Germans – monochronistic
◦ Formal, polite, respect education and titles
◦ Direct eye contact and handshake
Poles – quieter than Americans
◦ Uncomfortable with loudness
◦ Handshake and direct eye contact
Both may be reluctant to seek medical
care
Counseling: Amish
May need an interpreter
Reserved and respectful and expect it in
return
Conservative and modest
Modern health technology ok
No photos, pictures, depictions of human
faces
More digestive problems, obesity, bedwetting
High fat, high sodium diet
Less issues with heart disease, alcoholism
Genetic issues such as PKU more common
Counseling: Gypsy Americans
English may be second language
Illiteracy common
“Man’s worth is in his girth”
May seek care only in emergencies
May refuse injections
◦ Impure
Will bring food to patients
◦ Contamination feared
Counseling: Russians
Russians expect more formality
May always respond “no”
Direct and possible loud communication
3 quick kisses and handshake common
greeting
Direct eye contact
Preventive medicine unfamiliar
Compliance issues with medication or
lifestyle changes
Avoid mental health care
Counseling: Russians
Many feel ailments/treatments not
understood in US
Culture specific ailments not familiar in
US
Medical care in Russia drugs with
alternative treatments
Prefer injections over oral meds
May self medicate
Assertive in US as they had to be
assertive in Russia
Many are highly acculturated
Scandinavians
Sweden, Norway, Denmark, Finland, and Iceland
History of Scandinavians in the
US
Legend says Norsemen first discovered
North America
Documented presence in US
◦ 1629 when Jonas Bronck (Danish) bought
land that became known as the Bronx in NYC
Immigration began in 1800’s
◦ Norwegians, Swedes primarily
◦ Few Icelanders
Moved to homestead Midwest states
Danes developed 24 Danish
communities
Current Demographics
All assimilated well
Were literate, valued education
Norwegians and Sweded
◦ Continued farming in Midwest
◦ Construction
Swedes
◦ Engineering, architecture
Danes
◦ Livestock, dairying
Finns
◦ Natural resource management, mining engineering,
geology
◦ Women in home economics, nursing
Worldview: Religion
Majority who immigrated were
Lutheran
◦ Evangelical Lutheran Church in America
If not Lutheran, other Protestant
churches
Worldview: Family
Nuclear family was center of rural life
Large families with father head of
household
Kinship ties were strong
◦ Brought other relatives to US and helped
them
Smaller families now
◦ Finns often with one child
Traditional Health Beliefs and
Practices
Fish necessary for good health
Norway
◦ Cough and cold confectionaries
◦ Herbs and dietary supplement boost immune function
Finns
◦ Natural health care
◦ Massage, cupping, bloodletting
◦ Sauna used for many things
Swedish Massage
◦ Relaxation
◦ Increase circulation
◦ Promote Healing
Traditional Food Habits
Hearty and simple
Abundant seafood
Limited foods produced on land
Preservation methods of previous
centuries used
◦ Fish dried, smoked or pickled
◦ Milk is fermented or allowed to sour
◦ Preserve foods with salt
Ingredients and Common Foods:
Staples and Regional Variations
Feature natural flavors with subtle
seasoning
◦ Black pepper, onions, dill
◦ Juniper berries
◦ Caraway, cloves, nutmeg and cardamom
Lots of FISH
◦
◦
◦
◦
◦
Scandinavian dried salt cod
Pickled herring
Lox
Fish sticks
Fish with cheese and breadcrumbs
Ingredients and Common Foods:
Staples and Regional Variations
Cream and butter popular
Lots of fermented dairy products
◦ Sour cream, cheese, buttermilk, yogurtlike products
White sauce with milk and parsley
◦ Known for cheeses
Common for breakfasts and snacks
Ingredients and Common Foods:
Staples and Regional Variations
Meats more popular inland
Pork is popular, veal, mutton and lamb
Reindeer
Game meats such as elk
Goose and grouse, not chicken
Historically meat was scarce and
chopped and combined with other
ingredients
◦ Swedish meatballs
Ingredients and Common Foods:
Staples and Regional Variations
Cold weather vegetables (especially root
crops)
◦ Rutabagas
Yellow and green split pea soups with
ham or pork
◦ Served with pancakes
Wild mushrooms
Berries
◦ Lingonberries
Fruits stewed or made into preserves
◦ Sometimes served with meats
Ingredients and Common Foods:
Staples and Regional Variations
Breads are often rye
◦ Norwegian flatbreads
◦ Swedish knäckebröd
Like hardtack
◦ Norwegian lefse
Potato and wheat flour dough
◦ Norwegian potato dumplings
◦ Tunnbrød from Sweden
Thin, tortilla like bread
Sold as fast food wrapped around fillings
Ingredients and Common Foods:
Staples and Regional Variations
Desserts rich but not overly sweet
Butter, cream, sweetened cheese,
cardamom
Aebelskivers
◦ Danish pancake puffs
Pancakes or crepes served with berries
or jams
Almonds, almond paste or marzipan
Danes known for their pastries
◦ Weinerbrød
Ingredients and Common Foods:
Staples and Regional Variations
Milk is popular beverage
Aquavit
◦
◦
◦
◦
◦
Water of life
Distilling potatoes or grain
Flavored with caraway or other herb
Serve ice cold in a Y-shaped glass
Down like a shot, chase with a beer
Meal Composition and Cycle:
Daily Patterns: Breakfast
3 meals a day
3 coffee breaks
Breakfast
◦
◦
◦
◦
◦
◦
◦
◦
◦
Bread
Eggs
Pastries
Cheese
Fruit
Potatoes
Herring
Sour cream or yogurt like fermented milk
Fruit soups in winter
Meal Composition and Cycle:
Daily Patterns: Lunch
Lunch in Denmark
◦
◦
◦
◦
Smørrebrød
Open-faced sandwich
Means buttered bread
May be a snack
Swedes consume
hot lunch
◦
◦
◦
◦
Pea soup
Brisket or hash
Mashed rutabaga
At work or school
cafeteria
Swedish Smörgåsbord
Buffet meal
Means “bread and butter table”
Large variety of hot and cold dishes
Served with Aquavit
Starts with herring, then other fish dishes
Meats and salads
Hot dishes like Swedish meatballs and
mushroom omelets
Dessert
Today served only on special occasions
Meal Composition and Cycle:
Daily Patterns: Dinner
Heavier dinner if lunch is light
◦ Appetizer, soup, entrée, vegetables, dessert
◦ Potatoes
If heavier lunch, lighter dinner
◦ Informal
◦ Convenience foods
◦ Italian foods
3 most common dishes in Swedish homes
◦ Falun sausage, spaghetti with meat sauce, pizza
Milk, beer or wine
◦ Coffee or wine with dessert
Etiquette
Fork in left hand and knife in right
Sandwiches consumed with fork and knife
◦ Only bread eaten with hands
Keep hands above the table with wrists on
edge
Pass dishes to the left
Finland: wait for host to initiate eating
Norway: male guest of honor is to thank
hosts on behalf of all guests
Wine is always appreciated as a hostess gift
as it is expensive
Special Occasions
Conferences and meetings
Milk and coffee with sweets
◦ Cinnamon buns
◦ Open-faced sandwiches
◦ Fruit
Sandwich cakes
◦ Layers of bread and fillings
◦ Served mid-afternoon at events
Special Occasions: Christmas
From Advent to St.
Canute’s Day on
January 13
Sweden
◦ December 13
◦ St. Lucia’s Day
Christmas Eve is
the big meal
Special Occasions: Christmas in
Norway
Rice porridge sprinkled with sugar and
cinnamon
Lutefisk
◦ Dried salt cod soaked in lye, then boiled
Pork ribs and sausages with cabbage
Dried lamb rib specialty with mashed
rutabaga
Cod or halibut with white sauce and green
peas
Boiled potatoes
Cookies and cakes
◦ Traditionally 7 types of sweets
Special Occasions: Christmas
Christmas Smörgåsbord in Sweden
◦ 20 – 30 dishes
◦ Ham, herring
Denmark
◦ Roast duck, goose or pork with brown gravy
◦ Red cabbage and caramelized potatoes
◦ Rice pudding with whipped cream and hot cherry
sauce
Finland
◦ Pickled herring and salmon, then ham
◦ Vegetable casseroles with potatoes, carrots, or
turnips
◦ Prunes, cookies, pies
Special Occasions: Christmas
Dozens of cookies
◦ Ginger and cloves
Tree hung with gingerbread figures
Deep-fried, brandy-flavored dough
◦ Klejner, klener, klenätter
Traditional holiday beverage
◦ Glögg
◦ Hot alcoholic punch
Special Occasions:
Midsummer’s Day
June 24
◦ Swede’s Day in the US
Maypoles, bonfire, feasting
Sweden
◦ Boiled new potatoes and wild strawberries
Norway
◦ Rømmengrøt
Finland
◦ New potatoes with dill and smoked salmon
Adaptations of Food Habits
Diet did not change significantly
3 meals a day
◦ Dairy products
◦ Animal protein
Many Scandinavian foods adopted by
Americans
Nutritional Status: Intake
In Finland
◦ 40% obesity for women, almost 60% for men
◦ Somewhat lower for Denmark, Norway,
Sweden
Finns
◦ High rates of heart disease, stroke,
alcoholism, depression, lactose intolerance
Scandinavian Americans may be at
increased risk for CVD due to high fat,
high cholesterol diet
Counseling
Low context communicators
Highly analytical
Emotions controlled
Superficiality and personal inquiries are
avoided
Danes are less formal
Direct eye contact
Firm, brief handshake
Other touching is reserved for friends and
relatives
Sickness considered a weakness
Will avoid talking about it