Strangers in Their Own World: Exploring the Relation Between Cultural Practices and the Health of Older Adults in Native Communities in Chile

Abstract

In recent years, social gerontology has emphasised the concept of cultural diversity with the purpose of understanding how there is a differentiated ageing process in the life pathways of ethnic minorities. This study analyses the implications of Indigenous cultural practices for the health of a cross-sectional sample of 569 Indigenous Chileans (Aymara = 201 and Mapuche = 368) aged sixty and over. Measures were applied for depression, health problems, consumption of medication, cultural practices and resilience. The data analysis consisted of a linear and logistic regression analysis for scores on health-related measures. The results show significant differences amongst the Indigenous groups. Mapuche participants have more depressive symptomatology, more health problems and lower consumption of medication. There are differences in the explanatory variables for mental and physical health, but the results generally confirm that maintaining Indigenous medical practices, being resilient and engaging in intergenerational transmission of Indigenous culture are related with better health. These results suggest the need to incorporate an Indigenist and/or multicultural perspective into anti-oppressive social work practice by designing interventions and policies that help to maintain and perpetuate Indigenous health practices in community spaces.