00:06
I want to start by reminding us
of what cultural intelligence is.
00:09
Is the skill and ability
to work effectively
in multicultural settings
or environments teams.
00:15
And the beauty of
cultural intelligence is
that it doesn't hold you
to one standard.
00:21
So I often get a question
about cultural competence.
00:24
And how is this different?
In my opinion,
competence expects people
to achieve some levels
that they may not be able to.
00:32
So it holds us to standards that
we may not ever be able to achieve
unless you're fully immersed
in someone else's culture
over a long period of time.
00:40
In contrast, cultural intelligence
allows us flexibility.
00:45
So we're never ever going to be
always in the state
of a high level
of cultural intelligence.
00:51
And if you remember,
there are three levels -
low, moderate, and high.
00:55
So depending on whether or
not it's a new situation
or a situation,
we're not as familiar
with the need to continue
learning and growing,
we may be in the low level,
but we if we recognize that,
then we're able to put in the work
so that we can move
up to a higher stage.
01:11
And if you will recall,
there are four different parts
of cultural intelligence
in the framework.
01:17
So first,
we want to be motivated
and have an interest in
working with difference.
01:22
And then secondly,
we want to gain more knowledge.
01:26
That's how you become
more intelligent about it
by studying about
those differences
and trying to get
comfortable in that space.
01:34
And the best way to do
that as interacting.
01:37
And then thirdly,
we want to have a strategy.
01:40
So if we do,
we might have a faux pas,
while we're interacting with
people from different cultures.
01:45
But we want to make sure
that we try to understand
and try to embrace difference.
01:50
And then lastly,
the action behind it.
01:53
So we don't want to just
do all that prep work
without actualizing
and operationalizing
those behaviors and differences.
02:01
And again, it doesn't mean
you want to compromise
who you really are.
02:04
You want to still continue
to be yourself.
02:07
You also want to allow other people.
And I hate to use that word "allow"
but you want to embrace
the difference
and be comfortable with other people
being themselves in the space.
02:19
And then,
if you can't really,
what's the word I'm looking for?
Maybe change the situation,
you can compromise.
02:27
So how can we meet
with them now?
In terms of social determinants
of health, that's very important,
because oftentimes,
we label.
02:36
We talked about marginalized groups,
and how stigma becomes
a part of that
based on our biases.
02:43
And so we're influenced by
so many different things.
02:45
And we often want to
label people as lazy.
02:48
That's why people
don't want to work.
02:50
That's why they held
this poor people
don't care about their health.
That's why it's poor.
02:54
When in actuality,
if we talk about
remember we have revisit.
02:58
What structural racism
created, right?
So we put people in these boxes.
03:03
When we talk about margins,
think about how narrow a margin is.
03:07
So if people have
a small space to operate from,
then they can only achieve
so much growth within that space.
03:14
It's limited to that space
when you're not
in a marginalized group.
03:18
And that shifts remember
it's contextual.
03:21
You have space to learn grow.
You have space to make more money.
03:25
You have space to buy
healthy food.
03:28
So when we think about
it from that context,
and teach it from that context,
then people are
less likely to label
and more likely to focus on
how can we dismantle those systems
that created those margins?
And I say,
how can we erase the margins?
So what are social
determinants of health?
That's the popular term, I like
to call it determinants of health,
because some of it is not social.
03:54
Or some people call it
influences of health.
03:57
But the true definition is
conditions in the environments
where people are born, live,
learn, work, play, worship,
and age that affects a
wide range of health,
functioning, and quality of life,
outcomes, and risks.
04:11
So when we think about each one
of those different determinants,
education and access quality.
04:17
And I'll talk about those
in detail.
04:19
Healthcare access and quality.
04:23
Neighborhoods
and the built environments,
and then economic stability.
04:27
And all those things
are influenced by the margin.
04:31
How big is the space
that we have to grow
in each one of those areas
and to achieve optimal health?