Excellent point right here, tamaraduker: Excluding other cultures when we talk about healthy eating perpetuates the idea of “good” and “bad” foods.
way of eating—filling half your plate with fruits and vegetables like broccoli and berries and the other half with an even split of protein like chicken and grains like rice or quinoa—was the gold standard of healthy eating. The extent of our education in cultural competency was extremely limited. If a patient was Mexican, we should teach them to sub out the potatoes on the MyPlate with a tortilla. If a patient was Asian, swap a serving of pasta for a serving of rice.
And the way my family eats is plenty healthy even if our meals don’t look like what you see at choosemyplate.gov. We love to eat roti, which is a delicious, satisfying dish made with unleavened bread wrapped around a curry filling. And the way my family prepares it, it’s full of spices like turmeric, ginger and cumin, and filled with nutritious ingredients like potatoes, coconut milk, and, in some roti variations, chickpeas.
When I counseled patients who had immigrated to the U.S., they would look at me, crestfallen, and say “I know I need to stop cooking and eating the way we do back home.” After a while, I realized because they never saw the foods that they were used to being represented as healthy eating, they took that to mean those foods weren’t healthy. It was like they had to choose between their heritage and their health. No person should ever have to make that decision.
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