Discuss the differences and similarities between staple foods and preparation techniques within and across these countries.

profiledanell11
chapter7.ppt

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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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Traditional Food Habits:
Ingredients & Common Foods: Meats

  • Pork is the most popular

Schnitzel

Meat cutlet

Ham

  • Beef

Sauerbraten

German National Dish

  • Veal

Young calf

  • Poultry

Goose

German Holidays

Chicken Kiev

Russia

  • Game meats

Hasenpfeffer

German rabbit dish

Bigos

Polish “Hunter’s Stew”

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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

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Traditional Food Habits: Ingredients and Common Foods: Sausages (Wurst)

  • Rohwurst

Cured and smoked

Can be eaten as is

  • Bruhwurst

Frankfurter

  • Kockwurst

Like a cold cut

  • Bratwurst

Similar to raw sausage links

  • Polish

Kikielbasa

Garlic flavored

  • Austria

Wieners

  • Czechs and Slovaks

Jaternice

from pork

Jelita

blood sausage

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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

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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

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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

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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

Bread

Butter and jam

Hardboiled eggs

Cheese

Ham

  • Midmorning breakfast

Coffee

Tea

Hot chocolate

Pastries

Bread and fruit OR

A small sandwich

  • Lunch

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

Wafer with honey

  • Christmas Eve meal

Wild mushroom soup

Cabbage

Potato dumplings

Stuffed cabbage

Mulled wine

Babalky

Bread with poppy seeds

  • Easter
  • Dinner dessert called paska

Pyramid shaped dessert

  • Meal will be blessed by the priest on Holy Saturday
  • Ham, sausages, duck or goose
  • Horseradish
  • Syrek

Easter cheese

  • 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

Dyspepsia

  • Honey

Flatulence

  • Gogomul

Egg yolk, sugar, milk, baking soda

Respiratory infections

  • Teas

Raspberry, chamomile, eucalyptus, cornsilk

  • Alcoholic beverages

Kvass cures hangovers

  • Balsam flavored vodka

Cures anything

  • Vodka with herbs

Supplement

Consumed as a shot

Added to coffee or tea

  • 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

*

Luther’s Seal

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, yogurt-like products

  • White sauce with milk and parsley

Known for cheeses

Common for breakfasts and snacks

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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Luther’s Seal

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