Chinese Culture

China is one of the world’s oldest civilizations, with almost ¼ of the world’s population. It is located in East Asia, and shares borders with 14 other countries, including Russia, India, North Korea, Nepal and Vietnam.

The Chinese come to America from many different parts of the world. While most are from mainland China, Taiwan, Hong Kong and South East Asia, patients may emigrate from other areas, such as Cuba or South America. The Chinese are not a homogenous group: they may be diverse as a community or as individuals. While their common roots may be their ancestral heritage, they may have adopted languages and practices from other host cultures. Their socio-economic status in the U.S. and the religions practiced may also be different from their country of origin.

At Bellevue, most of the Chinese patients we see are working class, and have emigrated here for economic and/or political reasons. Many do not speak English but may have children who speak English.

In a family unit, first generation Chinese may view themselves as immigrants to the U.S. Their children may be referred to as “ABC” or "American Born Chinese." Their children may consider themselves “children of Chinese descent.” Children tend to adopt Western culture easily. Acculturation may contribute to the differences within the family in traditional beliefs (the balance between “yin” and “yang,” herbal medications, seeking the advice of a medium) and the acceptance of Western Medicine. Intergenerational conflicts may arise with the assimilation of the “new” culture.

Common values among the Chinese may be a belief in working hard, harmonious living, self-control, fulfilling prescribed roles, and filial piety (respect for parents and older siblings).