Tagalog and the Filipino-American Community
The Tagalog-speaking population in the United States stood at 2.4
million Americans in the 2000 U.S. Census, with Tagalog being the
sixth most spoken language in the United States. The Filipino-American
population is the second largest Asian-American community in the
United States. Learning about the most common language of the Philippines,
Tagalog, can come in handy when working with your patients and families.
Tagalog is an Austronesian language distantly related to the languages
of Indonesia, Madagascar, aboriginal Taiwan, most Pacific islands,
and parts of New Guinea. Very little is known about the history
of the Tagalog language in the Philippines, because there are no
surviving written works of Tagalog before the arrival of the Spanish
in the 16th century. The word Tagalog was derived from tagá-ílog,
from tagá- meaning "native of" and ílog
meaning "river", thus, it means "river dweller."
Languages that have made significant contributions to Tagalog are
Spanish, Min Nan Chinese, English, Malay, and Arabic. While there
are as many as 80 dialects used in the Philippines, the country’s
official languages are Tagalog, Spanish, and English. English is
used most often in higher education and government, and Tagalog
is taught in elementary education and is used conversationally,
in the media, and to express Filipino culture, arts, and history.
As mentioned, Tagalog has been influenced by several different
languages like Spanish and English. For example, the Tagalog word
for “luck” is swerte, which is like the Spanish word,
suerte. An English term like “ballpoint pen” is bolpen
in Tagalog. Tagalog uses a Latin-based alphabet and has several
diacritical marks, but there are no special characters in Tagalog.
The word order in Tagalog is Verb-Subject-Object, which often results
in sentence structures like:
Umiyák ang batà = cried the child = The child cried.
The Philippines was a colony of the U.S. from 1898-1946, so the
country has been highly influenced by Western countries due to contact
with Americans and Hispanics. Filipino-Americans have been immigrating
to the United States since the early 1900s. Large numbers of immigrants
came to work in the sugar cane industry of Hawaii in the first half
of the 20th century. Then from the 1920s until the 1970s, a second
wave of immigrants arrived through their connection to the U.S.
Navy and military. From 1965 to the present, the Filipino-American
population has continued to grow through immigration, often related
to family reunification programs.
Most Filipino-Americans reside in California, Washington, New York
City and Hawaii. Various Filipino-American organizations and consulates
offer Tagalog courses to the new generation of Filipinos born in
the United States. California's educational system offers Tagalog
as a foreign language course in some of its public schools, while
many colleges and universities there have been teaching it to coincide
with the growing Filipino community.
Healthcare organizations and hospitals can keep several points
in mind when communicating with Filipino-American patients and families.
Interpersonal and family relationships are valued very highly in
Filipino culture, especially sibling relationships. Also, elderly
people are highly respected and should never be addressed by the
first name only. According to Ethnomed.com, a leading healthcare
multicultural resource, when addressing elderly Tagalog speakers,
one would say "Kumusta po" when addressing elderly men
and women. Po displays respect similar to the English "Sir"
and "Madam". During an appointment with a Filipino-American
immigrant, be sure to take your time, because the culture often
places more value on relationships than time. Speaking politely,
warmly, and in an unhurried manner is respected by this community.
Care providers should also familiarize themselves with traditional
Filipino beliefs. A traditional healer in the Philippines is called
an albularyo and are sometimes consulted in the U.S., too. They
provide herbal remedies, among other treatments, that can include
prescribing eucalyptus and red guava leaf for different illnesses.
The belief that some diseases, like tuberculosis, are caused by
dehydration of the body is prevalent in the Philippines and Filipino
culture. Drinking large quantities of water, drinking certain brands
of canned milk, or avoiding sweet or salty food are said to prevent
or heal diseases like TB.
Providing timely and informative healthcare material in Tagalog
can really improve your relationships and communication with Filipino-American
patients and families so that they can remain healthy and in charge
of making their own health-related decisions.