Health professional cultural competence reduces the psychological and behavioral impact of negative healthcare encounters.
Cultur Divers Ethnic Minor Psychol
; 26(3): 271-279, 2020 Jul.
Article
em En
| MEDLINE
| ID: mdl-31697099
ABSTRACT
OBJECTIVES:
Negative health care encounters have psychological and behavioral consequences for patients, particularly for minority and low socioeconomic populations. Guided by an integrative model of culture, psychological processes, and health behavior, this study examined whether provider cultural competence reduces the emotional and behavioral consequences of negative health care encounters among Latina and non-Latino White American women in the United States.METHOD:
A total of 335 women participated in the study, of which 236 (Latina = 112; non-Latino White = 124) reported at least one negative health care encounter during a preventive medical screening exam. Structural equation causal modeling was used to examine whether provider cultural competence, as perceived by the patient, influenced emotions associated with negative health care encounters and subsequent medical avoidance.RESULTS:
When both Latina and non-Latino White American patients perceived their provider to be higher in cultural competence, they experienced less shame and embarrassment related to the negative encounter. Lower levels of shame and embarrassment in turn, predicted less medical avoidance for Latina, but not non-Latino White American women.CONCLUSIONS:
Findings revealed that provider cultural competence reduces some of the consequences of negative health care encounters that are relevant to health behavior. These findings shed light on the complexity of how providers' cultural competence impacts patient behavior, highlighting the importance of including psychological variables when investigating the role of cultural competence in health behavior and outcome. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Relações Profissional-Paciente
/
Comportamentos Relacionados com a Saúde
/
Competência Cultural
/
Grupos Minoritários
Tipo de estudo:
Prognostic_studies
Limite:
Adult
/
Female
/
Humans
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Cultur Divers Ethnic Minor Psychol
Assunto da revista:
CIENCIAS SOCIAIS
/
PSICOLOGIA
Ano de publicação:
2020
Tipo de documento:
Article