Communication and culture: Predictors of treatment adherence among Mexican immigrant patients

This study examined communication and culture in clinicians’ interactions with Mexican immigrants in Texas. Specifically, we explore the unique interplay among levels of acculturation, beliefs about culturally-based medical practices, perceptions of medical encounters, and the likelihood of adherenc...

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Bibliographic Details
Published in:Journal of health psychology 2012-04, Vol.17 (3), p.443-452
Main Authors: Villagran, Melinda, Hajek, Christopher, Zhao, Xiaoquan, Peterson, Emily, Wittenberg-Lyles, Elaine
Format: Article
Language:English
Subjects:
Acculturation
Adherence
Adolescent
Adult
Aged
Aged, 80 and over
Attitude to Health
Beliefs
Biological and medical sciences
Communication
Culture
Emigrants and Immigrants - psychology
Female
Fundamental and applied biological sciences. Psychology
Humans
Illness and personality
Immigrants
Male
Medical sciences
Medical treatment
Medication Adherence - ethnology
Medication Adherence - psychology
Membership
Mexican Americans - psychology
Mexican Americans - statistics & numerical data
Mexican people
Mexicans
Middle Aged
Parents
Patient Compliance - ethnology
Patient Compliance - psychology
Perceptions
Personality, behavior and health
Physician-Patient Relations
Psychology and medicine
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Psychopathology. Psychiatry
Texas - epidemiology
Therapeutical relation and framework
Treatments
U.S.A
Young Adult
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Summary:This study examined communication and culture in clinicians’ interactions with Mexican immigrants in Texas. Specifically, we explore the unique interplay among levels of acculturation, beliefs about culturally-based medical practices, perceptions of medical encounters, and the likelihood of adherence to medical therapy recommendations from US providers. Results suggest that: (a) acculturation predicts perceptions of out-group membership in the patient-provider interaction; (b) beliefs about complementary and alternative medicine are negatively related to medical adherence; (c) quality of care mediates the relationship between physician accommodation and medical adherence; and (d) there exists a complex relationship between out-group perceptions and adherence.
ISSN:1359-1053
1461-7277
DOI:10.1177/1359105311417194