Roncancio Angelica M, Ward Kristy K, Berenson Abbey B
Department of Obstetrics and Gynecology, TheUniversity of Texas Medical Branch, Galveston, TX 77555-0587, USA.
J Health Care Poor Underserved. 2011 May;22(2):482-90. doi: 10.1353/hpu.2011.0038.
In order to understand how culture influences Hispanic women's views about their health care provider (HCP), we examined the relationship between acculturation and fatalism in the HCP control expectations of Hispanic women. (A HCP control expectation is the extent to which an individual believes that her HCP has control over her health.) We predicted that acculturation would be negatively associated with HCP control expectations, and fatalism would be positively associated with HCP control expectations. A group of 1,027 young Hispanic women (mean age 21.24 years; SD=2.46) who were University of Texas Medical Branch clinic patients completed a comprehensive survey. Structural equation modeling was employed and, as predicted, acculturation was negatively associated with HCP control expectations (p<.001) and fatalism was positively associated (p<.001). Understanding fatalism, acculturation, and their influence on HCP control expectations will help us understand this population's perceptions of their HCPs. This knowledge will assist HCPs in providing culturally competent care which will increase adherence to medical treatment and screening guidelines.
为了了解文化如何影响西班牙裔女性对其医疗服务提供者（HCP）的看法，我们研究了文化适应与宿命论在西班牙裔女性对HCP控制期望方面的关系。（HCP控制期望是指个人认为其HCP对其健康具有控制作用的程度。）我们预测，文化适应与HCP控制期望呈负相关，而宿命论与HCP控制期望呈正相关。一组1027名年轻西班牙裔女性（平均年龄21.24岁；标准差=2.46），她们是德克萨斯大学医学分部诊所的患者，完成了一项综合调查。采用结构方程模型，正如预测的那样，文化适应与HCP控制期望呈负相关（p<.001），宿命论与HCP控制期望呈正相关（p<.001）。了解宿命论、文化适应及其对HCP控制期望的影响，将有助于我们理解这一人群对其HCP的看法。这些知识将帮助HCP提供具有文化胜任力的护理，这将提高对医疗治疗和筛查指南的依从性。
