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19-10-2016

Investigating acculturation orientations of patients with an immigration background and doctors in Canada: implications for medical advice adherence

Auteurs: Amanda Whittal, Katja Hanke, Sonia Lippke

Gepubliceerd in: Quality of Life Research | Uitgave 5/2017

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Abstract

Background

Increased immigration requires successful interaction of different cultures in various life domains, such as health. This study investigates acculturation orientation (AO) of immigrant patients and doctors native to the country, as a potential factor related to perceived medical advice adherence.

Data and methods

N = 171 immigrant patients (M = 54.38 years, SD = 17.94, range = 23–96, 74.3 % female) and their N = 12 doctors (M = 38.88 years, SD = 13.42, range = 27–66, 83 % female) from a hospital in Montreal, Canada, participated in a paper-based survey to assess AOs, patients’ perceived expectations of their doctor (regarding adopting the new culture or keeping their previous culture), doctors’ actual expectations, perceived quality of care and perceived adherence.

Results

AO of patients significantly related to perceived adherence, via a path model involving perceptions of doctors’ expectations and perceived quality of care. Integration was positively related to perceived adherence, while Marginalization was negatively related to it. Doctors’ AOs were not significant.

Conclusion

Patient perceptions seem to be a significant factor to be considered when striving to improve immigrant medical advice adherence.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Literatuur
1.
go back to reference Akhavan, S., Bildt, O. C., Franzen, E. C., & Wamala, S. (2004). Health in relation to unemployment and sick leave among immigrants in Sweden from a gender perspective. Journal of Immigrant Health, 6(3), 103–118.CrossRefPubMed Akhavan, S., Bildt, O. C., Franzen, E. C., & Wamala, S. (2004). Health in relation to unemployment and sick leave among immigrants in Sweden from a gender perspective. Journal of Immigrant Health, 6(3), 103–118.CrossRefPubMed
2.
go back to reference Arends-Tóth, J., & Van de Vijver, F. J. R. (2006). Assessment of psychological acculturation: Choices in designing an instrument. In D. L. Sam & J. W. Berry (Eds.), Cambridge handbook of acculturation psychology. Cambridge: Cambridge University Press. Arends-Tóth, J., & Van de Vijver, F. J. R. (2006). Assessment of psychological acculturation: Choices in designing an instrument. In D. L. Sam & J. W. Berry (Eds.), Cambridge handbook of acculturation psychology. Cambridge: Cambridge University Press.
3.
go back to reference Babitsch, B., Braun, T., Borde, T., & David, M. (2008). Doctor’s perception of doctor-patient relationships in emergency departments: What roles do gender and ethnicity play? BMC Health Services Research, 8(82), 1–10. doi:10.1186/1472-6963-8-82. Babitsch, B., Braun, T., Borde, T., & David, M. (2008). Doctor’s perception of doctor-patient relationships in emergency departments: What roles do gender and ethnicity play? BMC Health Services Research, 8(82), 1–10. doi:10.​1186/​1472-6963-8-82.
4.
go back to reference Berry, J. W. (1998). Acculturation and health: Theory and research. In S. S. Kazarian & D. R. Evans (Eds.), Cultural clinical psychology: Theory, research and practice (pp. 39–57). New York: Oxford University Press. Berry, J. W. (1998). Acculturation and health: Theory and research. In S. S. Kazarian & D. R. Evans (Eds.), Cultural clinical psychology: Theory, research and practice (pp. 39–57). New York: Oxford University Press.
5.
go back to reference Berry, J. W., Phinney, J. S., Sam, D., & Vedder, P. (2006). Immigrant youth in cultural transition: Acculturation, identity and adaptation across national contexts. Mahwah, NJ: Erlbaum. Berry, J. W., Phinney, J. S., Sam, D., & Vedder, P. (2006). Immigrant youth in cultural transition: Acculturation, identity and adaptation across national contexts. Mahwah, NJ: Erlbaum.
6.
go back to reference Berry, J. W., Phinney, J. S., Sam, D., & Vedder, P. (2006). Immigrant youth: Acculturation, identity, and adaptation. Applied Psychology, 55(3), 303–332.CrossRef Berry, J. W., Phinney, J. S., Sam, D., & Vedder, P. (2006). Immigrant youth: Acculturation, identity, and adaptation. Applied Psychology, 55(3), 303–332.CrossRef
7.
go back to reference Celenk, O., & Van de Vijver, F. (2011). Assessment of acculturation orientation: Issues and overview of measures. Online Readings in Psychology and Culture. doi:10.9707/2307-0919.1105. Celenk, O., & Van de Vijver, F. (2011). Assessment of acculturation orientation: Issues and overview of measures. Online Readings in Psychology and Culture. doi:10.​9707/​2307-0919.​1105.
8.
go back to reference Conner, M., Godin, G., Sheeran, P., & Germain, M. (2013). Some feelings are more important: Cognitive attitudes, affective attitudes, anticipated affect, and blood donation. Health Psychology, 32(3), 264–272. doi:10.1037/a0028500.CrossRefPubMed Conner, M., Godin, G., Sheeran, P., & Germain, M. (2013). Some feelings are more important: Cognitive attitudes, affective attitudes, anticipated affect, and blood donation. Health Psychology, 32(3), 264–272. doi:10.​1037/​a0028500.CrossRefPubMed
9.
go back to reference Côté, D. (2013). Intercultural communication in health care: Challenges and solutions in work rehabilitation practices and training: A comprehensive review. Disability and Rehabilitation: An International, Multidisciplinary Journal, 35(2), 153–163.CrossRef Côté, D. (2013). Intercultural communication in health care: Challenges and solutions in work rehabilitation practices and training: A comprehensive review. Disability and Rehabilitation: An International, Multidisciplinary Journal, 35(2), 153–163.CrossRef
10.
go back to reference Demes, K. A., & Geeraert, N. (2014). Measures matter: Scales for adaptation, cultural distance, and acculturation orientation revisited. Journal of Cross-Cultural Psychology, 45(1), 91–109.CrossRef Demes, K. A., & Geeraert, N. (2014). Measures matter: Scales for adaptation, cultural distance, and acculturation orientation revisited. Journal of Cross-Cultural Psychology, 45(1), 91–109.CrossRef
13.
go back to reference Dunn, J. R., & Dyck, I. (2000). Social determinants of health in Canada’s immigrant population: Results from the national population health survey. Social Sciences and Medicine, 51, 1573–1593.CrossRef Dunn, J. R., & Dyck, I. (2000). Social determinants of health in Canada’s immigrant population: Results from the national population health survey. Social Sciences and Medicine, 51, 1573–1593.CrossRef
15.
go back to reference Harmsen, H., Meeuweesen, L., van Wieringen, J., Bernsen, R., & Brudijnzeels, M. (2003). When cultures meet in general practice: Intercultural differences between GPs and parents of child patients. Patient Education and Counseling, 51, 99–106.CrossRefPubMed Harmsen, H., Meeuweesen, L., van Wieringen, J., Bernsen, R., & Brudijnzeels, M. (2003). When cultures meet in general practice: Intercultural differences between GPs and parents of child patients. Patient Education and Counseling, 51, 99–106.CrossRefPubMed
17.
go back to reference Johnson, R. L., Roter, D., Powe, N. R., & Cooper, L. A. (2004). Patient race/ethnicity and quality of patient-physician communication during medical visits. Research and Practice, 94(12), 2084–2090. Johnson, R. L., Roter, D., Powe, N. R., & Cooper, L. A. (2004). Patient race/ethnicity and quality of patient-physician communication during medical visits. Research and Practice, 94(12), 2084–2090.
18.
go back to reference Kagee, A., & Delport, T. (2010). Barriers to adherence to antiretroviral treatment: the perspectives of patient advocates. Journal of Health Psychology. doi:10.1177/1359105310378180. Kagee, A., & Delport, T. (2010). Barriers to adherence to antiretroviral treatment: the perspectives of patient advocates. Journal of Health Psychology. doi:10.​1177/​1359105310378180​.
19.
go back to reference Kehl, K. L., Landrum, M. B., Arora, N. K., Ganz, P. A., van Ryn, M., Mack, J. W., et al. (2015). Association of actual and preferred decision roles with patient-reported quality of care: Shared decision making in cancer care. JAMA Oncology, 1(1), 50–58.CrossRefPubMedPubMedCentral Kehl, K. L., Landrum, M. B., Arora, N. K., Ganz, P. A., van Ryn, M., Mack, J. W., et al. (2015). Association of actual and preferred decision roles with patient-reported quality of care: Shared decision making in cancer care. JAMA Oncology, 1(1), 50–58.CrossRefPubMedPubMedCentral
20.
go back to reference Kim, I. H., Carrasco, C., Muntaner, C., McKenzie, K., & Noh, S. (2013). Ethnicity and post migration health trajectory in new immigrants to Canada. American Journal of Public Health, 103(4), e96–e104.CrossRefPubMedPubMedCentral Kim, I. H., Carrasco, C., Muntaner, C., McKenzie, K., & Noh, S. (2013). Ethnicity and post migration health trajectory in new immigrants to Canada. American Journal of Public Health, 103(4), e96–e104.CrossRefPubMedPubMedCentral
21.
go back to reference Klug, U., Bogic, M., Deville, W., Greacen, T., Dauvrin, M., Dias, S., et al. (2012). Health services and the treatment of immigrants: Data on service use, interpreting services and immigrant staff members in services across Europe. Europoean Psychiatry, 27(2012), S56–S62.CrossRef Klug, U., Bogic, M., Deville, W., Greacen, T., Dauvrin, M., Dias, S., et al. (2012). Health services and the treatment of immigrants: Data on service use, interpreting services and immigrant staff members in services across Europe. Europoean Psychiatry, 27(2012), S56–S62.CrossRef
22.
24.
go back to reference Logan, D. E., Koo, K. H., Kilmer, J. R., Blayney, J. A., & Lewis, M. A. (2015). Use of drinking protective behavioral strategies and sexual perceptions and behaviors in US college students. The Journal of Sex Research. doi:10.1080/00224499.2014.964167.PubMed Logan, D. E., Koo, K. H., Kilmer, J. R., Blayney, J. A., & Lewis, M. A. (2015). Use of drinking protective behavioral strategies and sexual perceptions and behaviors in US college students. The Journal of Sex Research. doi:10.​1080/​00224499.​2014.​964167.PubMed
25.
go back to reference Lorant, V., Van Oyan, H., & Thomas, I. (2008). Contextual factors and immigrants’ health status: Double jeopardy. Health and Place, 14, 678–692.CrossRefPubMed Lorant, V., Van Oyan, H., & Thomas, I. (2008). Contextual factors and immigrants’ health status: Double jeopardy. Health and Place, 14, 678–692.CrossRefPubMed
26.
go back to reference Möllering, A., Schiefer, D., Knafo, A., & Boehnke, K. (2014). Acculturation and well-being among migrant and minority adolescents: a cross-national and cross-ethnic comparison. The Challenges of Diaspora Migration: Interdisciplinary Perspectives on Israel and Germany, 83. Möllering, A., Schiefer, D., Knafo, A., & Boehnke, K. (2014). Acculturation and well-being among migrant and minority adolescents: a cross-national and cross-ethnic comparison. The Challenges of Diaspora Migration: Interdisciplinary Perspectives on Israel and Germany, 83.
27.
go back to reference Nesterko, Y., Braehler, E., Grande, G., & Glaesmer, H. (2013). Life satisfaction and health- related quality of life in immigrants and native-born Germans: the role of immigration- related factors. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, 22(5), 1005–1013. doi:10.1007/s11136-012-0239-y.CrossRef Nesterko, Y., Braehler, E., Grande, G., & Glaesmer, H. (2013). Life satisfaction and health- related quality of life in immigrants and native-born Germans: the role of immigration- related factors. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, 22(5), 1005–1013. doi:10.​1007/​s11136-012-0239-y.CrossRef
28.
go back to reference Newbold, K. B. (2004). Self-rated health within the Canadian immigrant population: Risk and the health immigrant effect. Social Science and Medicine, 60(2005), 1359–1370. Newbold, K. B. (2004). Self-rated health within the Canadian immigrant population: Risk and the health immigrant effect. Social Science and Medicine, 60(2005), 1359–1370.
29.
go back to reference Newbold, K. B., & Danforth, J. (2003). Health status and Canada’s immigrant population. Social Science and Medicine, 57(2003), 1981–1995.CrossRefPubMed Newbold, K. B., & Danforth, J. (2003). Health status and Canada’s immigrant population. Social Science and Medicine, 57(2003), 1981–1995.CrossRefPubMed
30.
go back to reference Ng, E. (2011).The healthy immigrant effect and mortality rates. Health Reports: Statistics Canada Catalogue 82-003-XPE, 22(4). Ng, E. (2011).The healthy immigrant effect and mortality rates. Health Reports: Statistics Canada Catalogue 82-003-XPE, 22(4).
31.
go back to reference Piaget, J. (1971). The theory of stages in cognitive development. Measurement and Piaget (p. 283). New York: McGraw Hill. Piaget, J. (1971). The theory of stages in cognitive development. Measurement and Piaget (p. 283). New York: McGraw Hill.
32.
go back to reference Piccinino, L., Griffey, S., Gallivan, J., Lotenberg, L. D., & Tuncer, D. (2015). Recent trends in diabetes knowledge, perceptions and behaviors: implications for national diabetes education. Health Education and Behavior, 42(5), 687–696. doi:10.1177/1090198115577373.CrossRefPubMed Piccinino, L., Griffey, S., Gallivan, J., Lotenberg, L. D., & Tuncer, D. (2015). Recent trends in diabetes knowledge, perceptions and behaviors: implications for national diabetes education. Health Education and Behavior, 42(5), 687–696. doi:10.​1177/​1090198115577373​.CrossRefPubMed
33.
go back to reference Roccas, S., Sagiv, L., Schwartz, S., Halevy, N., & Eidelson, R. (2008). Toward a unifying model of identification with groups: Integrating theoretical perspectives. Personality and Social Psychology Review, 12(3), 280–306.CrossRefPubMed Roccas, S., Sagiv, L., Schwartz, S., Halevy, N., & Eidelson, R. (2008). Toward a unifying model of identification with groups: Integrating theoretical perspectives. Personality and Social Psychology Review, 12(3), 280–306.CrossRefPubMed
35.
go back to reference Rudmin, F. (2009). Constructs, measurements and models of acculturation and acculturative stress. International Journal of Intercultural Relations, 33, 106–123.CrossRef Rudmin, F. (2009). Constructs, measurements and models of acculturation and acculturative stress. International Journal of Intercultural Relations, 33, 106–123.CrossRef
36.
go back to reference Saha, S., Arbelaez, J. J., & Cooper, L. A. (2003). Patient-physician relationships and racial disparities in quality of health care. American Journal of Public Health, 93(10), 1713–1718.CrossRefPubMedPubMedCentral Saha, S., Arbelaez, J. J., & Cooper, L. A. (2003). Patient-physician relationships and racial disparities in quality of health care. American Journal of Public Health, 93(10), 1713–1718.CrossRefPubMedPubMedCentral
37.
go back to reference Schouten, B., & Meeuwesen, L. (2006). Cultural differences in medical communication: A review of the literature. Patient Education and Counselling, 64(1–3), 21–34.CrossRef Schouten, B., & Meeuwesen, L. (2006). Cultural differences in medical communication: A review of the literature. Patient Education and Counselling, 64(1–3), 21–34.CrossRef
38.
go back to reference Schouten, B., Meeuwesen, L., & Harmsen, H. A. M. (2005). The impact of an intervention in intercultural communication on doctor-patient interaction in The Netherlands. Patient Education and Counseling, 58(2005), 288–295.CrossRefPubMed Schouten, B., Meeuwesen, L., & Harmsen, H. A. M. (2005). The impact of an intervention in intercultural communication on doctor-patient interaction in The Netherlands. Patient Education and Counseling, 58(2005), 288–295.CrossRefPubMed
39.
go back to reference Schouten, B., Meeuwesen, L., Tromp, F., & Harmsen, H. A. M. (2007). Cultural diversity in patient participation: The influence ofpatients’ characteristics and doctors’ communicative behavior. Patient Education and Counseling, 67(2007), 214–223.CrossRefPubMed Schouten, B., Meeuwesen, L., Tromp, F., & Harmsen, H. A. M. (2007). Cultural diversity in patient participation: The influence ofpatients’ characteristics and doctors’ communicative behavior. Patient Education and Counseling, 67(2007), 214–223.CrossRefPubMed
40.
go back to reference Searle, W., & Ward, C. (1990). The prediction of psychological and sociocultural adjustment during cross-cultural transitions. International Journal of Intercultural Relations, 14, 449–464.CrossRef Searle, W., & Ward, C. (1990). The prediction of psychological and sociocultural adjustment during cross-cultural transitions. International Journal of Intercultural Relations, 14, 449–464.CrossRef
41.
go back to reference Shaw, A. C. (2004). Stress, acculturative stress, and quality of life: The experience of Greek immigrants in Toronto. Dissertation Abstracts International, 64, 4114. Shaw, A. C. (2004). Stress, acculturative stress, and quality of life: The experience of Greek immigrants in Toronto. Dissertation Abstracts International, 64, 4114.
43.
go back to reference Swain, S., Hariharan, M., Rana, S., Chivukula, U., & Thomas, M. (2015). Doctor-patient communication: Impact on adherence and prognosis among patients with primary hypertension. Psychological Studies, 60(1), 25–32.CrossRef Swain, S., Hariharan, M., Rana, S., Chivukula, U., & Thomas, M. (2015). Doctor-patient communication: Impact on adherence and prognosis among patients with primary hypertension. Psychological Studies, 60(1), 25–32.CrossRef
47.
go back to reference Van Wieringen, J. C. M., Harmsen, J. A. M., Bruijnzeels, M. A. (2002). Intercultural communication in general practice. European Journal of Public Health, 12, 63–68CrossRefPubMed Van Wieringen, J. C. M., Harmsen, J. A. M., Bruijnzeels, M. A. (2002). Intercultural communication in general practice. European Journal of Public Health, 12, 63–68CrossRefPubMed
48.
go back to reference Villagran, M., Hajek, C., Zhao, X., Peterson, E., & Wittenberg-Leyles, E. (2011). Communication and culture: Predictors of treatment adherence among Mexican immigrant patients. Journal of Health Psychology. doi:10.1177/13591053114171094.PubMed Villagran, M., Hajek, C., Zhao, X., Peterson, E., & Wittenberg-Leyles, E. (2011). Communication and culture: Predictors of treatment adherence among Mexican immigrant patients. Journal of Health Psychology. doi:10.​1177/​1359105311417109​4.PubMed
49.
go back to reference Whittal, A., & Lippke, S. (2015). Investigating patients with an immigration background in Canada: Relationships between individual immigrant attitudes, the doctor-patient relationship, and health outcomes. BMC Public Health, 16(1), 1. doi:10.1186/s12889-016-2695-8.CrossRef Whittal, A., & Lippke, S. (2015). Investigating patients with an immigration background in Canada: Relationships between individual immigrant attitudes, the doctor-patient relationship, and health outcomes. BMC Public Health, 16(1), 1. doi:10.​1186/​s12889-016-2695-8.CrossRef
50.
go back to reference Whittal, A., & Rosenberg, E. (2015). Effects of individual immigrant attitudes and host culture attitudes on doctor-immigrant patient relationships and communication in Canada: Potential factors influencing immigrant health. International Journal for Equity in Health, 14(1), 1. doi:10.1186/s12939-015-0250-3.CrossRef Whittal, A., & Rosenberg, E. (2015). Effects of individual immigrant attitudes and host culture attitudes on doctor-immigrant patient relationships and communication in Canada: Potential factors influencing immigrant health. International Journal for Equity in Health, 14(1), 1. doi:10.​1186/​s12939-015-0250-3.CrossRef
Metagegevens
Titel
Investigating acculturation orientations of patients with an immigration background and doctors in Canada: implications for medical advice adherence
Auteurs
Amanda Whittal
Katja Hanke
Sonia Lippke
Publicatiedatum
19-10-2016
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 5/2017
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-016-1438-8

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