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Communication and culture: predictors of treatment adherence among Mexican immigrant patients
Melinda Villagran1, Christopher Hajek, Xiaoquan Zhao
1George Mason University, Fairfax, VA 22030, USA. mvilla@gmu.edu
Abstract:
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.
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