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Multicultural Aspects in Functional Gastrointestinal Disorders (FGIDs).

Xiucai Fang1, Carlos F Francisconi2, Shin Fukudo3

  • 1Department of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 1(#)Shuaifuyuan, Dongcheng District, Beijing, 100730, China.

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|May 5, 2016
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Summary
This summary is machine-generated.

Understanding cultural differences is key for functional gastrointestinal disorders (FGIDs). Addressing culture, race, and ethnicity improves patient care and multinational research in FGIDs.

Keywords:
Culturecross-cultural competencecross-cultural factorscross-cultural researchexplanatory modelfood and food taboossymptom interpretation

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Area of Science:

  • Gastroenterology
  • Medical Sociology
  • Cross-cultural Psychology

Background:

  • Functional gastrointestinal disorders (FGIDs) are influenced by diverse cultural factors.
  • Cultural variables impact the physician-patient relationship and patient care.
  • Diet, genetics, and lifestyle vary across cultures, affecting FGID presentation and treatment.

Purpose of the Study:

  • To highlight the global aspects of FGIDs.
  • To understand the influence of culture, race, and ethnicity on FGID patient care and research.
  • To enhance cross-cultural clinical and research competency in FGIDs.

Main Methods:

  • This review synthesizes existing literature on cross-cultural factors in FGIDs.
  • It examines the interplay of biological, social, and cultural elements.
  • Physician and patient perspectives on illness models are considered.

Main Results:

  • Cultural perceptions of food and diet significantly influence FGID symptoms.
  • Biological factors like genetics and the microbiome are modulated by cultural differences.
  • Gender, symptom reporting, family systems, and explanatory models of illness are critical cross-cultural considerations.

Conclusions:

  • Cross-cultural competence is essential for effective FGID clinical practice and research.
  • Understanding diverse healthcare-seeking behaviors and use of complementary medicine is vital.
  • Multinational research requires sensitivity to cultural nuances for improved quality and conduct.