Repositorio
Institucional

Baeza-Rivera, Maria Jose

Salinas-Onate, Natalia

Gomez-Perez, Daniela

Diaz-Loving, Rolando

Ortiz, Manuel S.

Model to Predict Healthcare Behaviors: Comparison of a Chilean and Mexican Sample

MDPI

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH

en

(1) Background: Adherence to treatment and medical check-ups are important for health outcomes, but low adherence to treatment is a common phenomenon. Thus, we aimed to examine the role of cultural beliefs about physicians, perceived mistreatment, and emotions associated with the experience of mistreatment as an antecedent of healthcare behavior among Chilean and Mexican primary care patients using Betancourt's model for the study of health behavior. (2) Methods: This is a multivariate cross-sectional study with a non-probabilistic sample of 326 Mexican and 337 Chilean participants. Multigroup structural equation modeling was used to test the structural relations among the cultural and psychological variables as determinants of healthcare avoidance behavior. (3) Results: The results revealed a pattern of associations that work in the same way for Chilean and Mexican samples. Negative cultural beliefs about physicians have a direct effect on avoidance behaviors in healthcare. In addition, this effect is mediated through psychological factors, such as perception of mistreatment and negative emotions associated with mistreatment. (4) Conclusions: A structural invariance test showed that the perception of mistreatment and negative emotions were less intense for Chileans than Mexicans. In contrast, the association between negative emotions and avoidance behaviors was less intense for Mexicans.

artículo original

This research was funded by the Direccion General de Asuntos del Personal Academico, Universidad Nacional Autonoma de Mexico, the Postdoctoral Fellowship Program of the Academic Training Directorate of the National Autonomous University of Mexico, Agencia Nacional de Investigacion y Desarrollo, National Doctorate Scholarship, folio number 21140104, and The APC was funded by Universidad Catolica de Temuco.

10.3390/ijerph191610067

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culture

beliefs

physicians

mistreatment

emotions

PERCEIVED DISCRIMINATION

CULTURAL BELIEFS

INEQUALITIES

Ciencias Ambientales

Salud pública

ambiental y ocupacional

cultura

creencias

médicos

maltrato

emociones

DISCRIMINACIÓN PERCIBIDA

CREENCIAS CULTURALES

DESIGUALDADES

Otras Especialidades de la Psicología

Servicios y Cuidados en Ciencias de la Salud

Otras Ciencias Sociales

Model to Predict Healthcare Behaviors: Comparison of a Chilean and Mexican Sample

artículo original

version publicada

CC BY 4.0

CC BY 4.0

acceso abierto

acceso abierto

ANID 21140104

WOS:000846714300001