Associations among perceived provider cultural sensitivity, trust in provider, and treatment adherence among predominantly low-income Asian American patients.

Abstract

Studies have consistently shown that Asian Americans’ rate of health-service utilization and treatment adherence is very low relative to other racial/ethnic groups. Asian Americans are also more likely than their European American counterparts to experience unfairness and discrimination in health care and to express lower trust in their health-care providers. This study examined the associations among Asian American patients’ perceived provider cultural sensitivity, trust in provider, and treatment adherence. Study participants included 63 predominantly low-income Asian Americans recruited in a national study on patient-centered culturally sensitive health care. Data in this study were collected via self-report questionnaires. Pearson correlations revealed that Asian American patients’ perceived provider cultural sensitivity was associated significantly and positively with treatment adherence. Moreover, mediation analysis revealed that Asian American patients’ trust in their providers served as a positive mediator of the relation between patient-perceived provider cultural sensitivity and treatment adherence. The results of this study have implications for promoting patient-centered culturally sensitive health care among Asian American patients.

Health Care Providers’ Perspectives on Barriers and Facilitators to Cervical Cancer Screening in Vietnamese American Women

“…The current authors found the importance of culturally sensitive communication and trust building in the client and HCP relationship should be built in stages, starting from the first visit and to be sustained over time. The current study findings are consistent with those of Kang et al’s (2016) survey study of perceptions in health care, who found that when Asian American clients’ level of perceived culturally sensitivity of a provider increased, their level of trust in providers and treatment adherence increased as well (Kang et al, 2016).…”

“…Little is known about what strategies are needed to strengthen health care practices within this population. One cross-sectional survey of Asian Americans’ perceptions of health care ( n = 63) found that cultural sensitivity of clinicians significantly predicted trust in HCPs and of treatment adherence (Kang, Tucker, Wippold, Marsiske, & Wegener, 2016). Although the results are not conclusive about the influence of client–provider gender concordance on CC screening completion in VAW, the information available suggests that this is important.…”

Recognising ethnocultural diversity in chronic pain assessment: validation of the Pictorial Representation of Illness and Self Measure (PRISM) for use with culturally diverse communities

“…Unlike self-reported questionnaires, which are often perceived by patients to be impersonal and lengthy, the two-way interactive discussion of PRISM+ could provide a means for engaging patients if disks selected are tailored to the individual [8, 67, 68]. Indeed, orientation of medical assessments towards the sociocultural context of illness is known to enhance trust in patients from CALD communities, satisfaction, and adherence to treatment [69, 70]. While satisfaction with the PRISM+ was not formally evaluated in this study, the PRISM face to face interaction was well received by participants, easily interpreted, and it has successfully been used to guide cultural adaptation of treatment [7].…”

A Health Profile and Overview of Healthcare Experiences of Cambodian American Refugees and Immigrants Residing in Southern California

“…55 These findings depart slightly from the existing body of research, however, which typically reports lower levels of trust and perceived lower quality of care among racial and ethnic minorities, compared with non-Hispanic white. 3,56 The setting for this study likely had a strong influence on reported findings. Specifically, the data were collected from community medical settings that are known for serving the Cambodian American community.…”

“…Asian Americans are the fastest growing racial/ethnic minority group in the US, and yet, remain largely understudied in health services research. [1][2][3] In addition to calling for more research on Asian Americans, in general, health scholars and advocates have identified the need for the disaggregation of data and analyses by Asian ethnic subgroups. [4][5][6][7][8][9] Asian Americans, with more than 20 ethnic subgroups, constitute a heterogeneous group comprised of diverse socioeconomic profiles, distinct languages, cultures, pre-immigration and post-immigration experiences, and health outcomes.…”