Abstract:
OBJECTIVE:Investigate influence of ethnicity on older American Indian patients' interpretations of providers' affective behaviors. METHOD:Using data from 115 older American Indian patients, random effects ordered logit models related patient ratings of providers' respect, empathy, and rapport first to separate measures of American Indian and White American ethnicity, then to "ethnic discordance," or difference between providers' and patients' cultural characteristics. RESULTS:In models accounting for patients' ethnicity only, high scores for American Indian ethnicity were linked to reduced evaluations for providers' respect; high scores on White ethnicity were associated with elevated ratings for empathy and rapport. In models accounting for provider-patient ethnic discordance, high discordance on either ethnicity scale was associated with reduced ratings for the same behaviors. DISCUSSION:Findings support "orthogonal ethnic identity" theory and extend "cultural health capital" theory, suggesting a pathway by which ethnicity becomes relevant to experience of health care among older adults.
journal_name
J Aging Healthjournal_title
Journal of aging and healthauthors
Garroutte EM,Sarkisian N,Karamnov Sdoi
10.1177/0898264312457410subject
Has Abstractpub_date
2012-10-01 00:00:00pages
1223-51issue
7eissn
0898-2643issn
1552-6887pii
0898264312457410journal_volume
24pub_type
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journal_title:Journal of aging and health
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journal_title:Journal of aging and health
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