Notes Conflicts of interest: An expression of interest in the form of a question was a predictor of disclosure. Providing health care to low-income women: Under these circumstances, and when discussing any sensitive issue, particularly if related to sex, skilled communication that builds empathy and creates trust will assist Latinas to fully disclose important health information. Of the 28 women interviewed, 15 stressed that having a female physician made them more comfortable, especially for gynecological matters. Kremer H, Ironson G. It was the most uncomfortable situation.
Boehmer U, Case P. Of the 28 women interviewed for this study, 24 believed that these sensitive topics were difficult to share with health care professionals under most circumstances. Likewise, slightly more than one-third of these 2 groups strongly expressed that being listened to and heard by their physicians was important. Other studies also emphasized the problems caused by the time constraints found in the present study. An Ecuadorian woman said that she distrusted translators so much that if her doctor spoke only English, she would not attempt to communicate her thoughts and feelings: Interviewees indicated that Latino culture, with its emphasis on relationships, was related to their wanting a warm caring connection with their physician. Our findings uncovered possible important relationships that should be confirmed in other settings. In our study, we did not address the topic of dignity with our participants directly. These factors could be addressed in several ways. Effects of acculturation on the reporting of depressive symptoms among Hispanic pregnant women. The interviews were not recorded and transcribed verbatim, limiting the selection of illustrative quotations and making less information available to researchers who did not conduct interviews. Differences between the way some foreign-born and US-born women preferred to be treated within the patient-physician relationship, however, suggest that the concept of dignity may not be uniform within Latina women. Offsetting this limitation, notes taken were rich with detail, and the interviewers were integral to data analysis and were thus able to confirm or correct interpretations. Providing health care to low-income women: Regarding physician sex, many foreign-born Latinas strongly preferred female physicians, with 14 interviewees expressing this preference spontaneously, whereas only 1 US-born interviewee expressed this preference, and 2 preferred male physicians. Above all, women said disclosure depended on developing a trusting relationship with their physician based on mutual respect, and their willingness to disclose health information decreased if they did not sense that their physician was compassionate. These women stated that not only was it easier to discuss genital problems and feminine and reproductive issues with a woman doctor, but also it was much more likely that they would be compliant with her health advice and not miss their appointments. Reinforcing this point, many interviewees specifically requested that their clinicians hear what they said in these interviews and obtain additional training in communication. Trust in physicians and elements of the medical interaction in patients with rheumatoid arthritis and systemic lupus erythematosus. Amplifying the effect of cultural background, some women did not want to disclose STDs in the medical setting because of the judgments they believed doctors and nurses would have. He went directly to check me. The range of ages, nationalities, and other demographic characteristics was sufficient, however, to enable study findings to be of value. Without compassion, trust, and respect on the part of the physician, interviewees said they would not share information, and the level of confidence in their health care clinicians plummeted. That situation is really embarrassing. The factors associated with disclosure of intimate partner abuse to clinicians. When translators are used, even those who are appropriate and well trained, physician awareness of the difficulty some Latinas experience disclosing sensitive information could be helpful. This avoidance of sexual issues was present even in women who were interviewed in Spanish and had Spanish-speaking physicians.
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