关键词: Latina/o/x healthcare utilization intentions identity safety quality care stigma

来  源:   DOI:10.1177/13591053241235443

Abstract:
The present work experimentally examines whether a Spanish-speaking healthcare provider (an identity safety cue) increases the anticipated quality of care and healthcare utilization intentions of Latinx Americans (N = 180) and whether this effect is moderated by ethnic centrality. We find that providing Spanish-language services, versus not, on a healthcare facility\'s webpage significantly increases both anticipated quality of care and healthcare utilization intentions-but only for Latinx Americans who perceive their ethnicity as highly central to their self-concept. Likewise, we find that anticipated quality of care mediates the effect that identity safety cues have on healthcare utilization intentions only for Latinx Americans high on ethnic centrality. These findings demonstrate that members of minoritized ethnic groups shown to be the most susceptible to experiencing concerns of discrimination (people high on ethnic centrality) are also the most likely to benefit from identity safety cues that are designed to mitigate these very concerns.
摘要:
本工作通过实验检查了讲西班牙语的医疗保健提供者(身份安全提示)是否提高了拉丁裔美国人(N=180)的预期护理质量和医疗保健利用意图,以及这种影响是否受到种族中心性的缓和。我们发现提供西班牙语服务,而不是,在医疗机构的网页上显着提高了预期的护理质量和医疗保健利用意图-但仅限于认为自己的种族对自我概念至关重要的拉丁裔美国人。同样,我们发现,预期的护理质量仅在种族中心性高的拉丁裔美国人的身份安全线索对医疗保健利用意图的影响中起中介作用.这些发现表明,被证明是最容易受到歧视的少数民族成员(种族中心性高的人)也最有可能从旨在减轻这些担忧的身份安全线索中受益。
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