Abstract

Ethnic minority and lower SES populations report less positive healthcare encounters and worse health outcomes as compared to higher SES and mainstream populations. In Chile, the prevalence of type 2 diabetes (T2D) is one of the highest in South America and among the indigenous Mapuche population it has quadrupled over the last decade (Perez-Bravo et al., 2001). Research suggests that Mapuches have been historically discriminated in everyday life as well as in healthcare (Alarcon, et al., 2004). Based on Weiner’s attribution theory of motivation and emotion (1986, 1995, 2006) and guided by Betancourt’s integrative model of culture, psychological factors, and health behavior (Betancourt & Flynn, 2009) the aim of this study was to examine the causal attributions for healthcare mistreatment and their diabetes-related psychological and behavioral consequences. Participants included 394 Mapuche and mainstream Chilean patients with diabetes recruited from health clinics in Southern Chile. Multi-group structural equation modeling confirmed the expected relationships between perceived unfair health care treatment, attributions about the unfair treatment, and diabetes-related psychological and behavioral consequences. Findings are discussed in terms of interventions that can be designed to address unfair treatment and its impact on healthcare inequality among socially disadvantaged groups.

LLU Discipline

Clinical Psychology

Department

Psychology

School

School of Behavioral Health

First Advisor

Betancourt, Hector M.

Second Advisor

Flynn, Patricia M.

Third Advisor

Herbozo, Sylvia M.

Degree Name

Doctor of Philosophy (PhD)

Degree Level

Ph.D.

Year Degree Awarded

2018

Date (Title Page)

3-2018

Language

English

Library of Congress/MESH Subject Headings

Health Policy; Health Services Accessibility; Diabetes Mellitis; Cross-Cultural Comparison; Chile

Subject - Local

Health Disparity; South America; Mapuche Population

Type

Thesis

Page Count

48

Digital Format

PDF

Digital Publisher

Loma Linda University Libraries

Usage Rights

This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.

Collection

Loma Linda University Electronic Theses and Dissertations

Collection Website

http://scholarsrepository.llu.edu/etd/

Repository

Loma Linda University. Del E. Webb Memorial Library. University Archives

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