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Health Education & Behavior, Vol. 28, No. 1, 65-80 (2001)
DOI: 10.1177/109019810102800107

Hispanic Cultural Norms for Health-Seeking Behaviors in the Face of Symptoms

Linda Kathryn Larkey, PhD

Arizona Cancer Center, Phoenix, Arizonalarkeyl{at}uswest.net

Michael L. Hecht, PhD

Department of Speech Communication, Pennsylvania State University

Katherine Miller, PhD

Department of Speech Communication, Texas A&M University

Carlos Alatorre, PhD

Lilly Research Laboratories, Eli Lilly and Company, Lilly Corporate Center, Indianapolis, Indiana

This study examines factors that contribute to the delayed use of medical care among Hispanics when chronic disease–related symptoms (warning signs) occur. As an adjunct to a larger project funded by the National Cancer Institute, this study accessed a population of primarily Hispanic, mostly male employees at public work sites in two Arizona counties. Through focus groups and a survey of employees, a model describing the factors underlying health care use was tested. Seriousness of symptoms has the most effect on visits to doctor, with more serious symptoms leading to prompter visits. Faith in God and seriousness of symptoms both are related to the search for a doctor one can trust. Also, a cluster of variables describing past bad experiences, practical barriers, and emotional avoidance are related to the desire to get advice or medical help from someone who is close; these influence the search for a trusted doctor, which in turn leads to prompter visits to doctor.


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