title: Exploring health beliefs and care-seeking behaviors of older USA-dwelling Mexicans and Mexican-Americans.
abstract: OBJECTIVE
  This study explored health beliefs and healthcare-seeking behaviors of older USA-dwelling Mexicans and Mexican-Americans using the Theory of Planned Behavior (TPB) as a conceptual guide.
  
  
  METHODS
  A mixed-method cross-sectional design was utilized using semi-structured interviews to obtain detailed descriptions of 31 older (50+) participants' behavioral, normative, and control beliefs about health and healthcare utilization. An interview schedule consisting of open-ended and demographic questions and one standardized tool, the Bidimensional Acculturation Scale (BAS) for Hispanics, was used to collect data.
  
  
  RESULTS
  Several themes emerged for each belief area. Behavioral belief themes reflect participants' faith in, comfort with, and knowledge of traditional methods of care (e.g., herbs, teas, and use of curanderas) as well as their faith in the effectiveness of conventional care (e.g., medicine, technology, and use of physicians). Normative belief themes indicate that participants perceive that family and community contacts support participants' use of traditional methods and that family supports use of conventional methods. Control belief themes suggest that traditional methods are accessible and affordable but that conventional methods are not. BAS scored indicated that most (90.3%) participants adhered to Hispanic culture. Two (6.5%) participants adhered to non-Hispanic culture and one (3.2%) scored as bi-cultural.
  
  
  CONCLUSIONS
  Themes from the data suggest that beliefs about healthcare impact the types of care utilized and the ways in which they are utilized. Clinicians and researchers striving to reduce health disparities and develop more culturally competent healthcare services for ethnic minority groups should work toward a better understanding of minority groups' belief systems about healthcare and its utilization. Utilization of the TPB allows for empirical model development that can better predict healthcare utilization behavior, further augmenting efforts to provide services that will help reduce health disparities for older Mexicans and Mexican-Americans and other populations.
authors.affiliation: Department of Social and Behavioral Sciences, University of Portland, 5000 N. Willamette Blvd., Portland, OR 97203, USA. rogers@up.edu
authors.forename: Anissa T
authors.initials: AT
authors.lastname: Rogers
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health / Q000208:ethnology*; D003430:Cross-Sectional Studies; D054521:Cultural Competency; D005260:Female; D054624:Health Status Disparities; D006801:Humans; D008297:Male; D017058:Mexican Americans / Q000523:psychology*; D008800:Mexico / Q000208:ethnology; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000208:ethnology; D011582:Psychological Theory; D057566:Self Report; D014481:United States