title: Investigating acculturation orientations of patients with an immigration background and doctors in Canada: implications for medical advice adherence.
abstract: Increased immigration requires successful interaction of different cultures in various life domains, such as health. This study investigates acculturation orientation (AO) of immigrant patients and doctors native to the country, as a potential factor related to perceived medical advice adherence.
  
  
  
  N = 171 immigrant patients (M = 54.38 years, SD = 17.94, range = 23-96, 74.3 % female) and their N = 12 doctors (M = 38.88 years, SD = 13.42, range = 27-66, 83 % female) from a hospital in Montreal, Canada, participated in a paper-based survey to assess AOs, patients' perceived expectations of their doctor (regarding adopting the new culture or keeping their previous culture), doctors' actual expectations, perceived quality of care and perceived adherence.
  
  
  
  AO of patients significantly related to perceived adherence, via a path model involving perceptions of doctors' expectations and perceived quality of care. Integration was positively related to perceived adherence, while Marginalization was negatively related to it. Doctors' AOs were not significant.
  
  
  
  Patient perceptions seem to be a significant factor to be considered when striving to improve immigrant medical advice adherence.
authors.affiliation: Bremen International School of Social Sciences, Jacobs University Bremen, Campus Ring 1, 28759, Bremen, Germany. awhittal@bigsss.uni-bremen.de.|St. Mary's Hospital, McGill University, 3830 Lacombe Avenue, Montreal, QC, H3T 1M5, Canada. awhittal@bigsss.uni-bremen.de.|Department of Psychology and Methods, Health Psychology, Jacobs University Bremen, Campus Ring 1, 28759, Bremen, Germany. awhittal@bigsss.uni-bremen.de.
authors.forename: Amanda
authors.initials: A
authors.lastname: Whittal
authors.affiliation: Bremen International School of Social Sciences, Jacobs University Bremen, Campus Ring 1, 28759, Bremen, Germany.|GESIS-Leibniz Institute for the Social Sciences, PO Box 12 21 55, 68072, Mannheim, Germany.|Department of Psychology and Methods, Jacobs University Bremen, Campus Ring 1, 28759, Bremen, Germany.
authors.forename: Katja
authors.initials: K
authors.lastname: Hanke
authors.affiliation: Bremen International School of Social Sciences, Jacobs University Bremen, Campus Ring 1, 28759, Bremen, Germany.|Department of Psychology and Methods, Health Psychology, Jacobs University Bremen, Campus Ring 1, 28759, Bremen, Germany.
authors.forename: Sonia
authors.initials: S
authors.lastname: Lippke
mesh_terms: D000069:Acculturation; D000328:Adult; D000368:Aged; D002170:Canada; D004641:Emigration and Immigration / Q000331:legislation & jurisprudence*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000706:statistics & numerical data*; D010817:Physician-Patient Relations / Q000941:ethics*; D011788:Quality of Life / Q000523:psychology*; D011795:Surveys and Questionnaires
keywords: Acculturation orientation; Culture and health; Health psychology; Immigrant health; Quality of life