title: [Healthcare mistreatment attributed to discrimination among mapuche patients and discontinuation of diabetes care].
abstract: BACKGROUND
  The negative impact of perceived discrimination on health outcomes is well established. However, less attention has been directed towards understanding the effect of perceived discrimination on health behaviors relevant for the treatment of diabetes in ethnic minorities.
  
  
  OBJECTIVE
  To examine the effects of healthcare mistreatment attributed to discrimination on the continuity of Type 2 Diabetes (DM2) care among mapuche patients in a southern region of Chile.
  
  
  METHODS
  A non-probabilistic sample of 85 mapuche DM2 patients were recruited from public and private health systems. Eligibility criteria included having experienced at least one incident of interpersonal healthcare mistreatment. All participants answered an instrument designed to measure healthcare mistreatment and continuity of diabetes care.
  
  
  RESULTS
  Healthcare mistreatment attributed to ethnic discrimination was associated with the discontinuation of diabetes care.
  
  
  CONCLUSIONS
  Healthcare mistreatment attributed to discrimination negatively impacted the continuity of diabetes care, a fact which may provide a better understanding of health disparities in ethnic minorities.
authors.affiliation: Departamento de Psicología, Facultad de Educación, Ciencias Sociales y Humanidades, Universidad de La Frontera, Temuco, Chile, manuel.ortiz@ufrontera.cl.
authors.forename: Manuel S
authors.initials: MS
authors.lastname: Ortiz
authors.affiliation: Departamento de Psicología, Facultad de Educación, Ciencias Sociales y Humanidades, Universidad de La Frontera, Temuco, Chile, manuel.ortiz@ufrontera.cl.
authors.forename: María José
authors.initials: MJ
authors.lastname: Baeza-Rivera
authors.affiliation: Departamento de Psicología, Facultad de Educación, Ciencias Sociales y Humanidades, Universidad de La Frontera, Temuco, Chile, manuel.ortiz@ufrontera.cl.
authors.forename: Natalia
authors.initials: N
authors.lastname: Salinas-Oñate
authors.affiliation: Culture and Behavior Laboratory, Loma Linda University, USA.
authors.forename: Patricia
authors.initials: P
authors.lastname: Flynn
authors.affiliation: Departamento de Psicología, Facultad de Educación, Ciencias Sociales y Humanidades, Universidad de La Frontera, Temuco, Chile, manuel.ortiz@ufrontera.cl.
authors.forename: Héctor
authors.initials: H
authors.lastname: Betancourt
mesh_terms: D000368:Aged; D001291:Attitude of Health Personnel / Q000208:ethnology*; D002677:Chile; D003266:Continuity of Patient Care; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology / Q000628:therapy*; D005006:Ethnicity; D005260:Female; D054625:Healthcare Disparities / Q000208:ethnology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D000071066:Patient Reported Outcome Measures; D010465:Perception; D063508:Social Discrimination / Q000208:ethnology*; D012959:Socioeconomic Factors