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Clinical Nursing Research
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Agenda Dissonance

Immigrant Hispanic Women’s and Providers’ Assumptions and Expectations for Menopause Healthcare

Noreen Esposito

University of North Carolina at Chapel Hill

This focus group study examined immigrant Hispanic women’s and providers’ assumptions about and expectations of healthcare encounters in the context of menopause. Four groups of immigrant women from Central America and one group of healthcare providers were interviewed in Spanish and English, respectively. The women wanted provider-initiated, individualized anticipatory guidance about menopause, acknowledgement of their symptoms, and mainstream medical treatment for disruptive symptoms. Providers believed that menopause was an unimportant health issue for immigrant women and was overshadowed by concerns about high-risk medical problems, such as diabetes, heart disease and HIV prevention. The women expected a healthcare encounter to be patient centered, social, and complete in itself. Providers expected an encounter to be businesslike and one part of multiple visit care. Language and lack of time were barriers cited by all. Dissonance between patient-provider assumptions and expectations around issues of healthcare leads to missed opportunities for care.

Key Words: immigrant • health encounter • patient-provider • dissonance

Clinical Nursing Research, Vol. 14, No. 1, 32-56 (2005)
DOI: 10.1177/1054773804270091
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This article has been cited by other articles:


Home page
 J Holist NursHome page
L. Hall, L. C. Callister, J. A. Berry, and G. Matsumura
Meanings of Menopause: Cultural Influences on Perception and Management of Menopause
J Holist Nurs, June 1, 2007; 25(2): 106 - 118.
[Abstract] [PDF]