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Aim <p>This study aims to determine and assess how personal attitudinal values and cultural values affect medical decision-making among Pakistani and Afghan immigrants residing in Dubai.</p> Methodology <p>A physical and online survey was conducted, including 300 Pakistani and 300 Afghan middle-aged adults who were residing in Dubai, to assess their cultural and personal values and preferences regarding medical decision-making participation. Using structural equation modeling analysis, the study evaluated 15 hypotheses about cultural and personal antecedents that influence individual medical decisions.</p> Findings <p>Results indicated similar cultural values across groups as explanatory factors for medical information desire (total variance explained: 32% for Pakistan and 29% for Afghanistan). Interdependence (Pakistani = 0.112; <i>P</i> = 0.015) and independence (Pakistani = 0.219; <i>P</i> = 0.003) together with health locus of control (Pakistani = -0.135; <i>P</i> = 0.021) demonstrated significant prediction among Pakistanis while independence (Afghan = 0.141; <i>P</i> = 0.029) and health locus of control (b Power distance functioned as an opposing factor for decision involvement between the two groups because Pakistanis displayed a negative relationship while Afghans showed a positive one (total explained variance: Pakistani 15%; Afghan 12%; Pakistani = 0.275, <i>P</i> &lt; 0.001; Afghan = -0.145, <i>P</i> = 0.042). The healthcare information desire of Pakistani migrants proved stronger than Afghan migrants under the influence of national culture (Z score = 1.543, <i>P</i> &lt; 0.05).</p> Recommendation <p>The study data emphasize that healthcare professionals should avoid making assumptions about culture because everyone needs individualized approaches in medical settings.</p>

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A comparative structural model analysis of cultural influences on medical decision making among Pakistani and Afghan communities in Dubai

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  • 发表日期：

    2026年1月31日

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  • Kashif Iqbal,
  • Muzafar Shah

摘要

Aim

This study aims to determine and assess how personal attitudinal values and cultural values affect medical decision-making among Pakistani and Afghan immigrants residing in Dubai.

Methodology

A physical and online survey was conducted, including 300 Pakistani and 300 Afghan middle-aged adults who were residing in Dubai, to assess their cultural and personal values and preferences regarding medical decision-making participation. Using structural equation modeling analysis, the study evaluated 15 hypotheses about cultural and personal antecedents that influence individual medical decisions.

Findings

Results indicated similar cultural values across groups as explanatory factors for medical information desire (total variance explained: 32% for Pakistan and 29% for Afghanistan). Interdependence (Pakistani = 0.112; P = 0.015) and independence (Pakistani = 0.219; P = 0.003) together with health locus of control (Pakistani = -0.135; P = 0.021) demonstrated significant prediction among Pakistanis while independence (Afghan = 0.141; P = 0.029) and health locus of control (b Power distance functioned as an opposing factor for decision involvement between the two groups because Pakistanis displayed a negative relationship while Afghans showed a positive one (total explained variance: Pakistani 15%; Afghan 12%; Pakistani = 0.275, P < 0.001; Afghan = -0.145, P = 0.042). The healthcare information desire of Pakistani migrants proved stronger than Afghan migrants under the influence of national culture (Z score = 1.543, P < 0.05).

Recommendation

The study data emphasize that healthcare professionals should avoid making assumptions about culture because everyone needs individualized approaches in medical settings.