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. 2025 May 31:39:eJCE-24-22.
doi: 10.7899/JCE-24-22.

Cultural and linguistic competence in chiropractic university students: Insights from a cross-sectional study

Fatima Ismail, Myra Wessels

Cultural and linguistic competence in chiropractic university students: Insights from a cross-sectional study

Fatima Ismail et al. J Chiropr Educ. .

Abstract

Objective: Cultural and linguistic competence in health care is a universal necessity, compelling educational institutions to prepare graduates for diverse, multicultural environments. This study aimed to explore chiropractic students' perceptions of cultural and linguistic competency at a South African university.

Methods: A cross-sectional anonymous survey was distributed to bachelor of health sciences and master of health sciences chiropractic students at the University of Johannesburg from February 27, 2023, to March 24, 2023. The survey consisted of 33 Likert-scale questions related to 3 subscales: cultural competence, role of language, and student responsiveness. A digital presentation explaining cultural competency was provided to all potential participants. Data were analyzed using frequencies, descriptive statistics, exploratory factor analysis, and reliability testing.

Results: The response rate was 43.56% (n = 105) with participants predominantly aged 18-23 years (74.3%, n = 78), female (76.2%, n = 80), White (70.5%, n = 74), and identifying as Christian (63.8%, n = 67); 68.6% (n = 72) were bilingual. Students showed high agreement on the importance of cultural and linguistic competence in health care but expressed a need for additional training in these areas. An interesting association was found between the role of language and the year of study (p = .043) with junior students perceiving higher linguistic competency. The survey demonstrated acceptable reliability (α = 0.877).

Conclusion: Student respondents expressed the importance of cultural competence and language proficiency and further demonstrated a clear need for further training to enhance their ability to serve diverse cultural and linguistic groups. The value of respecting patients' cultural backgrounds in clinical settings was aligned with global trends.

Keywords: Chiropractic; Cultural Competency; Education; Language; Students.

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Conflict of interest statement

FUNDING AND CONFLICTS OF INTEREST This study was funded by the University of Johannesburg through the student supervisor-linked bursary. None of the authors of this article have any conflict of interests.

References

    1. Woodland L, Blignault I, O’Callaghan C, Harris-Roxas B. A framework for preferred practices in conducting culturally competent health research in a multicultural society. Health Res Policy Syst. 2021;19(1):24. 10.1186/s12961-020-00657-y - DOI - PMC - PubMed
    1. Luquis R, Perez MA, Suarez S. An assessment of cultural and linguistic competence in public health preparation programs. Pedag Health Promot. 2022;8(4):271–279. 10.1177/23733799221115104 - DOI
    1. de Guzman MRT, Durden TR, Taylor SA, Guzman JM, Potthoff KL. Cultural competence: an important skill set for the 21st century. Accessed January 8, 2025. https://extensionpublications.unl.edu/assets/html/g1375/build/g1375.htm
    1. Villagran M. Cultural competence in research. School Inf Student Res J. 2022;12. 10.31979/2575-2499.120103 - DOI
    1. Eden C, Adeniyi I. cultural competence in education: strategies for fostering inclusivity and diversity awareness. Int J Appl Res Soc Sci. 2024;6:383–392. 10.51594/ijarss.v6i3.895 - DOI

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