Cross-sectional study reveals that ethnic identity mediates cultural involvement and life satisfaction in Indigenous adults, highlighting the importance of culturally congruent health care.
INTRODUCTION: Acculturation processes threaten Indigenous well-being and cultural continuity. Guided by Leininger's transcultural nursing theory, this study examined whether ethnic identity mediates the relationship between cultural involvement and life satisfaction among Lickanantay adults in northern Chile. METHODS: A cross-sectional correlational design was used with 320 Lickanantay adults (56.3% women; Mage = 40.8). Participants completed validated measures of life satisfaction, cultural involvement, and ethnic identity. Structural equation modeling using weighted least squares maximum likelihood (WLSMV) estimation tested direct and mediational effects, controlling for age and gender. RESULTS: < .001), and the direct effect became nonsignificant in the mediation model. DISCUSSION: Ethnic identity is a key mechanism linking cultural practices to well-being. Findings support integrating ethnic identity into culturally congruent nursing care to promote Indigenous health equity.
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Gutiérrez-Carmona et al. (2026) studied this question.
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