When explaining an exam to a patient of Japanese descent, the patient's behavior of looking down instead of maintaining eye contact is an example of what kind of patient factor?

The behavior of looking down instead of maintaining eye contact can be attributed to cultural factors. In many cultures, including certain aspects of Japanese culture, avoiding direct eye contact is a sign of respect, politeness, or humility. This can differ significantly from Western norms where direct eye contact is often encouraged to convey confidence and honesty. Understanding this cultural context is essential for healthcare professionals, as it can impact patient interactions and perceptions. Recognizing that such behaviors are rooted in cultural practices helps foster a respectful and effective communication environment, allowing for better patient care and understanding.