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Decision-making involves a complex set of variables includingcues and barriersto action that can trigger specific patterns ofbehavior. With respect to health and health care, the influences ofgender, culture and trust may affect perceived health status anddecision making preferences. In contemporary nursing practice, agreat deal of emphasis has been placed on cultural competency asmeans of eliminating potential barriers to care. Culturalcompetency has become a prominent theme in nursing as a result.This study explores the influence of culture as well as that ofgender in relation to decision-making preferences in health relatedbehaviors. Specifically this study focuses on differences betweenGreek women and American women of Greek descent in the community ofTarpon Springs, Florida.