Factors Affecting Whites’ and Blacks’ Attitudes Toward Race Concordance With Doctors

Malat, Jennifer; Purcell, David; Ryn, Michelle van

doi:10.1016/s0027-9684(15)30675-1

Cited by 11 publications

(10 citation statements)

References 21 publications

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“…For example, research has noted that many African Americans prefer a counselor of the same race (Malat, Purcell, & van Ryn, 2010), which may present a barrier to treatment as African Americans are under represented among clinical psychologists. This preference may protect African Americans against the psychological effects of racial discrimination, but prevent the initiation of needed services (Whaley, 2001).…”

Section: Introductionmentioning

confidence: 99%

Barriers to treatment among African Americans with obsessive-compulsive disorder

Williams

Domanico

Marques

et al. 2012

Journal of Anxiety Disorders

123

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African Americans are underrepresented in OCD treatment centers and less likely to experience a remission of symptoms. This study examines the barriers that prevent African Americans with OCD from receiving treatment. Seventy-one adult African Americans with OCD were recruited and administered the modified Barriers to Treatment Participation Scale (BTPS) and the Barriers to Treatment Questionnaire (BTQ). Comparing the BTQ between a European American Internet sample (N=108) and the African American OCD sample (N=71) revealed barriers unique to African Americans, including not knowing where to find help and concerns about discrimination. A Mokken Scale Analysis of the BTPS in the African American participants identified seven major barriers, including the cost of treatment, stigma, fears of therapy, believing that the clinician will be unable to help, feeling no need for treatment, and treatment logistics (being too busy or treatment being too inconvenient). Pearson and point-biserial correlations of the scales and demographic and psychological variables were conducted. Significant relationships emerged between age, gender, income, education, insurance status, and ethnic affirmation/belonging among several of the Mokken scales. A one-way ANOVA demonstrated that concerns about cost were significantly greater for those without insurance, versus those with public or private plans. Suggestions for overcoming barriers are presented, including community education, affordable treatment options, and increasing cultural competence among mental health providers.

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Section: Introductionmentioning

confidence: 99%

Barriers to treatment among African Americans with obsessive-compulsive disorder

Williams

Domanico

Marques

et al. 2012

Journal of Anxiety Disorders

123

View full text Add to dashboard Cite

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“…One explanation proposed earlier for positive outcomes in racially concordant dyads is that many AA patients prefer to see a same-race doctor. [57][58][59] When this preference is met, patients may have better subjective experiences, regardless of the objective quality of care. Our results, however, suggest that subjective processes cannot be the sole explanation for more positive outcomes in AA-AA dyads.…”

Section: Analytic Methodsmentioning

confidence: 99%

Non-Verbal Communication Between Primary Care Physicians and Older Patients: How Does Race Matter?

Štěpáníková

Zhang²,

Wieland

et al. 2011

J GEN INTERN MED

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“…Experiences of racism and other forms of discrimination are the result of historical and current political and institutional factors. Understanding these structural drivers of racism is important, as research suggests that healthcare providers are more likely to attribute health inequities to individual characteristics as opposed to structural barriers [ 62 , 63 ]. Providers should therefore have a shared understanding of how structural racism impacts patients before asking patients about those experiences.…”

Section: Considerations For Discussing Racism With Patients: Structural Competencymentioning

confidence: 99%

This is our lane: talking with patients about racism

Diop

Taylor

Murillo

et al. 2021

womens midlife health

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Racism has significantly impacted communities of color for centuries. The year 2020 is a reminder that racism is an ongoing public health crisis. Healthcare institutions have an important role in dismantling racism because of their ability to implement innovative solutions that advance diversity, address social determinants of health, and promote health equity. Healthcare professionals have the unique opportunity to support patients by discussing patients’ experiences of bias and racism. Asking about discrimination, however, can be difficult because of the sensitive nature of the topic and lack of appropriate education. This review highlights the importance of addressing patients’ experiences of racism, utilizing the frameworks of trauma-informed care, structural competency, provider bias, and intersectionality. Furthermore, this review provides ways to engage in meaningful dialogue around discrimination and includes important patient-centric resources.

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Factors Affecting Whites’ and Blacks’ Attitudes Toward Race Concordance With Doctors

Cited by 11 publications

References 21 publications

Barriers to treatment among African Americans with obsessive-compulsive disorder

Barriers to treatment among African Americans with obsessive-compulsive disorder

Non-Verbal Communication Between Primary Care Physicians and Older Patients: How Does Race Matter?

This is our lane: talking with patients about racism

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