Preferences for arthritis care among urban African Americans: "I don't want to be cut"
Preferences for arthritis care among urban African Americans: "I don't want to be cut"
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DOI：
10.1037/0278-6133.23.3.324
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发表时间：
2004-05-01
影响因子：
4.2
通讯作者：
Allegrante, JP
中科院分区：
文献类型：
--
作者：
Figaro, MK;Russo, PW;Allegrante, JP
尽管黑人膝关节骨关节炎的残疾更大，但白人进行全膝关节置换术（TKR）的可能性高出3-5倍。作者探讨了黑人对关节炎和手术的信念是否导致了这种差异。94名黑人，年龄50至89岁，膝关节炎进行了半结构化的定性访谈残疾，关节炎的信念，对TKR的信念，和治疗偏好。内容分析产生了6个主题：对自然疗法的偏好，对手术的负面期望，对上帝控制的信仰，对继续保持现状的偏好，与专家的关系，以及对手术或死亡的恐惧。鉴于其残疾程度较高，该队列对TKR的期望较低。文化敏感的教育项目可能会改善患者对TKR的态度和信念，最终增加适当的使用。
Despite greater disability from knee osteoarthritis among Blacks, Whites are 3-5 times more likely to have total knee replacement (TKR). The authors explored whether beliefs among Blacks about arthritis and surgery contribute to this disparity. Ninety-four Blacks, ages 50 to 89, with knee arthritis underwent semistructured qualitative interviews regarding disability, beliefs about arthritis, beliefs about TKR, and treatment preferences. Content analyses yielded 6 themes: preference for natural remedies, negative expectations of surgery, beliefs about God's control, preference for continuing in their current state, relationships with specialists, and fear of surgery or death. Given its high levels of disability, this cohort had low expectations of TKR. Culturally sensitive educational programs might improve patient attitudes and beliefs regarding TKR, ultimately increasing appropriate usage.