An Analysis of Race-related Attitudes and Beliefs in Black Cancer Patients: Implications for Health Care Disparities.
An Analysis of Race-related Attitudes and Beliefs in Black Cancer Patients: Implications for Health Care Disparities.
复制标题
DOI：
10.1353/hpu.2016.0115
复制
发表时间：
2016
影响因子：
1.4
通讯作者：
Eggly S
中科院分区：
文献类型：
--
作者：
Penner LA;Dovidio JF;Hagiwara N;Foster T;Albrecht TL;Chapman RA;Eggly S
这项研究涉及黑人癌症患者的医疗保健态度和行为之间的关系（例如，坚持，决策控制偏好，）以及他们与种族有关的态度和信念，这些态度和信念由（a）一般生活经历（即，感知的歧视，种族身份）和（B）与卫生保健系统交互的经历（即，医生的不信任，对医疗护理的怀疑）。感知的歧视，种族身份和医疗怀疑彼此弱相关;不信任和怀疑只有适度的相关性。种族相关的态度和信念与医疗保健的态度和行为，但关联模式各不相同。医生的不信任和医疗怀疑各自独立地与依从性和决策控制偏好相关，但歧视只与控制偏好相关。患者的不同种族态度/信仰之间的关联比以前假设的更复杂。针对患者的态度/信念和医疗差异的干预措施可能会更有成效，如果他们专注于不信任或怀疑特定的医疗服务提供者/系统及其相关因素在这项研究中确定。
This research concerned relationships among Black cancer patients’ health care attitudes and behaviors (e.g., adherence, decisional control preferences,) and their race-related attitudes and beliefs shaped by (a) general life experiences (i.e., perceived discrimination, racial identity) and (b) experiences interacting with health care systems (i.e., physician mistrust, suspicion about medical care). Perceived discrimination, racial identity, and medical suspicion correlated weakly with one another; mistrust and suspicion correlated only moderately. Race-related attitudes and beliefs were associated with health care attitudes and behavior, but patterns of association varied. Physician mistrust and medical suspicion each independently correlated with adherence and decisional control preferences, but discrimination only correlated with control preferences. Associations among patients’ different racial attitudes/beliefs are more complex than previously assumed. Interventions that target patient attitudes/beliefs and health care disparities might be more productive if they focus on mistrust or suspicion specific to health care providers/systems and their correlates identified in this study.
登录
查看更多内容
DOI：
10.1007/s13187-013-0456-2
发表时间：
2013-06
期刊：
Journal of cancer education : the official journal of the American Association for Cancer Education
影响因子：
--
作者：
Eggly S;Tkatch R;Penner LA;Mabunda L;Hudson J;Chapman R;Griggs JJ;Brown R;Albrecht T
通讯作者：
Albrecht T
影响因子：
3.3
作者：
Hagiwara, Nao;Penner, Louis A.;Albrecht, Terrance L.
通讯作者：
Albrecht, Terrance L.
影响因子：
5.4
作者：
Hagiwara, Nao;Penner, Louis A.;Albrecht, Terrance L.
通讯作者：
Albrecht, Terrance L.
影响因子：
5.4
作者：
Dovidio, John F.;Penner, Louis A.;Shelton, J. Nicole
通讯作者：
Shelton, J. Nicole
影响因子：
45.3
作者：
Bickell, NA;Wang, JJ;Guth, AA
通讯作者：
Guth, AA