Are racial differences in patient-physician cancer communication and information explained by background, predisposing, and enabling factors?

Clara Manfredi*, Karen Kaiser, Alicia K. Matthews, Timothy P. Johnson

*Corresponding author for this work

Research output: Contribution to journalArticle

44 Scopus citations

Abstract

Research shows that African Americans tend to have poorer and less informative patient-physician communication than Whites. We analyzed survey data from 248 African American and 244 White cancer patients to examine whether this disadvantage could be explained by race variability on several other variables commonly reported to affect communication. These variables were organized into background, enabling, and predisposing factors, based on the Precede-Proceed Model. Multivariate regressions were used to test whether race differences in communication and information variables persisted after successively controlling for background, enabling, and predisposing factors. African American patients had higher interpersonal communication barriers than Whites, but this difference did not persist after controlling for background factors. African Americans also had higher unmet information needs and were less likely to receive the name of a cancer expert. These differences persisted after controlling for all other factors. Future research should focus on the informational disadvantages of African American patients and how such disadvantages may affect cancer treatment decisions.

Original languageEnglish (US)
Pages (from-to)272-292
Number of pages21
JournalJournal of Health Communication
Volume15
Issue number3
DOIs
StatePublished - Apr 1 2010

ASJC Scopus subject areas

  • Health(social science)
  • Communication
  • Public Health, Environmental and Occupational Health
  • Library and Information Sciences

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