Associations between patient-provider communication and socio-cultural factors in prostate cancer patients: A cross-sectional evaluation of racial differences

被引:40
作者
Song, Lixin [1 ,2 ]
Weaver, Mark A. [3 ]
Chen, Ronald C. [2 ,3 ,4 ]
Bensen, Jeannette T. [2 ,5 ]
Fontham, Elizabeth [6 ]
Mohler, James L. [2 ,7 ]
Mishel, Merle [1 ]
Godley, Paul A. [2 ,3 ,4 ]
Sleath, Betsy [8 ]
机构
[1] Univ N Carolina, Sch Nursing, Chapel Hill, NC 27599 USA
[2] Univ N Carolina, Lineberger Comprehens Canc Ctr, Chapel Hill, NC 27599 USA
[3] Univ N Carolina, Sch Med, Chapel Hill, NC 27599 USA
[4] Univ N Carolina, Cecil G Sheps Ctr Hlth Serv Res, Chapel Hill, NC 27599 USA
[5] Univ N Carolina, Sch Publ Hlth, Chapel Hill, NC 27599 USA
[6] Louisiana State Univ, Hlth Sci Ctr, Sch Publ Hlth, New Orleans, LA USA
[7] Roswell Pk Canc Inst, Dept Urol, Buffalo, NY 14263 USA
[8] Univ N Carolina, Eshelman Sch Pharm, Chapel Hill, NC 27599 USA
关键词
Communication; Race; Physician trust; Literacy; Racism; Beliefs; Prostate cancer; PCaP; BREAST-CANCER; AFRICAN-AMERICANS; HEALTH; CARE; PERCEPTIONS; TRUST; PHYSICIANS; QUALITY; DISPARITIES; SATISFACTION;
D O I
10.1016/j.pec.2014.08.019
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: To examine the association between socio-cultural factors and patient-provider communication and related racial differences. Methods: Data abalysis included 1854 men with prostate cancer from a population-based study. Participants completed an assessment of communication variables, physician trust, perceived racism, religious beliefs, traditional health beliefs, and health literacy. A multi-group structural equation modeling approach was used to address the research aims. Results: Compared with African Americans, Caucasian Americans had significantly greater mean scores of interpersonal treatment (p < 0.01), prostate cancer communication (p < 0.001), and physician trust (p < 0.001), but lower mean scores of religious beliefs, traditional health beliefs, and perceived racism (all p values <0.001). For both African and Caucasian Americans, better patient-provider communication was associated with more physician trust, less perceived racism, greater religious beliefs (all p-values <0.01), and at least high school education (p < 0.05). Conclusion: Socio-cultural factors are associated with patient-provider communication among men with cancer. No evidence supported associations differed by race. Practice implication: To facilitate patient-provider communication during prostate cancer care, providers need to be aware of patient education levels, engage in behaviors that enhance trust, treat patients equally, respect religious beliefs, and reduce the difficulty level of the information. (C) 2014 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:339 / 346
页数:8
相关论文
共 53 条
[1]  
American Cancer Society, 2012, Cancer Facts and Figures 2012
[2]  
[Anonymous], [No title captured]
[3]  
[Anonymous], 2007, LIT EVERYDAY LIFE RE
[4]   ETHNICITY, CHURCH AFFILIATION AND BELIEFS ABOUT THE CAUSAL AGENTS OF HEALTH - A COMPARATIVE-STUDY EMPLOYING A MULTIVARIATE-ANALYSIS OF COVARIANCE [J].
BEKHUIS, T ;
COOK, H ;
HOLT, K ;
SCOTTLENNOX, J ;
LENNOX, R ;
PRICE, L ;
FRYER, JG .
HEALTH EDUCATION RESEARCH, 1995, 10 (01) :73-82
[5]   Religious influences on trust in physicians and the health care system [J].
Benjamins, Maureen R. .
INTERNATIONAL JOURNAL OF PSYCHIATRY IN MEDICINE, 2006, 36 (01) :69-83
[6]  
Benkert R, 2006, J NATL MED ASSOC, V98, P1532
[7]   Patient-provider and patient-staff racial concordance and perceptions of mistreatment in the health care setting [J].
Blanchard, Janice ;
Nayar, Shakti ;
Lurie, Nicole .
JOURNAL OF GENERAL INTERNAL MEDICINE, 2007, 22 (08) :1184-1189
[8]  
Bollen K. A., 1989, Structural equations with latent variables
[9]   Race, gender, and partnership in the patient-physician relationship [J].
Cooper-Patrick, L ;
Gallo, JJ ;
Gonzales, JJ ;
Vu, HT ;
Powe, NR ;
Nelson, C ;
Ford, DE .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 282 (06) :583-589
[10]  
Davis T C, 1993, Fam Med, V25, P391