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[PHP-10] The Social Dynamics of Racial Disparities in Preventive Cardiology Advice Charlene Pope, PhD, University of Rochester, Rochester, NY
Dept of Community and Preventative Medicine, 601 Elmwood Ave Box 644, Rochester, NY, 14642
In health care, social differences affect how people perceive, speak with, listen, and interpret one another. Health service research reports that Black and White patients in the United States with the same symptoms, gender, and insurance are treated differently as they communicate in a predominantly White health system. The health professions talk about competence, caring, and culture, but neglect how racial disparities happen. Interracial and monoracial health encounters may differ, but remain under-investigated. Our study examined how doctors and patients speak with one another during visits.
First, we found statistically significant differences in health promotion advice by race in a group of 436 teens in a quality of care analysis called. Measuring Adolescent Preventive Services (MAPS). Then, we used conversation analysis to compare snatched pairs chosen at random (privately insured, same gender, similar age) who spoke with the same White physicians. Specific structural, expressive, and interactional speaking activities were examined, such as greetings, interruptions, advice, and humor. Across all teen visits, physicians use more authoritarian styles, gender-specific practices, teasing, restricted questions, comments of social bias, and heterosexual assumptions. All teens received less health promotion advice than recommended by the American Medical Association, but Black teen., received less than White teens, with less time, talk, humor, and participation. With the Black teens, the White physicians missed cues, and used more selective attention, close-ended questions, stereotypes, and power-oriented interruptions. In monoracial and interracial health encounters, how physicians use language affects communication competence and the quality of care.
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Date: July 10-12, 2002
Location: Hilton Hotel & Towers, Washington, DC
Sponsor: U.S. Dept. of Health and Human Services, Office of Minority Health / Office of Public Health and Science
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