Format

Send to

Choose Destination
See comment in PubMed Commons below
Patient Educ Couns. 2012 Jun;87(3):319-26. doi: 10.1016/j.pec.2011.09.012. Epub 2011 Nov 8.

Influence of race and socioeconomic status on engagement in pediatric primary care.

Author information

1
Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI 53792, USA. ecox@wisc.edu

Abstract

OBJECTIVE:

To understand the association of race/ethnicity with engagement in pediatric primary care and examine how any racial/ethnic disparities are influenced by socioeconomic status.

METHODS:

Visit videos and parent surveys were obtained for 405 children who visited for respiratory infections. Family and physician engagement in key visit tasks (relationship building, information exchange, and decision making) were coded. Two parallel regression models adjusting for covariates and clustering by physician were constructed: (1) race/ethnicity only and (2) race/ethnicity with SES (education and income).

RESULTS:

With and without adjustment for SES, physicians seeing Asian families spoke 24% fewer relationship building utterances, compared to physicians seeing White, non-Latino families (p<0.05). Latino families gathered 24% less information than White, non-Latino families (p<0.05), but accounting for SES mitigates this association. Similarly, African American families were significantly less likely to be actively engaged in decision making (OR=0.32; p<0.05), compared to White, non-Latino families, but adjusting for SES mitigated this association.

CONCLUSION:

While engagement during pediatric visits differed by the family's race/ethnicity, many of these differences were eliminated by accounting for socioeconomic status.

PRACTICE IMPLICATIONS:

Effective targeting and evaluation of interventions to reduce health disparities through improving engagement must extend beyond race/ethnicity to consider socioeconomic status more broadly.

PMID:
22070902
PMCID:
PMC3359403
DOI:
10.1016/j.pec.2011.09.012
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science Icon for PubMed Central
    Loading ...
    Support Center