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Ann Behav Med. 2013 Jun;45(3):308-17. doi: 10.1007/s12160-013-9475-9.

Effects of patient-provider race concordance and smoking status on lung cancer risk perception accuracy among African-Americans.

Author information

1
Social and Behavioral Research Branch, National Human Genome Research Institute, 31 Center Drive, Bethesda, MD 20892, USA. perskys@mail.nih.gov

Abstract

BACKGROUND:

Communication of lung cancer risk information between providers and African-American patients occurs in a context marked by race-based health disparities.

PURPOSE:

A controlled experiment assessed whether perceived physician race influenced African-American patients' (n = 127) risk perception accuracy following the provision of objective lung cancer risk information.

METHODS:

Participants interacted with a virtual reality-based, simulated physician who provided personalized cancer risk information.

RESULTS:

Participants who interacted with a racially discordant virtual doctor were less accurate in their risk perceptions at post-test than those who interacted with a concordant virtual doctor, F(1,94) = 4.02, p = .048. This effect was amplified among current smokers. Effects were not mediated by trust in the provider, engagement with the health care system, or attention during the encounter.

CONCLUSIONS:

The current study demonstrates that African-American patients' perceptions of a doctor's race are sufficient to independently impact their processing of lung cancer risk information.

PMID:
23389688
PMCID:
PMC3644014
DOI:
10.1007/s12160-013-9475-9
[Indexed for MEDLINE]
Free PMC Article

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