ArticlePatient education and counseling2011
The role of cultural distance between patient and provider in explaining racial/ethnic disparities in HIV care.
Article in Patient education and counseling, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
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Who cites it
30 citing papers in PubMed.
- Racial differences in response to antiretroviral therapy for HIV infection: an AIDS clinical trials group (ACTG) study analysis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2013Trial
- Pilot Evaluation of the Family Bridge Program: A Communication- and Culture-Focused Inpatient Patient Navigation Program.Academic pediatricsTrial
- If you build it who will come? Widening access through a place-based Rural Training Stream to address local medical workforce shortages.BMC medical education · 2026Article
- Site-Specific Adaptation of an Inpatient Patient Navigator Program at 2 Children's Hospitals.Hospital pediatrics · 2025Article
- "Trying to write a story together": general practitioners' perspectives on culturally sensitive care.International journal for equity in health · 2024Article
- Evaluation of an HIV homecare program for lost-to-follow-up populations: a mixed methods study in Detroit, Michigan.AIDS research and therapy · 2024Article
- Workforce diversity in specialist physicians: Implications of findings for religious affiliation in Anaesthesia & Intensive Care.PloS one · 2023Article
- Antecedents of immigrants' entrepreneurial intention formation process: an empirical study of immigrant entrepreneurs in Canada.Frontiers in psychology · 2023Article
- Racial disparities in clinician responses to patient emotions.Patient education and counseling · 2020Article
- Perspectives of Health Care Providers on the Role of Culture in the Self-Care of Patients with Chronic Heart Failure: A Qualitative Interview Study.International journal of environmental research and public health · 2020Article
- Identifying Modifiable Health Care Barriers to Improve Health Equity for Hospitalized Children.Hospital pediatrics · 2020Article
- HIV testing in a large community health center serving a multi-cultural patient population: A qualitative study of providers.AIDS care · 2019Article
- "A Gay Man and a Doctor are Just like, a Recipe for Destruction": How Racism and Homonegativity in Healthcare Settings Influence PrEP Uptake Among Young Black MSM.AIDS and behavior · 2019Article
- Racial disparities in incidence & survival of Kaposi's sarcoma in the United States.The Indian journal of medical research · 2019Article
- Health Without Care? Vulnerability, Medical Brain Drain, and Health Worker Responsibilities in Underserved Contexts.Health care analysis : HCA : journal of health philosophy and policy · 2018Article
- The need for multi-level mitigation of medical mistrust among social network members contributing to antiretroviral treatment nonadherence in African Americans living with HIV: Comment on Bogart et al. (2016).Social science & medicine (1982) · 2016Article
- Patient-Provider Social Concordance and Health Outcomes in Patients with Type 2 Diabetes: a Retrospective Study from a Large Federally Qualified Health Center in Connecticut.Journal of racial and ethnic health disparities · 2016Article
- Respecting patients is associated with more patient-centered communication behaviors in clinical encounters.Patient education and counseling · 2016Article
- Adequacy of Mental Health Services for HIV-Positive Patients with Depression: Ontario HIV Treatment Network Cohort Study.PloS one · 2016Article
- Impact of a brief patient and provider intervention to improve the quality of communication about medication adherence among HIV patients.Patient education and counseling · 2015Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectiveWe sought to evaluate whether cultural distance between patients and providers was associated with quality of care for people living with HIV/AIDS, and whether cultural distance helped explain racial/ethnic disparities in HIV care.
methodsWe surveyed 437 patients and 45 providers at 4 HIV clinics in the U.S. We examined the association of patients' perceived cultural distance from their providers with patient ratings of healthcare quality, trust in provider, receipt of antiretroviral therapy, medication adherence, and viral suppression. We also examined whether racial/ethnic disparities in these aspects of HIV care were mediated by cultural distance.
resultsGreater cultural distance was associated with lower patient ratings of healthcare quality and less trust in providers. Compared to white patients, nonwhites had significantly lower levels of trust, adherence, and viral suppression. Adjusting for patient-provider cultural distance did not significantly affect any of these disparities (p-values for mediation >.10).
conclusionPatient-provider cultural distance was negatively associated with perceived quality of care and trust but did not explain racial/ethnic disparities in HIV care. PRACTICE IMPLICATIONS: Bridging cultural differences may improve patient-provider relationships but may have limited impact in reducing racial/ethnic disparities, unless coupled with efforts to address other sources of unequal care.
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