ArticleEthnicity & health2014
Patient-physician racial/ethnic concordance and blood pressure control: the role of trust and medication adherence.
Article in Ethnicity & health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
53 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Patient-Provider Race Concordance and Medication Adherence: A Systematic Review.Journal of racial and ethnic health disparities · 2026Pooled it
- Finding Common Ground: Can Provider-Patient Race Concordance and Self-disclosure Bolster Patient Trust, Perceptions, and Intentions?Journal of racial and ethnic health disparities · 2019Trial
- Resident, Faculty, and Latino/a/x Patient Perspectives on Racism: A Mixed-Methods Study to Inform Anti-Racism and Advocacy Curricula.Journal of general internal medicine · 2026Article
- Readiness for Practice in Dentistry: From Competence to Trust.Journal of dental education · 2026Article
- Burden of Treatment in Patients With Heart Failure.Journal of the American Heart Association · 2025Article
- Trust in AI-assisted health systems and AI's trust in humans.npj health systems · 2025Review
- The Pre-Medical Health Coach (PHC) program: pre-medical students as volunteer health coaches at a safety-net hospital in California, 2016-2020.BMC medical education · 2025Article
- Representation Quotients to Examine Diversity in Ophthalmology Residency Applicants and Matriculants.JAMA ophthalmology · 2025Article
- Overcoming the Impact of Students for Fair Admission v Harvard to Build a More Representative Health Care Workforce: Perspectives from Ending Unequal Treatment.The Milbank quarterly · 2024Article
- National Trends in Racial and Ethnic Disparities in Use of Recommended Therapies in Adults with Atherosclerotic Cardiovascular Disease, 1999-2020.JAMA network open · 2023Article
- Allyship to Advance Diversity, Equity, and Inclusion in Otolaryngology: What We Can All Do.Current otorhinolaryngology reports · 2023Article
- Relationship between Satisfaction Scores and Racial/Ethnic and Sex Concordance in Primary Care.Healthcare (Basel, Switzerland) · 2023Article
- Diverse patients' attitudes towards Artificial Intelligence (AI) in diagnosis.PLOS digital health · 2023Article
- Black Representation in the Primary Care Physician Workforce and Its Association With Population Life Expectancy and Mortality Rates in the US.JAMA network open · 2023Article
- Creating an Agenda for Black Birth Equity: Black Voices Matter.Health equity · 2023Article
- Development and Validation of a Kidney-Transplant Specific Measure of Treatment Burden.BMC nephrology · 2022Article
- Behavioral Health Professionals' Perceptions on Patient-Controlled Granular Information Sharing (Part 1): Focus Group Study.JMIR mental health · 2022Article
- Preparedness for Serious Illnesses: Impact of Ethnicity, Mistrust, Perceived Discrimination, and Health Communication.The American journal of hospice & palliative care · 2022Article
- Association of Differences in Treatment Intensification, Missed Visits, and Scheduled Follow-up Interval With Racial or Ethnic Disparities in Blood Pressure Control.JAMA cardiology · 2022Article
- The Impact of Age and Sex Concordance Between Patients and Physicians on Medication Adherence: A Population-Based Study.Patient preference and adherence · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectivesTo examine the associations between racial/ethnic concordance and blood pressure (BP) control, and to determine whether patient trust and medication adherence mediate these associations.
designCross-sectional study of 723 hypertensive African-American and white patients receiving care from 205 white and African-American providers at 119 primary care clinics, from 2001 to 2005. Racial/ethnic concordance was characterized as dyads where both the patient and physician were of the same race/ethnicity; discordance occurred in dyads where the patient was African-American and the physician was white. Patient perceptions of trust and medication adherence were assessed with self-report measures. The BP readings were abstracted from patients' medical charts using standardized procedures.
resultsSix hundred thirty-seven patients were in race/ethnic-concordant relationships; 86 were in race/ethnic-discordant relationships. Concordance had no association with BP control. White patients in race/ethnic-concordant relationships were more likely to report better adherence than African-American patients in race/ethnic-discordant relationships (OR: 1.27, 95% CI: 1.01, 1.61, p = 0.04). Little difference in adherence was found for African-American patients in race/ethnic-concordant vs. discordant relationships. Increasing trust was associated with significantly better adherence (OR: 1.17, 95% CI: 1.04, 1.31, p < 0.01) and a trend toward better BP control among all patients (OR: 1.26, 95% CI: 0.97, 1.63, p = 0.07).
conclusionsPatient trust may influence medication adherence and BP control regardless of patient-physician racial/ethnic composition.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.