ArticleSocial science & medicine (1982)2017
The impact of Black cancer patients' race-related beliefs and attitudes on racially-discordant oncology interactions: A field study.
Article in Social science & medicine (1982), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
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Who cites it
20 citing papers in PubMed.
- Experiences of Past Discrimination and Caregiver Communication During Family-Centered Rounds.Hospital pediatrics · 2026Article
- "The doctor will see you now… but not for long": Linking physicians' racial attitudes and patients' discrimination experiences to racial disparities in the duration of medical consultations.Patient education and counseling · 2025Article
- Does structural racism impact receipt of NCCN guideline-concordant breast cancer treatment?Breast cancer research and treatment · 2024Article
- Article
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- The impact of social and environmental factors on cancer biology in Black Americans.Cancer causes & control : CCC · 2023Review
- Association between COVID-19 vaccine hesitancy and trust in the medical profession and public health officials.Preventive medicine · 2022Article
- Understanding racial-ethnic differences in patient-centered care (PCC) in oncology through a critical race theory lens: A qualitative comparison of PCC among Black, Hispanic, and White cancer patients.Patient education and counseling · 2022Article
- Inequities in Therapy for Infantile Spasms: A Call to Action.Annals of neurology · 2022Article
- Article
- Patient-reported symptom burden in routine oncology care: Examining racial and ethnic disparities.Cancer reports (Hoboken, N.J.) · 2022Article
- Racial Disparities in Treatment for Rectal Cancer at Minority-Serving Hospitals.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- Racial/ethnic, socioeconomic, and geographic survival disparities in adolescents and young adults with primary central nervous system tumors.Pediatric blood & cancer · 2021Article
- A Review of Research on Disparities in the Care of Black and White Patients With Cancer in Detroit.Frontiers in oncology · 2021Review
- Applied Racial/Ethnic Healthcare Disparities Research Using Implicit Measures.Social cognition · 2020Article
- Medical Mistrust in Black Breast Cancer Patients: Acknowledging the Roles of the Trustor and the Trustee.Journal of cancer education : the official journal of the American Association for Cancer Education · 2019Article
- Article
- The influence of affective behavior on impression formation in interactions between black cancer patients and their oncologists.Social science & medicine (1982) · 2018Article
- The Influence of Patient and Physician Race-Related Attitudes and Perceptions on Nonverbal Synchrony in Oncology Treatment Interactions Between Black Patients and Non-Black Physicians.Cancer control : journal of the Moffitt Cancer CenterArticle
- Nonverbal Synchrony: An Indicator of Clinical Communication Quality in Racially-Concordant and Racially-Discordant Oncology Interactions.Cancer control : journal of the Moffitt Cancer CenterObservational
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveBoth physician and patient race-related beliefs and attitudes are contributors to racial healthcare disparities, but only the former have received substantial research attention. Using data from a study conducted in the Midwestern US from 2012 to 2014, we investigated whether 114 Black cancer patients' existing race-related beliefs and attitudes would predict how they and 18 non-Black physicians (medical oncologists) would respond in subsequent clinical interactions.
methodAt least two days before interacting with an oncologist for initial discussions of treatment options, patients completed measures of perceived past discrimination, general mistrust of physicians, and suspicion of healthcare systems; interactions were video-recorded. Measures from each interaction included patients' verbal behavior (e.g., level of verbal activity), patients' evaluations of physicians (e.g., trustworthiness), patients' perceptions of recommended treatments (e.g., confidence in treatment), physicians' evaluations of patient personal attributes (e.g., intelligence) and physicians' expectations for patient treatment success (e.g., adherence).
resultsAs predicted, patients' race-related beliefs and attitudes differed in their associations with patient and physician responses to the interactions. Higher levels of perceived past discrimination predicted more patient verbal activity. Higher levels of mistrust also predicted less patient positive affect and more negative evaluations of physicians. Higher levels of suspicion predicted more negative evaluations of physicians and recommended treatments. Stronger patient race-related attitudes were directly or indirectly associated with lower physician perceptions of patient attributes and treatment expectations.
conclusionResults provide new evidence for the role of Black patients' race-related beliefs and attitudes in racial healthcare disparities and suggest the need to measure multiple beliefs and attitudes to identify these effects.
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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.