Article

Re: "Ten largest racial and ethnic health disparities in the United States based on Healthy People 2010 objectives".

American Journal of Epidemiology (Impact Factor: 4.98). 12/2007; 166(9):1105-6; author reply 1106-7. DOI: 10.1093/aje/kwm261
Source: PubMed

ABSTRACT A consistent framework has been developed for measuring health disparities and making comparisons across indicators with regard to the public health goals of Healthy People 2010. Disparities are measured as the percent difference from the best group rate, with all indicators being expressed in terms of adverse events. The 10 largest health disparities for each of five US racial and ethnic groups are identified here. There are both similarities and dif- ferences in the largest health disparities. New cases of tuberculosis and drug-induced death rates are among the largest health disparities for four of the five racial and ethnic groups. However, drug-induced death is the only indicator among the 10 largest disparities that is shared by both Black and White non-Hispanic populations. ethnic groups; health promotion; minority groups; public health

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    ABSTRACT: Healthcare treatment differences persist for African Americans even after controlling for socioeconomic status (van Ryn and Burke 2000). Although blacks represent a sizable percentage of the middle class, most disparities research does not address class heterogeneity. Furthermore, research indicates patient–provider race concordance may mitigate racial disparities in health care (Laveist and Neru-jeter in J Health Soc Behav 43(3):296–306, 2002; IOM in Unequal treatment: confronting racial and ethnic disparities in health care. National Academies Press, Washington, 2002). This study explores race and gender preference for black middle-class women in healthcare settings. The study uses in-depth interviews and focus groups to explore the experiences of thirty African American women between 38 and 67 in a large urban area. The majority of respondents expressed a strong preference for a female OB/GYN (of any race) while 9 preferred a female primary care provider (of any race). Although the women did not express an explicit race preference, they had a strong affinity for black female providers. Importantly, respondents complicated the idea of provider-level race preference by noting that other site-level factors like wait times and the site’s racial composition affected their racial preferences. Although increasing racial diversity among providers is generally positive, respondents suggest that alone will not ameliorate racial disparities. The complexities of the healthcare encounter, including time pressure, clinical uncertainty, and the patient’s desire for expertise regardless of race or gender, all impinge on respondents’ race preferences. Lastly, women noted that site-level factors may be conflated with the race of provider such that having a black provider does not necessarily lead to better care or protect women from discrimination or bias.
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    Encyclopedia of the Life Course and Human Development, Edited by D. Carr, R. Crosnoe, M. E. Hughes, A. Pienta, 01/2008: pages 198-202; Thomson Gale.

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