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Are There Racial Differences in Patients’ Shared Decision-Making Preferences and Behaviors among Patients with Diabetes?

Author

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  • Monica E. Peek
  • Hui Tang
  • Algernon Cargill
  • Marshall H. Chin

Abstract

Background . In the United States, African Americans are more likely to experience lower quality patient/provider communication and less shared decision making (SDM) than whites, which may be an important contributor to racial health disparities. Patient factors have not been fully explored as a potential contributor to communication disparities. Methods . The authors analyzed cross-sectional data from a survey of 974 patients with diabetes seen at 34 community health centers (HC) in 17 midwestern and west-central states. They used ordinal and logistic regression models to investigate racial differences in patients’ preferences for SDM and in patients’ behaviors that may facilitate SDM (initiating discussions about diabetes care). Results . The response rate was 67%. In bivariate and multivariate analyses, race was not associated with patient preference for a shared role in the 3 measured SDM domains: agenda setting (odds ratio [OR]: 1.13 [0.86, 1.49]), information sharing (OR: 1.26 [0.97, 1.64]), or decision making (OR: 1.16 [0.85, 1.59]). African Americans were more likely to report initiating discussions with their physicians about 4 of 6 areas of diabetes care—blood pressure measurement (66% v. 52%, P

Suggested Citation

  • Monica E. Peek & Hui Tang & Algernon Cargill & Marshall H. Chin, 2011. "Are There Racial Differences in Patients’ Shared Decision-Making Preferences and Behaviors among Patients with Diabetes?," Medical Decision Making, , vol. 31(3), pages 422-431, May.
    • Handle: RePEc:sae:medema:v:31:y:2011:i:3:p:422-431
    DOI: 10.1177/0272989X10384739
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    References listed on IDEAS

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    2. O'Malley, M.S. & Earp, J.A.L. & Hawley, S.T. & Schell, M.J. & Mathews, H.F. & Mitchell, J., 2001. "The association of race/ethnicity, socioeconomic status, and physician recommendation for mammography: Who gets the message about breast cancer screening?," American Journal of Public Health, American Public Health Association, vol. 91(1), pages 49-54.
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