TY - JOUR
T1 - Provider communication quality
T2 - Influence of patients' weight and race
AU - Wong, Michelle S.
AU - Gudzune, Kimberly A.
AU - Bleich, Sara N.
N1 - Publisher Copyright:
© 2014 Elsevier Ireland Ltd.
PY - 2015
Y1 - 2015
N2 - Objective: To examine the relationship between patient weight and provider communication quality and determine whether patient race/ethnicity modifies this association. Methods: We conducted a cross-sectional analysis with 2009-2010 medical expenditures panel survey-household component (. N=. 25,971). Our dependent variables were patient report of providers explaining well, listening, showing respect, and spending time. Our independent variables were patient weight status and patient weight-race/ethnicity groups. Using survey weights, we performed multivariate logistic regression to examine the adjusted association between patient weight and patient-provider communication measures, and whether patient race/ethnicity modifies this relationship. Results: Compared to healthy weight whites, obese blacks were less likely to report that their providers explained things well (OR 0.78; p=. 0.02) or spent enough time with them (OR 0.81; p=. 0.04), and overweight blacks were also less likely to report that providers spent enough time with them (OR 0.78; p=. 0.02). Healthy weight Hispanics were also less likely to report adequate provider explanations (OR 0.74; p=. 0.04). Conclusion: Our study provides preliminary evidence that overweight/obese black and healthy weight Hispanic patients experience disparities in provider communication quality. Practice Implication: Curricula on weight bias and cultural competency might improve communication between providers and their overweight/obese black and healthy weight Hispanic patients.
AB - Objective: To examine the relationship between patient weight and provider communication quality and determine whether patient race/ethnicity modifies this association. Methods: We conducted a cross-sectional analysis with 2009-2010 medical expenditures panel survey-household component (. N=. 25,971). Our dependent variables were patient report of providers explaining well, listening, showing respect, and spending time. Our independent variables were patient weight status and patient weight-race/ethnicity groups. Using survey weights, we performed multivariate logistic regression to examine the adjusted association between patient weight and patient-provider communication measures, and whether patient race/ethnicity modifies this relationship. Results: Compared to healthy weight whites, obese blacks were less likely to report that their providers explained things well (OR 0.78; p=. 0.02) or spent enough time with them (OR 0.81; p=. 0.04), and overweight blacks were also less likely to report that providers spent enough time with them (OR 0.78; p=. 0.02). Healthy weight Hispanics were also less likely to report adequate provider explanations (OR 0.74; p=. 0.04). Conclusion: Our study provides preliminary evidence that overweight/obese black and healthy weight Hispanic patients experience disparities in provider communication quality. Practice Implication: Curricula on weight bias and cultural competency might improve communication between providers and their overweight/obese black and healthy weight Hispanic patients.
KW - Health disparities
KW - Obesity
KW - Provider communication
UR - http://www.scopus.com/inward/record.url?scp=84933278439&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84933278439&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2014.12.007
DO - 10.1016/j.pec.2014.12.007
M3 - Article
C2 - 25617907
AN - SCOPUS:84933278439
SN - 0738-3991
VL - 98
SP - 492
EP - 498
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 4
ER -