Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2005-5-24
pubmed:abstractText
The objective of this study was to explore coronary heart disease (CHD) health care experiences and beliefs of African-American and white patients to elicit potential causes of racial disparities in CHD outcomes. Twenty-four patients (14 white, 10 African-American) with established CHD participated in one of four focus groups. Using qualitative methods, verbatim transcripts of the groups were analyzed by independent investigators to identify key themes. We identified four themes: risk factor knowledge, physician--patient relationship, medical system access, and treatment beliefs. Racial differences were apparent in the experience of racism as a stress, knowledge of specifics of CHD risk factors, and assertiveness in the physician--patient relationship. These findings suggest that strategies to improve risk factor knowledge and to enable African-American patients to become active partners in their medical care may lead to improved CHD morbidity and mortality in this population. The efficacy of such interventions would need to be tested in further work.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
N
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
0738-3991
pubmed:author
pubmed:issnType
Print
pubmed:volume
57
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
225-31
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:15911197-African Americans, pubmed-meshheading:15911197-Aged, pubmed-meshheading:15911197-Aged, 80 and over, pubmed-meshheading:15911197-Attitude to Health, pubmed-meshheading:15911197-Cardiovascular Diseases, pubmed-meshheading:15911197-Cross-Cultural Comparison, pubmed-meshheading:15911197-European Continental Ancestry Group, pubmed-meshheading:15911197-Focus Groups, pubmed-meshheading:15911197-Health Knowledge, Attitudes, Practice, pubmed-meshheading:15911197-Health Services Accessibility, pubmed-meshheading:15911197-Hospitals, Veterans, pubmed-meshheading:15911197-Humans, pubmed-meshheading:15911197-Male, pubmed-meshheading:15911197-Middle Aged, pubmed-meshheading:15911197-Needs Assessment, pubmed-meshheading:15911197-Patient Education as Topic, pubmed-meshheading:15911197-Physician-Patient Relations, pubmed-meshheading:15911197-Primary Prevention, pubmed-meshheading:15911197-Qualitative Research, pubmed-meshheading:15911197-Risk Factors, pubmed-meshheading:15911197-Texas, pubmed-meshheading:15911197-United States, pubmed-meshheading:15911197-United States Department of Veterans Affairs
pubmed:year
2005
pubmed:articleTitle
Racial differences in attitudes regarding cardiovascular disease prevention and treatment: a qualitative study.
pubmed:affiliation
Houston Center for Quality of Care and Utilization Studies, Department of Veterans Affairs, Health Services Research and Development Center of Excellence, Houston Veterans Affairs Medical Center, Houston, TX 77030, USA. lwoodard@bcm.tmc.edu
pubmed:publicationType
Journal Article, Comparative Study, Research Support, U.S. Gov't, P.H.S., Research Support, N.I.H., Extramural