scholarly journals Association of Racial/Ethnic and Gender Concordance Between Patients and Physicians With Patient Experience Ratings

2020 ◽  
Vol 3 (11) ◽  
pp. e2024583 ◽  
Author(s):  
Junko Takeshita ◽  
Shiyu Wang ◽  
Alison W. Loren ◽  
Nandita Mitra ◽  
Justine Shults ◽  
...  
Keyword(s):  
Patient Experience ◽  
Gender Concordance ◽  
And Gender ◽  
Racial Ethnic

Impact of patient-provider race/ethnicity and gender concordance on cancer screening: Findings from medical expenditure panel survey.

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. 1547-1547
Author(s):  
Jyoti Malhotra ◽  
David Rotter ◽  
Jennifer Tsui ◽  
Adana Llanos ◽  
Bijal A Balasubramanian ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Medical Expenditure Panel Survey ◽  
Medical Expenditure ◽  
Gender Concordance ◽  
Screening Adherence ◽  
Race Ethnicity ◽  
And Gender ◽  
Ethnicity And Gender ◽  
Racial Ethnic

1547 Background: Racial/ethnic minority groups experience lower rates of cancer screening compared to non-Hispanic (NH) whites. Previous studies evaluating the role of patient-provider race/ethnicity and gender concordance in cancer screening have been inconclusive. Methods: We conducted a cross-sectional study of 18,690 patient-provider pairs using the 2003-2010 Medical Expenditure Panel Survey (MEPS) data. We assessed association between patient-provider race/ethnicity and gender concordance and, screening adherence for breast, cervical, and colorectal cancer using American Cancer Society guidelines. Separate multivariable logistic regression adjusting for demographics, self-reported health and MEPS survey year were conducted to examine relationships of interest. Results: Seventy percent of patients were NH-white, 15% were NH-black and 15% were Hispanic. Patients adherent to cancer screening were more likely to be non-Hispanic, better educated, married, wealthier, and privately insured. Among NH-black and NH-whites, patient-provider racial/ethnic concordance was not associated with screening adherence. Among Hispanics, patient-provider racial/ethnic discordant pairs had higher colorectal cancer screening rates as compared to concordant pairs (OR 1.48; 95% CI 1.28-1.71). This association was significant even on adjusting for gender concordance and survey language (English vs. Spanish). Conversely, patient-provider gender discordance was associated with lower rates of breast (OR 0.81; 95% CI 0.74-0.89), cervical (OR 0.79; 95% CI 0.72-0.87) and colorectal cancer (OR 0.86; 95% CI 0.80-0.93) screening adherence in all patients. This association was also significant on restricting analysis to racial/ethnic concordant pairs. Conclusions: Patient-provider gender concordance positively impacts adherence to cancer screening and this finding may guide future interventions. Patient-provider racial/ethnic concordance is not associated with screening adherence among whites and blacks but Hispanic patients seen by Hispanic providers have lower colorectal cancer screening rates. This counter-intuitive finding requires further study.

Racial/ethnic and gender disparities in anger management therapy as a probation condition.

2020 ◽  
Vol 44 (1) ◽  
pp. 88-96 ◽  
Author(s):  
Cassandra A. Bailey ◽  
Betsy E. Galicia ◽  
Kalin Z. Salinas ◽  
Melissa Briones ◽  
Sheila Hugo ◽  
...  
Keyword(s):  
Anger Management ◽  
Gender Disparities ◽  
And Gender ◽  
Racial Ethnic

scholarly journals The Impact of Intersectional Identities on Older People With HIV

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 723-723
Author(s):  
Mark Brennan-Ing ◽  
Charles Emlet
Keyword(s):  
Older People ◽  
African American Women ◽  
Well Being ◽  
Hiv Stigma ◽  
Neurocognitive Functioning ◽  
Bisexual Men ◽  
And Bisexual ◽  
And Gender ◽  
The Impact ◽  
Racial Ethnic

Abstract Kimberlé Crenshaw introduced the term “intersectionality” in the late 1980s to highlight the experience discrimination and marginalization of Black and African-American women originating from the confluence of their racial/ethnic and gender identities. Since that time the focus on intersectionality has broadened to consider other communities and individuals who may have multiple stigmatized and discredited identities, including older people with HIV (PWH). For example, Porter and Brennan-Ing described the “Five Corners” model as the intersection of ageism, racism, classism, sexism, and HIV stigma for older transgender and gender non-conforming PWH. HIV disproportionately affects marginalized communities (e.g., racial/ethnic and sexual minorities). Thus, for older PWH it is important to consider how HIV stigma may intersect with other marginalized identities and impact physical and psychological well-being. The first paper in this session examines how the intersection of HIV serostatus, gay identity, and age complicates identity disclosure, leading to social isolation and interference with care planning. The second paper describes how intersectional identities among older PWH interfere with access to mental health services in a population that is disproportionately affected by depression and PTSD. Our third paper examines the role of race, education, and behavioral health in neurocognitive functioning among a diverse sample of older HIV+ gay and bisexual men. Our last paper examines neurocognitive functioning among older Latinx PWH, finding that sexual and gender minorities were at greater risk for impairment. Implications of these findings for research and programming that accounts for the effects of intersectionality among older PWH will be discussed.

Barriers and Mitigating Strategies of Entrepreneurial Business Growth: The Role of Entrepreneur Race and Gender

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Natasha Conley ◽  
Diana Bilimoria
Keyword(s):  
Business Growth ◽  
Structured Interviews ◽  
Female Entrepreneurs ◽  
Race And Gender ◽  
High Performing ◽  
Black And White ◽  
Corporate Diversity ◽  
And Gender ◽  
Barriers To Growth ◽  
Racial Ethnic

Abstract In this study, we investigate the obstacles to growth and the mitigating strategies of high-performing (over $1 million in revenues) entrepreneurial businesses, and how these differ between businesses owned by Black and White entrepreneurs and between female and male entrepreneurs. Data were collected through semi-structured interviews and qualitatively analyzed using grounded theory and thematic analysis methods. Findings reveal that the lack of access to capital is faced by all groups of entrepreneurs, but that Black and female entrepreneurs additionally faced racial discrimination and gender bias obstacles to their business growth. While all entrepreneurs used social capital strategies to mitigate the barriers to growth that their businesses faced, Black and female entrepreneurs additionally employed faith and prayer as well as business engagement in governmental and corporate diversity initiatives as strategies to overcome the obstacles. Implications of the findings for the entrepreneurial business growth of racial/ethnic minority and female-owned firms are discussed.

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