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Self-Advocacy During the Medical Encounter

置信区间 民族 医学 家庭医学 优势比 可能性 二项回归 逻辑回归 人口学 健康信息全国趋势调查 健康信息 药方 卫生公平 公共卫生 医疗保健 护理部 病理 社会学 内科学 经济增长 经济 人类学
作者
Jacqueline Wiltshire,Kate Cronin,Gloria E. Sarto,Roger Brown
出处
期刊:Medical Care [Lippincott Williams & Wilkins]
卷期号:44 (2): 100-109 被引量:84
标识
DOI:10.1097/01.mlr.0000196975.52557.b7
摘要

Research indicates that patients who self-advocate during the medical encounter gain maximum benefit. However, little is known about racial/ethnic differences in self-advocacy.We sought to examine whether race/ethnicity and obtaining health information are associated with self-advocacy (mentioned health information to physician and physician ordered tests based on health information).Study data were drawn from the 2000-2001 Household Component of the Community Tracking Study, a nationally representative survey. The study sample included 7419 women ages 45 to 64 who had at least 1 physician visit in the previous year. Binomial logit models were used to assess self-advocacy. Probability adjustments were applied to results.In the full sample (n = 7419), women who obtained health information were almost 5 times more likely to mention that information to their physician (odds ration [OR] = 4.76, 95% confidence interval [CI] 4.05-5.60) than women who did not obtain information. Black women were less likely to mention health information to their physician (OR = 0.52, 95% CI = 0.37-0.73) than white women. Among women who obtained health information (n = 3690), black women also were less likely to mention health information to their physician (OR = 0.57, 95% CI = 0.40-0.83) than white women. Among those who mentioned health information to the physician, Hispanic women were more likely than white women to have a test/procedure/prescription prescribed (OR = 2.15, 95% CI = 1.10-4.20). However, after adjusting probability, this difference was not statistically significant.Although health information was associated with self-advocacy, black women were less likely to self-advocate. Further research is needed to better understand factors that impede black women from self-advocating.
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