Social and Behavioral Research Branch, National Human Genome Research Institute, 31 Center Drive, Bethesda, MD 20892, USA.
Ann Behav Med. 2013 Jun;45(3):308-17. doi: 10.1007/s12160-013-9475-9.
Communication of lung cancer risk information between providers and African-American patients occurs in a context marked by race-based health disparities.
A controlled experiment assessed whether perceived physician race influenced African-American patients' (n = 127) risk perception accuracy following the provision of objective lung cancer risk information.
Participants interacted with a virtual reality-based, simulated physician who provided personalized cancer risk information.
Participants who interacted with a racially discordant virtual doctor were less accurate in their risk perceptions at post-test than those who interacted with a concordant virtual doctor, F(1,94) = 4.02, p = .048. This effect was amplified among current smokers. Effects were not mediated by trust in the provider, engagement with the health care system, or attention during the encounter.
The current study demonstrates that African-American patients' perceptions of a doctor's race are sufficient to independently impact their processing of lung cancer risk information.
在以种族为基础的健康差异为特征的背景下，医生和非裔美国患者之间会交流肺癌风险信息。
一项对照实验评估了在提供客观肺癌风险信息后，医生的种族感知是否会影响非裔美国患者（n=127）的风险感知准确性。
参与者与基于虚拟现实的模拟医生进行互动，该医生提供个性化的癌症风险信息。
与种族不一致的虚拟医生互动的参与者在测试后对风险的感知不如与种族一致的虚拟医生准确，F(1,94)=4.02，p=.048。这种影响在当前吸烟者中更为明显。信任提供者、参与医疗保健系统或在就诊期间的注意力都不能作为影响因素来解释这些效果。
目前的研究表明，非裔美国患者对医生种族的看法足以独立影响他们对肺癌风险信息的处理。
