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Cited by 27Cultural Competency in Health CarePatient-Provider Communication in HealthcareRacial and Ethnic Identity Research

The effect of a racially consonant medical context on adjustment of African‐American patients to physical disability

Porter, Judith R., Beuf, Ann Hill·1994·Medical Anthropology
DOI 10.1080/01459740.1994.9966106
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Abstract

The effect of a racially consonant medical context on reaction to physical handicap stemming from disease is explored in a sample of 90 African-American patients with vitiligo, a disfiguring skin disorder. The adjustment of sixty-nine patients in a predominantly black hospital setting is compared to that of twenty-one patients in a predominantly white hospital setting. The patients in the predominantly black clinic, where the physicians, staff, and clientele are African-American, show significantly better adjustment than do African-American patients in a medical context that is primarily white. Interviews with a random sample of one-third of the patients in each clinic show that patients are significantly more positive to black physicians and a black hospital setting and that other patients of the same race provide informal networks of support, as does the predominantly African-American community in which the hospital is located. Implications for both medical theory and practice are suggested on the basis of these findings.

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Crossref · 10.1080/01459740.1994.9966106

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  • Health care providers hold stereotypes based on patient race, class, sex, and other characteristics that influence their interpretation of behaviors and symptoms and their clinical decisions.

    “There is significant evidence that (1) health care providers hold stereotypes—based on patient race, class, sex, and other characteristics4–17—that influence their interpretation of behaviors and symptoms, and their clinical decisions17–25”

    From Reducing Racial Bias Among Health Care Providers: Lessons from Social-Cognitive Psychology (2007) · cites this paper as [12]

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Authors
Porter, J. R., & Beuf, A. H.
Affiliations
  • Bryn Mawr College (US)
  • Cedar Crest College (US)
ORCID
Porter, Judith R.
Venue
Medical Anthropology
Publisher
Informa UK Limited
Published
1994-11
Volume
16
Issue
1-4
Pages
1-16
ISSN
  • 0145-9740 (ISSN-L)
  • 1545-5882
DOI
10.1080/01459740.1994.9966106
OpenAlex
W2036617118
Cited by
27
References
39
Citations by year
2026: 1 · 2022: 1 · 2019: 1 · 2018: 1 · 2014: 1 · 2013: 1
FWCI
6.85
Type
journal article
Language
en
Open access
closed
Locations
  • Medical Anthropology (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institutes of Health (5p01am025252-07)
Topics
  • Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
  • Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
  • Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
Keywords
racial concordance, African American patients, physical disability, vitiligo, patient adaptation, Black physicians, social support networks, disfigurement
MeSH terms
Adult, Aged, Black or African American, Female, Persons with Disabilities, Humans, Interview, Psychological, Male, Middle Aged, Physician-Patient Relations, Prejudice, Surveys and Questionnaires, Random Allocation, Sampling Studies, Social Adjustment, Social Support, Vitiligo, Hospital-Patient Relations

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