| Title |
Provider–Patient Communication About Adherence to Anti-retroviral Regimens Differs by Patient Race and Ethnicity
|
|---|---|
| Published in |
AIDS and Behavior, January 2014
|
| DOI | 10.1007/s10461-014-0697-z |
| Pubmed ID | |
| Authors |
M. Barton Laws, Yoojin Lee, William H. Rogers, Mary Catherine Beach, Somnath Saha, P. Todd Korthuis, Victoria Sharp, Jonathan Cohn, Richard Moore, Ira B. Wilson |
| Abstract |
Disparities in HIV care and outcomes negatively affect Black and Hispanic patients. Features of clinical communication may be a factor. This study is based on coding transcripts of 404 routine outpatient visits by people with HIV at four sites, using a validated system. In models adjusting for site and patient characteristics, with provider as a random effect, providers were more "verbally dominant" with Black patients than with others. There was more discussion about ARV adherence with both Black and Hispanic patients, but no more discussion about strategies to improve adherence. Providers made more directive utterances discussing ARV treatment with Hispanic patients. Possible interpretations of these findings are that providers are less confident in Black and Hispanic patients to be adherent; that they place too much confidence in their White, non-Hispanic patients; or that patients differentially want such discussion. The lack of specific problem solving and high provider directiveness suggests areas for improvement. |
Mendeley readers
The data shown below were compiled from readership statistics for 70 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 2 | 3% |
| United States | 1 | 1% |
| Unknown | 67 | 96% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Ph. D. Student | 18 | 26% |
| Student > Master | 11 | 16% |
| Researcher | 7 | 10% |
| Student > Doctoral Student | 5 | 7% |
| Professor | 4 | 6% |
| Other | 12 | 17% |
| Unknown | 13 | 19% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 14 | 20% |
| Nursing and Health Professions | 9 | 13% |
| Psychology | 9 | 13% |
| Social Sciences | 9 | 13% |
| Business, Management and Accounting | 3 | 4% |
| Other | 12 | 17% |
| Unknown | 14 | 20% |
Attention Score in Context
This research output has an Altmetric Attention Score of 78. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 21 May 2014.
All research outputs
#492,458
of 23,849,058 outputs
Outputs from AIDS and Behavior
#41
of 3,566 outputs
Outputs of similar age
#5,281
of 311,722 outputs
Outputs of similar age from AIDS and Behavior
#2
of 45 outputs
Altmetric has tracked 23,849,058 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 97th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 3,566 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.0. This one has done particularly well, scoring higher than 98% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 311,722 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 98% of its contemporaries.
We're also able to compare this research output to 45 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 95% of its contemporaries.