Health Care Discrimination Affects Patient Activation, Communication Self-Efficacy, and Pain for Black Americans.

ABSTRACT: This study examines whether a key psychosocial factor-perceiving racial discrimination in health care-is associated with worse patient activation, communication self-efficacy, and physical health outcomes for Black veterans with chronic pain. Moreover, we explore the role of physician-patient working alliance as a moderator that may alleviate the potential consequences of perceiving racial discrimination. This work is a secondary analysis of baseline data from a clinical trial with 250 U.S. Black veterans with chronic musculoskeletal pain. Participants were recruited from primary care clinics at a Midwestern VA hospital between 2018 and 2021. Perceiving racial discrimination in health care was associated with lower patient activation, lower self-efficacy in communicating with one's physici

SUBMITTER: Derricks V 

PROVIDER: S-EPMC11560642 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature