LaPrincess C Brewer|Kathryn A. Carson|D. R. Williams|Amy N. Allen|C. P. Jones|Lebron Cooper
Association of Race Consciousness With the Patient-Physician Relationship, Medication Adherence, and Blood Pressure in Urban Primary Care Patients
Mayo Clinic|Johns Hopkins University|Johns Hopkins Medicine|Harvard University|University of Maryland, Baltimore County|Morehouse School of Medicine|Emory University|Johns Hopkins University|Johns Hopkins Medicine
race consciousness frequency one thinks race measure may useful assessing whether racial discrimination negatively impacts blood pressure bp however relation race consciousness bp yet empirically tested especially within context patientphysician relationship medication adherenceracestratified generalized estimating equations used assess relationship race consciousness bp measures patientphysician relationship selfreported medication adherence controlling patients nested within physicians patient age sexthe mean age patients 613 years 62 black 65 women black patients likely ever think race white patients 49 vs 21 p 0001 raceconscious blacks significantly higher diastolic bp 794 vs 745 mm hg p 0004 somewhat higher systolic bp 1388 vs 1347 mm hg p 013 blacks race conscious raceconscious whites likely perceive respect physician 571 vs 258 p 001 lower medication adherence 624 vs 829 p 005 whites raceconsciousamong blacks race consciousness associated higher diastolic bp contrast among whites association race consciousness bp race consciousness associated poor ratings adherence despite favorable ratings patientphysician relationship future work explore disparities race consciousness impact health healthcare disparities