Literature DB >> 19265721

Physicians' attitudes toward race, genetics, and clinical medicine.

Vence L Bonham1, Sherrill L Sellers, Thomas H Gallagher, Danielle Frank, Adebola O Odunlami, Eboni G Price, Lisa A Cooper.   

Abstract

PURPOSE: This qualitative study explored black and white general internists' attitudes about the relevance of race in clinical care; views of the relationships among race, genetics, and disease; and expectations about the future of genetics and health.
METHODS: We conducted 10 racially concordant focus groups of primary care physicians in five metropolitan areas in the United States. Ninety board certified or eligible general internists (50 self-identified whites and 40 self-identified blacks) participated in the study. Analysis included a two-stage independent review and adjudication process.
RESULTS: Both black and white physicians concluded that the race of the patient is medically relevant but did not agree upon why race is important in clinical decisions. They were reticent to make connections among race, genetics, and disease and asserted that genetics has a limited role in explaining racial differences in health. However, they were enthusiastic about the future of genomic medicine, believing that the main benefit will be the potential to improve the efficacy of commonly used drugs.
CONCLUSIONS: Understanding the similarities and differences between black and white physicians' attitudes and beliefs about race, health and genetics is important for the translation of genomics to clinical care.

Entities:  

Mesh:

Year:  2009        PMID: 19265721      PMCID: PMC3065019          DOI: 10.1097/GIM.0b013e318195aaf4

Source DB:  PubMed          Journal:  Genet Med        ISSN: 1098-3600            Impact factor:   8.822


  37 in total

1.  The importance of race and ethnic background in biomedical research and clinical practice.

Authors:  Esteban González Burchard; Elad Ziv; Natasha Coyle; Scarlett Lin Gomez; Hua Tang; Andrew J Karter; Joanna L Mountain; Eliseo J Pérez-Stable; Dean Sheppard; Neil Risch
Journal:  N Engl J Med       Date:  2003-03-20       Impact factor: 91.245

2.  Genetic research and health disparities.

Authors:  Pamela Sankar; Mildred K Cho; Celeste M Condit; Linda M Hunt; Barbara Koenig; Patricia Marshall; Sandra Soo-Jin Lee; Paul Spicer
Journal:  JAMA       Date:  2004-06-23       Impact factor: 56.272

3.  Stormy weather: race, gene expression, and the science of health disparities.

Authors:  Nancy Krieger
Journal:  Am J Public Health       Date:  2005-10-27       Impact factor: 9.308

4.  What we do and don't know about 'race', 'ethnicity', genetics and health at the dawn of the genome era.

Authors:  Francis S Collins
Journal:  Nat Genet       Date:  2004-11       Impact factor: 38.330

5.  Genetic influences on health: does race matter?

Authors:  Mike Bamshad
Journal:  JAMA       Date:  2005-08-24       Impact factor: 56.272

6.  Race and genetics: controversies in biomedical, behavioral, and forensic sciences.

Authors:  Pilar Ossorio; Troy Duster
Journal:  Am Psychol       Date:  2005-01

Review 7.  Educating health-care professionals about genetics and genomics.

Authors:  Alan E Guttmacher; Mary E Porteous; Joseph D McInerney
Journal:  Nat Rev Genet       Date:  2007-02       Impact factor: 53.242

8.  Breakthrough of the year. Human genetic variation.

Authors:  Elizabeth Pennisi
Journal:  Science       Date:  2007-12-21       Impact factor: 47.728

9.  How to interpret a genome-wide association study.

Authors:  Thomas A Pearson; Teri A Manolio
Journal:  JAMA       Date:  2008-03-19       Impact factor: 56.272

10.  Personalized medicine in the era of genomics.

Authors:  Wylie Burke; Bruce M Psaty
Journal:  JAMA       Date:  2007-10-10       Impact factor: 56.272

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  21 in total

1.  Primary care physicians' attitudes regarding race-based therapies.

Authors:  Danielle Frank; Thomas H Gallagher; Sherrill L Sellers; Lisa A Cooper; Eboni G Price; Adebola O Odunlami; Vence L Bonham
Journal:  J Gen Intern Med       Date:  2010-05       Impact factor: 5.128

2.  Genes, race, and culture in clinical care: racial profiling in the management of chronic illness.

Authors:  Linda M Hunt; Nicole D Truesdell; Meta J Kreiner
Journal:  Med Anthropol Q       Date:  2013-06-26

3.  Physicians' anxiety due to uncertainty and use of race in medical decision making.

Authors:  Brooke A Cunningham; Vence L Bonham; Sherrill L Sellers; Hsin-Chieh Yeh; Lisa A Cooper
Journal:  Med Care       Date:  2014-08       Impact factor: 2.983

4.  Intersectionality and Clinical Decision Making: The Role of Race.

Authors:  Yen Ji Julia Byeon; Sherrill L Sellers; Vence L Bonham
Journal:  Am J Bioeth       Date:  2019-02-20       Impact factor: 11.229

5.  FRAX and ethnicity.

Authors:  J A Kanis; C Cooper; B Dawson-Hughes; N C Harvey; H Johansson; M Lorentzon; E V McCloskey; J-Y Reginster; R Rizzoli
Journal:  Osteoporos Int       Date:  2020-09-04       Impact factor: 4.507

6.  Physician Knowledge of Human Genetic Variation, Beliefs About Race and Genetics, and Use of Race in Clinical Decision-making.

Authors:  Sherrill L Sellers; Brooke A Cunningham; Vence L Bonham
Journal:  J Racial Ethn Health Disparities       Date:  2018-06-20

7.  Factors Related to Physician Clinical Decision-Making for African-American and Hispanic Patients: a Qualitative Meta-Synthesis.

Authors:  Khadijah Breathett; Jacqueline Jones; Hillary D Lum; Dawn Koonkongsatian; Christine D Jones; Urvi Sanghvi; Lilian Hoffecker; Marylyn McEwen; Stacie L Daugherty; Irene V Blair; Elizabeth Calhoun; Esther de Groot; Nancy K Sweitzer; Pamela N Peterson
Journal:  J Racial Ethn Health Disparities       Date:  2018-03-05

8.  A content analysis of the views of genetics professionals on race, ancestry, and genetics.

Authors:  Sarah C Nelson; Joon-Ho Yu; Jennifer K Wagner; Tanya M Harrell; Charmaine D Royal; Michael J Bamshad
Journal:  AJOB Empir Bioeth       Date:  2019-01-04

9.  BiDil in the Clinic: An Interdisciplinary Investigation of Physicians' Prescription Patterns of a Race-Based Therapy.

Authors:  Koffi N Maglo; Jack Rubinstein; Bin Huang; Richard F Ittenbach
Journal:  AJOB Empir Bioeth       Date:  2014-10-02

10.  Nurses' Use of Race in Clinical Decision Making.

Authors:  Sherrill L Sellers; Melissa E Moss; Kathleen Calzone; Khadijah E Abdallah; Jean F Jenkins; Vence L Bonham
Journal:  J Nurs Scholarsh       Date:  2016-09-27       Impact factor: 3.176

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