Journal article
Black women's distress matters: Examining gendered racial disparities in psycho-oncology referral rates
Psycho-oncology (Chichester, England), Vol.32(6), pp.933-941
06/2023
DOI: 10.1002/pon.6134
PMID: 37076956
Appears in UI Libraries Support Open Access
Abstract
Presently, there is a lack of research examining gendered racial disparities in psycho-oncology referral rates for Black women with cancer. Informed by intersectionality, gendered racism, and the Strong Black Woman framework, this study sought to examine the possibility that Black women are adversely affected by such phenomena as evidenced by lower probability of being referred to psycho-oncology services compared to Black men, White women and White men.
Data for this study consisted of 1598 cancer patients who received psychosocial distress screening at a comprehensive cancer center in a large Midwest teaching hospital. Multilevel logistic modeling was used to examine the probability of referral to psycho-oncology services for Black women, Black men, White women, and White men while controlling for patient-reported emotional and practical problems and psychosocial distress.
Results indicated that Black women had the lowest probability of being referred to psycho-oncology services (2%). In comparison, the probability of being referred to psycho-oncology were 10% for White women, 9% for Black men, and 5% for White men. Additionally, as nurses' patient caseload decreased, the probability of being referred to psycho-oncology increased for Black men, White men, and White women. In contrast, nurses' patient caseload had little effect on the probability of being referred to psycho-oncology for Black women.
These findings suggest unique factors influence psycho-oncology referral rates for Black women. Findings are discussed with particular focus on how to enhance equitable care for Black women with cancer.
Details
- Title: Subtitle
- Black women's distress matters: Examining gendered racial disparities in psycho-oncology referral rates
- Creators
- Arwa Aburizik - University of IowaMadeline Brindle - Carver College of Medicine, University of Iowa, Iowa City, Iowa, USAEbonee Johnson - University of IowaAlyssa Provencio - Department of Psychological and Quantitative Foundations, University of Iowa, Iowa City, Iowa, USAMartin Kivlighan - University of IowaBrandon LeBeau - Department of Psychological and Quantitative Foundations, University of Iowa, Iowa City, Iowa, USA
- Resource Type
- Journal article
- Publication Details
- Psycho-oncology (Chichester, England), Vol.32(6), pp.933-941
- DOI
- 10.1002/pon.6134
- PMID
- 37076956
- NLM abbreviation
- Psychooncology
- ISSN
- 1057-9249
- eISSN
- 1099-1611
- Publisher
- Wiley
- Language
- English
- Electronic publication date
- 04/19/2023
- Date published
- 06/2023
- Academic Unit
- Psychiatry; Hematology, Oncology, and Blood & Marrow Transplantation; Psychological and Quantitative Foundations; Community and Behavioral Health; Internal Medicine
- Record Identifier
- 9984398348502771
Metrics
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