Does Black vs. White race affect practitioners' appraisal of Parkinson's disease?
Journal
NPJ Parkinson's disease
ISSN: 2373-8057
Titre abrégé: NPJ Parkinsons Dis
Pays: United States
ID NLM: 101675390
Informations de publication
Date de publication:
07 Jul 2023
07 Jul 2023
Historique:
received:
12
02
2023
accepted:
14
06
2023
medline:
8
7
2023
pubmed:
8
7
2023
entrez:
7
7
2023
Statut:
epublish
Résumé
Black patients are diagnosed with Parkinson's disease (PD) at half the rate as White patients. The reasons for this large disparity are unknown. Here, we review evidence that practitioner bias may contribute. A key sign of PD is hypomimia or decreased facial expressivity. However, practitioner bias surrounding facial expressivity in Black people versus White people may lead practitioners to appraise Black patients with hypomimia as having higher levels of facial expressivity. Furthermore, practitioner bias may cause them to characterize reduced facial expressivity as being due to negative personality traits, as opposed to a medical sign, in Black patients with hypomimia. This racial bias in the evaluation of hypomimia in Black versus White patients could profoundly impact subsequent referral decisions and rates of diagnosis of PD. Therefore, exploring these differences is expected to facilitate addressing health care disparities through earlier and more accurate detection of PD in Black patients.
Identifiants
pubmed: 37419894
doi: 10.1038/s41531-023-00549-2
pii: 10.1038/s41531-023-00549-2
pmc: PMC10328950
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
106Subventions
Organisme : NIGMS NIH HHS
ID : T32 GM108540
Pays : United States
Informations de copyright
© 2023. The Author(s).
Références
Soc Sci Med. 2000 Mar;50(6):813-28
pubmed: 10695979
Semin Neurol. 2017 Apr;37(2):118-126
pubmed: 28511252
J Neurol Sci. 2011 Aug 15;307(1-2):22-9
pubmed: 21663922
Mov Disord. 2009 Jun 15;24(8):1200-5
pubmed: 19412929
JAMA Neurol. 2021 Dec 1;78(12):1515-1524
pubmed: 34605866
Med Educ. 2013 Sep;47(9):867-76
pubmed: 23931536
Neuroepidemiology. 2010;34(3):143-51
pubmed: 20090375
Epidemiology. 2006 Sep;17(5):582-7
pubmed: 16837822
J Natl Med Assoc. 2004 Jul;96(7):974-9
pubmed: 15253330
Parkinsonism Relat Disord. 2015 Aug;21(8):972-5
pubmed: 26060146
Mov Disord Clin Pract. 2016 May-Jun;3(3):250-256
pubmed: 27331078
AEM Educ Train. 2019 Dec 30;4(Suppl 1):S140-S142
pubmed: 32072118
Neurology. 2017 Jun 13;88(24):2268-2275
pubmed: 28515272
Ann Neurol. 2009 Aug;66(2):142-5
pubmed: 19743462
Soc Sci Med. 2011 Jul;73(1):95-102
pubmed: 21664737
NPJ Digit Med. 2022 Jul 18;5(1):98
pubmed: 35851859
Ann Fam Med. 2021 Jan-Feb;19(1):4-15
pubmed: 33431385
JAMA. 2021 Aug 17;326(7):621-627
pubmed: 34402850
J Am Board Fam Med. 2014 Mar-Apr;27(2):177-88
pubmed: 24610180
Neurology. 2022 May 3;98(18):e1818-e1827
pubmed: 35501161
Arch Neurol. 2004 Apr;61(4):561-6
pubmed: 15096406
Psychol Sci. 2003 Nov;14(6):640-3
pubmed: 14629699
J Pers Soc Psychol. 2019 Mar;116(3):375-395
pubmed: 30614725
Neuroscience. 2011 Dec 15;198:232-44
pubmed: 21723919
Neuroepidemiology. 2011;36(4):223-9
pubmed: 21677446
Front Neurol. 2021 Jan 25;11:603582
pubmed: 33569034
Health Lit Res Pract. 2020 Jul 16;4(3):e138-e143
pubmed: 32674161
Eur J Neurol. 2020 Dec;27(12):2422-2429
pubmed: 32702196
Am J Epidemiol. 2014 Mar 1;179(5):576-83
pubmed: 24335384
Neurology. 1985 Jun;35(6):841-5
pubmed: 4000484
NPJ Parkinsons Dis. 2020 Jul 9;6:15
pubmed: 32665974
Gend Med. 2011 Jun;8(3):209-17
pubmed: 21664587
Mov Disord. 2015 Oct;30(12):1591-601
pubmed: 26474316
Group Process Intergroup Relat. 2016 Jul;19(4):509-527
pubmed: 27642254
Am J Public Health. 2015 Dec;105(12):e60-76
pubmed: 26469668
J Natl Med Assoc. 2020 Oct;112(5):468-477
pubmed: 30928088
Am J Public Health. 1998 Sep;88(9):1303-7
pubmed: 9736867
J Parkinsons Dis. 2020;10(3):831-841
pubmed: 32417794
Psychol Sci. 2004 May;15(5):342-5
pubmed: 15102145
Parkinsons Dis. 2017;2017:7802819
pubmed: 28798882
Neuroepidemiology. 2011;36(3):150-4
pubmed: 21508648
J Am Board Fam Med. 2014 Mar-Apr;27(2):189-98
pubmed: 24610181
Curr Neurol Neurosci Rep. 2022 Aug;22(8):475-483
pubmed: 35713775
Mov Disord Clin Pract. 2016 Aug 22;4(3):335-341
pubmed: 30363446
J Pers Soc Psychol. 2000 May;78(5):871-88
pubmed: 10821195
Parkinsonism Relat Disord. 2009 May;15(4):258-62
pubmed: 18693062
Am J Manag Care. 2010 Mar;16 Suppl Implications:S87-93
pubmed: 20297871