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

作者: Linda M. Hunt , Nicole D. Truesdell , Meta J. Kreiner

DOI: 10.1111/MAQ.12026

关键词:

摘要: Race, although an unscientific concept, remains prominent in health research and clinical guidelines, is routinely invoked practice. In interviews with 58 primary care clinicians we explored how they understand apply concepts of racial difference. We found wide agreement that race important to consider care. They explained the effect on health, drawing common assumptions about biological, class, cultural characteristics minorities. identified specific race-based strategies for only a handful conditions were inconsistent details what said should be done minority patients. conclude using medicine promotes maintains illusion inherent differences may result patients receiving aimed at presumed group characteristics, rather than selected as specifically appropriate them individuals.

参考文章(41)
Why genes don't count (for racial differences in health). American Journal of Public Health. ,vol. 90, pp. 1699- ,(2000) , 10.2105/AJPH.90.11.1699
S. S.-J. Lee, A. Mudaliar, Racing Forward: The Genomics and Personalized Medicine Act Science. ,vol. 323, pp. 342- 342 ,(2009) , 10.1126/SCIENCE.1165768
S S-J Lee, The ethical implications of stratifying by race in pharmacogenomics. Clinical Pharmacology & Therapeutics. ,vol. 81, pp. 122- 125 ,(2007) , 10.1038/SJ.CLPT.6100020
Nancy Krieger, Stormy Weather: Race, Gene Expression, and the Science of Health Disparities American Journal of Public Health. ,vol. 95, pp. 2155- 2160 ,(2005) , 10.2105/AJPH.2005.067108
Alexandra E. Shields, David Blumenthal, Kevin B. Weiss, Catherine B. Comstock, Douglas Currivan, Caryn Lerman, Barriers to translating emerging genetic research on smoking into clinical practice. Perspectives of primary care physicians. Journal of General Internal Medicine. ,vol. 20, pp. 131- 138 ,(2005) , 10.1111/J.1525-1497.2005.30429.X
Alexandra E. Shields, Michael Fortun, Evelynn M. Hammonds, Patricia A. King, Caryn Lerman, Rayna Rapp, Patrick F. Sullivan, The use of race variables in genetic studies of complex traits and the goal of reducing health disparities: a transdisciplinary perspective. American Psychologist. ,vol. 60, pp. 77- 103 ,(2005) , 10.1037/0003-066X.60.1.77
George T. H. Ellison, Ian Rees Jones, Social identities and the 'new genetics': scientific and social consequences Critical Public Health. ,vol. 12, pp. 265- 282 ,(2002) , 10.1080/09581590210153362