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Racial differences in physician recommendation of hormone replacement therapy
H H Weng1, C M McBride, H B Bosworth
1Center of Health Services Research in Primary Care, Durham VAMC, North Carolina 27705, USA.
Preventive Medicine
|November 22, 2001
Summary
Black women are less likely to be recommended hormone replacement therapy (HRT) by physicians compared to white women. This disparity highlights a gap in patient-provider communication that needs addressing.
Area of Science:
- Reproductive Health
- Health Disparities
- Clinical Communication
Background:
- Previous research indicates potential racial disparities in hormone replacement therapy (HRT) uptake.
- Understanding factors influencing HRT recommendations is crucial for equitable healthcare.
Purpose of the Study:
- To examine racial differences in physician recommendations for HRT.
- To identify factors associated with HRT recommendations, including race, that may influence women's decisions.
Main Methods:
- Telephone interviews were conducted with 581 women aged 45-54 in Durham.
- Chi-squared and logistic regression analyses were used to assess the association of race and other factors with reported physician recommendation of HRT.
Main Results:
- Overall, 45% of women reported a physician recommendation for HRT.
- Black women were significantly less likely than white women to report being advised about HRT (35% vs. 48%, P < 0.005).
- Older age, postmenopausal status, hysterectomy, and prior consideration of HRT benefits were also associated with receiving a recommendation.
Conclusions:
- Black women receive fewer physician recommendations for HRT compared to white women.
- Racial disparities in patient-provider communication regarding HRT are evident.
- Healthcare providers must enhance diligence to minimize these communication gaps.
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