Impact of Client Race on Medical Resident Communication About Infant Safe Sleep
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View abstract on PubMed
Summary
This summary is machine-generated.Pediatric residents spent less time discussing infant safe sleep with Black and minority caregivers. Caregiver receptiveness, not race, initially predicted discussion length, but race became significant when receptiveness was excluded, highlighting communication disparities.
Area Of Science
- Pediatrics
- Health Communication
- Health Disparities
Background
- Infant mortality includes preventable sleep-related deaths.
- Pediatricians promote safe sleep, but communication barriers exist, particularly for minority patients.
- Understanding patient-provider communication dynamics is crucial for effective health education.
Purpose Of The Study
- To examine the relationship between patient race/ethnicity and the duration/quality of safe sleep discussions.
- To identify factors influencing communication during infant safe sleep counseling.
- To assess potential disparities in safe sleep education based on patient demographics.
Main Methods
- 102 well-baby visits observed to measure safe sleep discussion time and communication skills.
- 16 pediatric residents completed questionnaires on safe sleep knowledge and attitudes.
- Descriptive and multivariate analyses used to assess the impact of race, ethnicity, and receptiveness.
Main Results
- Residents spent less time discussing safe sleep with Black and other minority patients compared to White patients.
- Caregiver receptiveness predicted discussion length, but race/ethnicity also played a role when receptiveness was controlled.
- Race/ethnicity did not predict resident use of motivational interviewing (MI) skills.
Conclusions
- Pediatric residents may face communication challenges discussing infant safe sleep, especially with patients of color.
- Caregiver receptiveness and race/ethnicity are significant variables in patient-provider communication regarding infant safe sleep.
- Addressing communication disparities is essential for improving safe sleep practices and reducing infant mortality.
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