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The Role of Age and Multimorbidity in Shaping Older African American Men’s Experiences with Patient–Provider Communication

School of Social Work, University of Michigan School of Social Work, Ann Arbor, MI 48103, USA
College of Human Medicine, Michigan State University, Flint, MI 48502, USA
Author to whom correspondence should be addressed.
Geriatrics 2018, 3(4), 74;
Received: 25 August 2018 / Revised: 6 October 2018 / Accepted: 17 October 2018 / Published: 24 October 2018
(This article belongs to the Special Issue Chronic Disease Self-Management in Older Adult Populations)
This study investigated factors associated with older African American men’s unmet health communication needs in the context of patient–provider interactions. Responses to a health survey were analyzed for 430 African American men attending a Midwest community health fair. The outcome measure was the extent to which men could get their health-related questions answered during recent medical visits. Men’s mean age was 54; 39% had one chronic condition and 22% had two or more comorbidities. The 53% who usually or always had their questions answered were older, had less comorbidity, higher educational attainment, higher annual incomes, were more likely to be married and have any type of insurance, and have a personal physician. Access to care was the primary factor in shaping men’s opportunities to ask health-related questions, and older multimorbid and low-income African American men may face increased barriers to healthcare access, and thus barriers to patient-centered care and communication. View Full-Text
Keywords: communication; comorbidity; men; African American communication; comorbidity; men; African American
MDPI and ACS Style

Perry, R.G.; Mitchell, J.A.; Hawkins, J.; Johnson-Lawrence, V. The Role of Age and Multimorbidity in Shaping Older African American Men’s Experiences with Patient–Provider Communication. Geriatrics 2018, 3, 74.

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