Ethnic Differences In Perceptions Research Articles

Racial and ethnic differences in perceptions of germline or somatic DNA sequencing among patients with advanced prostate, urothelial, or kidney cancer.

We sought to determine racial and ethnic differences in perceptions (quality of communication, expectations, and concerns) of germline or somatic DNA sequencing (genomic profiling). Patients with prostate, urothelial, or kidney cancer were surveyed using a questionnaire that assessed previous experience, beliefs, expectations, and concerns regarding genomic profiling. Descriptive statistics and chi-square tests were used to identify factors associated with patients' perceptions of genomic profiling. A total of 150 consecutive patients were enrolled. The majority were male (74%) with a mean age of 68 years old. Most patients underwent somatic testing (54%), 24% undertook germline testing, and 21% undertook both tests. Significant differences were found across racial and/or ethnicity concerning factors that could have influenced patients' decision to pursue genomic profiling, including ability to guide the type of treatment (White: 54.1% vs. other ethnic groups: 43.9%, p = 0.04) and potential to improve treatment response (White: 10.1% vs. other ethnic groups: 22.0%, p = 0.04). Other ethnic group of patients were more concerned about learning that the cancer was less treatable or aggressive (43.8% vs. 27.7%, p = 0.01) and anxious about what would be learnt from genomic profiling (34.4% vs. 21.3, p = 0.01) as compared to White patients. Our findings reinforce the importance of developing culturally tailored education to help patients participate actively in decisions about genomic profiling.

Racial and ethnic differences in perceptions of campus climate related to sexual violence

Objective: To assess perceptions of university institutional climate related to sexual violence and whether these differed by race/ethnicity. Participants: Matriculated undergraduates > age 18 (n = 1028). Methods: Students were invited via campus email to participate in an online survey. Results: Overall, only 20% agreed that the university is creating an environment in which unwanted sexual experiences seemed common or normal, but these findings differed by race. Black students were more likely than their white peers to feel the university is creating an environment in which unwanted sexual experiences seem common or normal (37.3% vs. 19.7%, p < .001) and creating an environment in which such instances were more likely to occur (33.3% vs. 13.4%, p < .001). Conclusions: Data suggest that while students generally perceive that the university is working to create a positive and safe climate, these perceptions vary by race. Further investigation is necessary to better understand the concerns of students of color.

Racial and Ethnic Differences in the Perceptions of Health, Work Environment and Experiences of Work-Related Symptoms Among Cleaning Workers

This study explored racial and ethnic differences in perception of work environment, safe work practices, general health status, experience of work-related injury or illness and subsequent symptom reporting and health care seeking behaviors among cleaning workers. This study analyzed cross-sectional data obtained from 183 cleaning workers employed in a university hospital or a health sciences campus in Northern California. The sample included 120 Asians (65.6%), 37 Hispanics (20.2%), and 27 other ethnicities (14.2%); 85.7% were foreign-born. Asian workers perceived lower job control and supervisor support and higher job strain than other workers. The odds of perceiving general health as excellent or very good were lower among Asians compared to Hispanics and Others. Asians who experienced chemical-related symptoms were less likely than Hispanics and others to report the symptoms to their supervisor or seek healthcare. Our study findings indicated racial/ethnic differences in perceptions of work and general health, seeking healthcare, and reporting behaviors among cleaning workers. Asian workers, specifically, may need special attention to improve their experiences of work environments and health in the workplace.

Racial and ethnic differences in perception of provider cultural competence among patients with depression and anxiety symptoms: a retrospective, population-based, cross-sectional analysis

Racial and ethnic minorities face disparities in access to health care. Culturally competent care might lessen these disparities. Few studies have studied the patients' view of providers' cultural competence, especially in psychiatric care. We aimed to examine the associations of race, ethnicity, and mental health status with patient-reported importance of provider cultural competence. Our retrospective, population-based, cross-sectional study used data extracted from self-reported questionnaires of adults aged at least 18 years who participated in the US National Health Interview Survey (NHIS; 2017 cycle). We included data on all respondents who answered supplementary cultural competence questions and the Adult Functioning and Disability survey within the NHIS. We classified participants as having anxiety or depression if they reported symptoms at least once a week or more often, and responded that the last time they had symptoms the intensity was "somewhere between a little and a lot" or "a lot." Participant answers to cultural competency survey questions (participant desire for providers to understand or share their culture, and frequency of access to providers who share their culture) were the outcome variables. Multivariable ordinal logistic regressions were used to estimate adjusted odds ratios (aORs) for the outcome variables in relation to sociodemographic characteristics (including race and ethnicity), self-reported health status, and presence of symptoms of depression, anxiety, or both. 3910 people had available data for analysis. Mean age was 52 years (IQR 36-64). 1422 (39·2%, sample weight adjusted) of the participants were men and 2488 (60·9%) were women. 3290 (82·7%) were White, 346 (9·1%) were Black or African American, 31 (0·8%) were American Indian or Alaskan Native, 144 (4·8%) were Asian American, and 99 (2·6%) were Mixed Race. 380 (12·5%) identified as Hispanic ethnicity and 3530 (87·5%) as non-Hispanic. Groups who were more likely to express a desire for their providers to share or understand their culture included participants who had depression symptoms (vs those without depression or anxiety symptoms, aOR 1·57 [95% CI 1·13-2·19], p=0·008) and participants who were of a racial minority group (Black vs White, aOR 2·54 [1·86-3·48], p=0·008; Asian American vs White, aOR 2·57 [1·66-3·99], p<0·001; and Mixed Race vs White, aOR 1·69 [1·01-2·82], p=0·045) or ethnic minority group (Hispanic vs non-Hispanic, aOR 2·69 [2·02-3·60], p<0·001); these groups were less likely to report frequently being able to see providers who shared their culture (patients with depression symptoms vs those without depression or anxiety symptoms, aOR 0·63 (0·41-0·96); p=0·030; Black vs White, aOR 0·56 [0·38-0·84], p=0·005; Asian American vs White, aOR 0·38 [0·20-0·72], p=0·003; Mixed Race vs White, aOR 0·35 [0·19-0·64], p=0·001; Hispanic vs non-Hispanic, aOR 0·61 [0·42-0·89], p=0·010). On subgroup analysis of participants reporting depression symptoms, patients who identified their race as Black or African American, or American Indian or Alaskan Native, and those who identified as Hispanic ethnicity, were more likely to report a desire for provider cultural competence. Racial and ethnic disparities exist in how patients perceive their providers' cultural competence, and disparities are pronounced in patients with depression. Developing a culturally competent and humble approach to care is crucial for mental health providers. None.

Racial and Ethnic Differences in Perceptions of, and Barriers to, Cost-of-Care Conversations Among Older Adults in Florida

Cost of care conversations (CoC) between patients and doctors have been shown to lower overall healthcare and patients’ costs. How, it is unclear why CoC are not occurring more frequently among high cost patients such as older adults. To address this important question, we conducted three race-stratified focus groups (n=10 Whites, n=9 African Americans, and n=8 Latino/Hispanics) to assess perceptions about, and barriers to, CoC in a convenient sample of adults ages ≥65 from Adult Centers in Tampa Bay, Florida. An inductive content analysis approach was utilized by research team members to analyze qualitative data. Findings indicated that CoC are not occurring. White participants perceived that CoC were not occurring because they did not have issues paying for care. African Americans perceived that CoC were not occurring because doctors are not trained to understand finances, insurance, and medical billing. Latinos/Hispanics perceived that doctors are meant to take care of patients, and receptionists, administrators and billing departments should handle CoC. Wait time and perceived stress/rush of doctors were identified as CoC barriers for whites, while doctors’ attitude was a barrier for Blacks/African Americans, and perceptions about CoC being “taboo” was a major barrier for Latinos/Hispanics. Overall, participants indicate that it is easier to have CoC if they had developed a good rapport with the doctor, had confidence in the doctor, and felt the doctor was interested in and cared about them. The findings suggest that promoting CoC among older adults will require addressing social and cultural concerns of racial/ethnic minority groups.

Ethnic Differences In Perceptions of Mental Illness: Examining Intergroup Relations

Author(s): Aringer, Alexandra S.; Calanchini, Jimmy | Abstract: People with mental illness are often stereotyped as dangerous, unstable, or unreliable, and these stereotypes perpetuate prejudice against those who are already vulnerable. However, many of these stereotypes are Eurocentric due to a lack of diversity within psychology. The present, pre-registered research investigates whether depictions of mental illness are idiosyncratic to various racial/ethnic groups, or if these perceptions generalize across groups. Participants reported their endorsement of a series of mental illness descriptions (e.g., “This person spontaneously explodes in outbursts of anger”) as they apply to African Americans, Asian Americans, Hispanic/Latinxs, Caucasians, as well as to individuals with unspecified race/ethnicity. Exploratory factor analyses of these descriptions revealed three factors that describe mentally ill people — ashamed, self-destructive, irresponsible — and participants’ perceptions of mental illness on these three factors varied by racial/ethnic groups. Participants rated Asian Americans as more ashamed, but less self-destructive and irresponsible than other racial/ethnic groups. Conversely, participants rated Caucasians as less ashamed but more self-destructive and irresponsible than other racial/ethnic groups. Perceptions of mental illness did not differ between Hispanic/Latinxs and African Americans. Additional analyses indicate that, compared to Caucasian par- ticipants, non-Caucasian participants rated mentally ill members of their ingroup as more ashamed but less self-destructive and irresponsible. This research indicates that participants from different racial/ethnic groups vary in the extent to which they ascribe different facets of mental illness to their ingroup versus outgroups. Implications for Eurocentric versus more diverse perceptions of mental illness are discussed.

Racial and ethnic differences in high school students’ perceptions of school climate and disciplinary practices

This study examines the relationship between students’ perceptions of teacher treatment, school suspensions, and school climate in three high schools in Central New York (N = 1,444). Students completed an anonymous questionnaire about their perceptions of school climate and school disciplinary practices. Results showed racial and ethnic differences in perceptions of teacher treatment, suspension practices, and school climate. Race was the most significant predictor of perceptions of differential suspension practices and teacher treatment among students. For Black students, perceptions of differential treatment helped predict school climate perceptions. Students’ perceptions of unequal treatment of racial groups influence their experiences in school. We discuss research-based approaches that address systemic practices and policies, professional training of school personnel and provision of student services to help improve the school experiences of Black and other minority students and reduce the equity gap.

Understanding ethnic differences in perceptions, attitudes, and behaviours: a study of domestic water use in Sydney

AbstractThere is growing realisation among environmental and social studies researchers that people's decision‐making about water use conforms to their internal norms and beliefs, which are developed in social and cultural contexts. Little research, however, has addressed the possible impacts that ethnic and cultural diversity may have on domestic water use and management. This paper presents the results of a study conducted in Sydney, with specific reference to questionnaire findings. Among respondents from different ethnic and cultural backgrounds, significant differences were observed in terms of perceptions, specific knowledge, attitudes, and self‐reported behaviours in relation to water use and conservation. The disparities identified were not masking socio‐demographic and economic characteristics but were the result of a series of constructs closely tied to ethnicity, including cultural value, environmental experience, language preference, and information access. As a factor explaining variation in the engagement of pro‐conservation behaviour, ethnic status was found to be more useful than some socio‐economic factors. The study highlights the importance of including ethnicity and cultural sensitivity issues in the decision‐making process of environmental management.

Do Race and Ethnicity Matter? An Examination of Racial/Ethnic Differences in Perceptions of Procedural Justice and Recidivism Among Problem-Solving Court Clients

Over the years, a distinct body of research has emerged that examines procedural justice in problem-solving courts. However, there is virtually no research to date on racial and ethnic differences in perceptions of procedural justice among problem-solving court clients. The present study seeks to understand the complexities of judicial procedural justice and race/ethnicity within problem-solving courts. Using a convenience sample of 132 clients from two problem-solving courts in a southern state, this study addresses a void in the literature by examining the influence of race/ethnicity on perceptions of procedural justice as well as the impact of race/ethnicity and procedural justice on clients’ likelihood of recidivism. Results suggest that Black problem-solving court clients’ have significantly lower perceptions of procedural justice, while also having a lower likelihood of recidivism. Perceptions of procedural justice did not influence recidivism outcomes. Policy implications and recommendations for future research are discussed.

Racial and Ethnic Differences in Perceptions of Everyday Discrimination

This study examines differences in perceptions of discrimination across multiple racial and ethnic minority groups. We focus on structural factors such as race/ethnicity and socioeconomic status (SES) and psychosocial factors such as racial/ethnic identities as predictors of perceived everyday discrimination. Data come from the Collaborative Psychiatric Epidemiology Surveys (CPES), and analyses reveal several important patterns. First, perceived everyday discrimination is highly prevalent among racial/ethnic minorities in the United States and these perceptions largely reflect existing racial/ethnic hierarchies: African Americans and Afro-Caribbeans report the highest level of discrimination, whereas most Asian and Latino groups report less. Second, education, income, and immigration-related factors such as duration of residence and English language proficiency are positively associated with perceived discrimination. Third, the effects of racial/ethnic identity on perceived discrimination vary across ethnic groups, showing stronger associations among Afro-Caribbeans than among other racial and ethnic minorities. Findings from this study help to advance our theoretical understanding and empirical knowledge of racial/ethnic stratification and perceived discrimination in the United States.

Racial and ethnic differences in perceptions of discrimination among Muslim Americans

ABSTRACTI use data from the 2011 Pew Survey (N = 1,033) to examine the prevalence and correlates of perceived discrimination across Muslim American racial/ethnic groups. Asian Muslims report the lowest frequency of perceived discrimination than other Muslim racial/ethnic groups. Nearly, all Muslim racial/ethnic groups have a few times higher odds of reporting one or more types of perceived discrimination than white Muslims. After controlling for socio-demographic characteristics, the observed relationships persist for Hispanic Muslims but disappear for black and other/mixed race Muslims. Women are less likely than men to report several forms of discrimination. Older Muslims report lower rates of perceived discrimination than younger Muslims. White Muslim men are more likely to report experiencing discrimination than white, black and Asian Muslim women. The findings highlight varying degrees of perceived discrimination among Muslim American racial/ethnic groups and suggest examining negative implications for Muslims who are at the greatest risk of mistreatment.

Ethnic Differences in Perceptions of Cognitive Ability Tests: The explanatory role of self‐serving attributions

This study examined the role of self‐serving attributions in the formation of pretest and posttest fairness perceptions of cognitive ability tests among ethnic majority and ethnic minority applicants. In total, 180 unemployed (52.8% Dutch majority) job seekers participated in an application training program consisting of a cognitive ability test and several pretest and posttest questionnaires. Results showed that both pretest and posttest fairness perceptions are prone to self‐serving attributions. Ethnic minority applicants have a stronger tendency than ethnic majority applicants to attribute their previous test experiences and their perceived test performance to the fairness of cognitive ability testing. Self‐serving attributions were partly explained by (ethnic differences in) attribution style.

Support Needs of Families Living with Children with Autism Spectrum Disorder.

This study examined the perceived availability and helpfulness of supports used by caregivers of children with Autism Spectrum Disorder in New Zealand, particularly for caregivers who are Māori, and who live rurally. Caregivers (N = 92) completed the Family Support Scale with comparisons analysed using t tests. Free text comments were invited and analysed using a general inductive approach. More support was perceived as available by Non-Māori than Māori p = 0.03, 95 % CI (0.21, 3.88). Spouses were rated as the most helpful support. Professional helpers were rated as 'somewhat helpful'. Helpful support emphasised caring, knowledge and accessibility. Ethnic differences in perceptions of support endorse calls for culturally tailored supports. Informal supports are highly valued however professional supports require development to better meet caregiver needs.

Support for aggressive stop-and-frisk policy in NYC: does perceived policy effectiveness and perceived disparate treatment explain observed racial and ethnic divides?

Prior research finds a fairly consistent racial and ethnic divide between Blacks and Whites, Blacks and Hispanics and Whites and Hispanics on issues of perceived injustice and crime policy preference. This study examines racial and ethnic variation, among a sample of New York City residents, in public views toward an aggressive stop-and-frisk policy. The study first explores whether there are racial and ethnic differences in perceptions that the stop-and-frisk policy is effective at reducing violent crime and gun offenses, and whether there are racial and ethnic differences in perceptions that police treat Blacks and Hispanics differently than Whites. The study then seeks to establish racial and ethnic divides between Blacks and Whites, Blacks and Hispanics, and Hispanics and Whites on support for the aggressive stop-and-frisk policy. Once these racial and ethnic divides in policy support are identified, the study explores whether perceptions of policy effectiveness (most likely held by Whites and Hispanics) and disparate treatment (most likely held by Blacks) account for the racial and ethnic divides in policy support. The study provides a discussion of the findings and their implications for future research and for discussions of racially and ethnically laden policy issues.

Ethnic Differences in Perceptions of Alzheimer’s Disease

Purpose: To examine ethnic differences in ratings of 1) condition severity, 2) need for medical assistance, and 3) likelihood of hiring a Healthcare Advocate (HCA) for an ill, elderly parent as a function of 1) parent’s cognitive state (Alzheimer’s disease [AD] or cognitively healthy), 2) parent’s physical malady (hip fracture or heart attack), and 3) distance (near or far from the parent), with an emphasis on the interaction between ethnicity and cognitive state. Method: Nine-hundred-seventy-four individuals who identified as White, Black, Hispanic, or Asian/Pacific Islander read a hypothetical vignette about an older man. The man’s physical malady (heart attack or hip fracture), cognitive state (AD or no AD), and physical distance from a close family member were manipulated in the vignette. Participants rated the severity of the medical condition and their likelihood of hiring an HCA. Results: Black and Asian/Pacific Islander participants did not differ from White participants on any outcomes. Unlike White participants, Hispanic participants did not rate the older man’s condition as more severe and were not more likely to seek assistance when he had AD than when he was cognitively healthy. Conclusion: Ethnic differences in perceptions of AD may be less extensive than previously thought. The medical severity of AD did not appear to be recognized among the Hispanic participants in our sample, suggesting that culturallysensitive AD education may be particularly important in this subgroup.

Ethnic differences in perceptions of social responsibility

PurposeThe purpose of this research is to investigate ethnic differences in perceptions of social responsibility, in relation to flooding, for householders, local businesses and policy makers.Design/methodology/approachThe data were obtained via a questionnaire survey of three communities in Birmingham and one community in South East London, UK. A total of 481 responses were received and used in the statistical analysis. The interpretation of the findings was aided by cognitive mapping to synthesise the data transcripts from 174 responses to the open‐ended questions. Comparisons were made between communities in different locations and with different experience of flooding.FindingsEthnic differences consistently exist within the perceptions of householder and business groups within communities (in different locations) which have recent experience of flooding, but not in the policy maker group or in a community without recent flood experience. The finding also suggests three different levels of resilience and their association with different ethnic groups.Research limitations/implicationsFuture research should conduct further analysis with equal ethnic representation throughout each community group so that more ethnic groups can be investigated and compared. For a more comprehensive understanding, further investigation should be conducted across different communities in different countries with different environmental hazards.Practical implicationsThe findings contribute to the understanding of the influence of demographic factors in disaster management field, and can provide useful knowledge for targeted and tailored strategies of communication of flood information.Originality/valueThe research represents the first attempt to investigate ethnic differences in perceptions of social responsibility of householders, small businesses and policy makers for the community resilience to flooding.

Perceptual Accuracy of Upper Airway Compromise in Children: Clinical Relevance and Future Directions for Research

Approximately 80% of children with asthma have coexisting allergic rhinitis. The accurate recognition and assessment of asthma and rhinitis symptoms is an integral component of guideline-based treatment for both conditions. This article describes the development and preliminary evaluation of a novel paradigm for testing the accuracy of children's assessment of their upper airway (rhinitis) symptoms. This work is guided by our previous research showing the clinical efficacy of tools to evaluate children's perceptual accuracy of asthma symptoms and linking accurate asthma symptom perception to decreased asthma morbidity (Fritz G, et al., Ethnic differences in perception of lung function: A factor in pediatric asthma disparities? Am J Respir Crit Care Med 182:12–18, 2010; Klein RB, et al., The Asthma Risk Grid: Clinical interpretation of symptom perception, Allergy Asthma Proc 251–256, 2004). The pilot study tests a paradigm that allows for the examination of the correspondence of children's assessment of their upper airway functioning with actual values of upper airway flow through the use of a portable, handheld nasal peak flowmeter. Nine children with persistent asthma were evaluated over a 4-week period. The article describes the rhinitis perceptual accuracy paradigm and reviews the results of a pilot study, showing a large proportion of inaccurate rhinitis symptoms “guesses” by the sample of children with persistent asthma. Patterns of inaccuracy, rhinitis control, and asthma morbidity are also described. Directions for future work are reviewed. The development of clinical tools to evaluate children's accuracy of rhinitis symptoms are needed, given the central role of the self-assessment of symptoms in guideline-based care. Accurate perception of the severity of rhinitis symptoms may enhance rhinitis control, lessen the burden of asthma, and prevent unnecessary emergency use among this high-risk group of children.

Ethnic differences in perceptions of body satisfaction and body appearance among U.S. schoolchildren: a cross-sectional study.

BackgroundPerceived body appearance and body satisfaction are potentially related to weight problems and poor health. The purpose of this study was to examine how gender, and ethnic differences in body satisfaction, perceived body appearance and weight status change by age in a representative sample of U.S. adolescents 11–17 years old.MethodsWe used the US Health Behavior in School-Aged Children (HBSC) 2001 survey which assessed perceived body appearance, body satisfaction, self-reported body mass index (BMI) and socio-demographic indicators. The associations between age and perceived appearance, age and body satisfaction, and between z-transformed BMI and body satisfaction were analyzed using separate non-parametric regression models for both genders and the three ethnic groups.ResultsBody satisfaction did not vary significantly by age except for an increase with age in the proportion of Non-Hispanic White girls who perceived themselves as too fat. Although boys did not report being too fat unless their BMI was above the age- and gender-specific median, one third of Non-Hispanic White girls felt too fat at or below the age- and gender-specific median. Compared to other ethnicities, African-American students’ perceived appearance was significantly more positive and they were less likely to perceive themselves overweight at higher BMI scores. However, during adolescence, the positive self-reported perceived appearance of African-American boys dropped substantially while it remained relatively stable in African-American girls.ConclusionsThere were substantial differences in body satisfaction and perceived appearance across the three largest ethnic groups of school-age children in the U.S. Stability across age indicates that these perceptions are most likely established before the age of 10 and underline the importance of primary schools and parents in prevention. Special attention should be directed to the dramatic loss of positive perceived appearance among African-American boys.

Racial, Ethnic, and Gender Differences in Perceptions of the Police

Prior research has consistently demonstrated the salience of minority status in understanding racial and ethnic differences in perceptions of the police. This research has overwhelmingly shown that Blacks and Latinos hold lower levels of trust and confidence in the police than do Whites and other racial minorities. The increased skepticism of the police expressed by minority citizens is commonly associated with racial profiling and documented racial disparities in police behavior. Although policing research has empirically demonstrated the influence of race on perceptions of the police, few studies have explored the relevance of officer race in shaping citizens’ evaluations of police encounters. Using data from the BJS Police–Public Contact Survey, the purpose of this study is to examine whether racial variation in evaluations of police behavior is moderated by the race of the officer. The results suggest that officer race may be an important factor in shaping citizen perceptions of police stops, particularly when it comes to Black citizens. This finding is important as it provides some evidence that increasing the number of minority officers may be one viable option for improving citizen–officer relations.

Immigrant Parents' Perceptions of School Environment and Children's Mental Health and Behavior

Research has increasingly identified the perception of school environment as an influential factor in children's lives. There has been sparse research attention, however, on the potential importance of parents' perceptions of school environment on child adjustment. This study examined the relationship between parents' perceptions of school environment and children's emotional and behavioral problems. Data were derived from the New Canadian Children and Youth Study, a study of the children (aged 4-6 and 11-13) of immigrant parents. Analyses focused on a subsample of Mainland Chinese, Hong Kong Chinese, and Filipino immigrants in a large metropolitan area. Parental perception of school environment was negatively associated with physical aggression in children even after controlling for child age and gender, parental characteristics, family functioning, and aspects of acculturation. In contrast, parental perception was not significantly related to symptoms of emotional distress in children. There were some ethnic differences in perception of school environment. Parental perception of school environment is important to the well-being of the children of immigrant parents, and reinforces the relevance of initiatives to improve the dynamics between parents and schools.