Patient-provider communication differs for black compared to white HIV-infected patients

Mary Catherine Beach, Somnath Saha, P. Todd Korthuis, Victoria Sharp, Jonathon Cohn, Ira B. Wilson, Susan Eggly, Lisa A. Cooper, Debra Roter, Andrea Sankar, Richard Moore

Research output: Contribution to journalArticlepeer-review

94 Scopus citations


Poor patient-provider interactions may play a role in explaining racial disparities in the quality and outcomes of HIV care in the United States. We analyzed 354 patient-provider encounters coded with the Roter Interaction Analysis System across four HIV care sites in the United States to explore possible racial differences in patient-provider communication. Providers were more verbally dominant in conversations with black as compared to white patients. This was largely due to black patients' talking less than white patients. There was no association between race and other measures of communication. Black and white patients rated their providers' communication similarly. Efforts to more effectively engage patients in the medical dialogue may lead to improved patient-provider relationships, self-management, and outcomes among black people living with HIV/AIDS.

Original languageEnglish (US)
Pages (from-to)805-811
Number of pages7
JournalAIDS and Behavior
Issue number4
StatePublished - May 2011


  • Health disparities
  • Patient-physician communication
  • Patient-physician relations

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases


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