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Passage The Term "Health Disparities" Describes a Systematic Incidence of Poorer

Question 134

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Passage
The term "health disparities" describes a systematic incidence of poorer health outcomes for groups that have traditionally experienced social disadvantage (eg, racial and ethnic minorities, lower-income individuals, women) as compared to more advantaged groups (eg, whites, higher-income individuals, men) .  These health disparities are driven by unequal access to health care services and health insurance due to prejudice and discrimination on the part of health care providers and the overall system, and extensive research has focused on these issues.Recent research suggests that another factor might explain health disparities: stereotype threat on the part of the patient.  Stereotype threat can be evoked by verbal or nonverbal cues from health care professionals, such as a physician's use of confusing medical jargon (the standardized language medical personnel use to communicate among themselves) or a nurse's body language while discussing the risks of obesity and alcohol use.  Once triggered, stereotype threat may result in behaviors that compromise one's own health.  For example, a patient may withhold information or feel compelled to describe health-related behaviors in a positive light.  Similarly, if the interaction arouses anxiety, a patient may be less likely to remember the physician's instructions or might dismiss a physician's advice as biased.Stereotype threat can be reduced through training programs that improve employees' communication skills.  Some hospitals in large urban areas have implemented the use of cultural liaisons, individuals who are able to bridge the gap between a minority patient's cultural beliefs and Western medicine.  Cultural liaisons are often present during the nonsensitive portions of the doctor's appointment, and studies suggest they may help to reduce stereotype threat in patients.
Adapted from J. Aronson, D. Burgess, S. M. Phelan, and L. Juarez (C) 2013 American Public Health Association
-Besides reducing stereotype threat, the presence of a cultural liaison during a doctor's appointment increases:


A) the number of group members, making groupthink more likely.
B) the number of group members, making group polarization more likely.
C) the number of social ties, making the group more stable.
D) the number of social ties, making the group more intimate.

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