Journals of Gerontology Series A: Biological Sciences and Medical Sciences Large Type Edition
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The Journals of Gerontology Series A: Biological Sciences and Medical Sciences 59:1318-1322 (2004)
© 2004 The Gerontological Society of America

Inner City African-American Elderly Patients' Perceptions and Preferences for the Care of Chronic Knee and Hip Pain: Findings From Focus Groups

Said A. Ibrahim1,, Amy Zhang2, Mary Beth Mercer2, Marcy Baughman1 and C. Kent Kwoh1

1 The Center for Health Equity Research and Promotion, VA Pittsburgh HealthCare System, Pennsylvania.
2 The Case Western Reserve University School of Medicine, Cleveland, Ohio.

Address correspondence to Said A. Ibrahim, MD, MPH, Center for Health Equity Research and Promotion, VA Pittsburgh HealthCare System, University Drive C, 11-East (130 A-U), Pittsburgh, PA 15240. E-mail said.ibrahim2{at}med.va.gov

Background. African Americans undergo joint replacement less often than do white persons. The authors studied African-American perceptions and preferences for the care of knee and hip pain.

Methods. 10 focus groups were conducted in an inner city community. Participants, older persons with chronic knee or hip pain, were asked to discuss their perceptions and preferences for the care of knee and hip pain. Transcripts were coded for thematic structure using NUD*ST software.

Results. Cultural preferences and perceptions for care emerged as a major theme. Important subcategories of this theme included respect for the patient's faith and religiosity and perceptions of physician ethnicity, race, and sex.

Conclusions. This sample of older inner city African Americans expressed unique cultural perceptions and preferences for the care of their knee and hip pain. Respect for patients' faith was important, whereas physicians' race, ethnicity, and religious background were not.






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