Intersectionality of Race and Question-Asking in Women After Right Hemisphere Brain Damage.

Purpose: Atypical pragmatic language can impede quality health care access. Right hemisphere brain damage (RHD) results in changes in pragmatic language use; however, little is known about whether there are racial/ethnic influences. Recent research indicated differences in question-asking when RHD s...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 66; no. 1; pp. 314 - 325
Autores principales: Fannin, Danai Kasambira, Elleby, Jada, Tackett, Maria, Minga, Jamila
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Jan2023
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2023
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      pub: American Speech-Language-Hearing Association
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        10.1044/2022_JSLHR-22-00327
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        atl: Intersectionality of Race and Question-Asking in Women After Right Hemisphere Brain Damage.
      aug:
        au:
          Fannin, Danai Kasambira
          Elleby, Jada
          Tackett, Maria
          Minga, Jamila
        affil:
          Department of Communication Sciences and Disorders, North Carolina Central University, Durham.
          Department of Statistical Science, Duke University, Durham, NC.
          Department of Head and Neck Surgery & Communication Sciences and Department of Neurology, Vascular and Stroke Division, Duke University School of Medicine, Durham, NC.
      su:
        Race
        Intersectionality
        Communication
        Patient-professional relations
        Cerebral hemispheres
        Brain
        Statistics
        Confidence intervals
        Regression analysis
        Brain damage
        Research funding
        Descriptive statistics
        Data analysis
        Data analysis software
      sug:
        subj:
          Race
          Intersectionality
          Communication
          Patient-professional relations
          Cerebral hemispheres
          Brain
          Statistics
          Confidence intervals
          Regression analysis
          Brain damage
          Research funding
          Descriptive statistics
          Data analysis
          Data analysis software
      ab: Purpose: Atypical pragmatic language can impede quality health care access. Right hemisphere brain damage (RHD) results in changes in pragmatic language use; however, little is known about whether there are racial/ethnic influences. Recent research indicated differences in question-asking when RHD survivors were compared with healthy controls, prompting the current examination of question production in women by race/ethnicity and the presence of RHD. Method: Participants were eight Black and eight White women who sustained a single right hemisphere stroke at least 6 months prior to data collection (2016– 2020), and eight Black and eight White control participants from the Right Hemisphere Damage Bank (https://rhd.talkbank.org). Videos of informal, first-encounter conversational discourse tasks were transcribed and coded. Analyses were conducted for frequency of questions and question type. Results: Race/ethnicity had a statistically significant effect on the total number of questions and number of content and polar questions. The mean total of questions, number of content questions, and mean number of polar questions for Black participants was significantly less than White participants. There was less variability in question type for Black participants than White participants, and a tendency for Black participants to ask fewer questions regardless of RHD or control status. Conclusions: Acquisition of health information and ensuing health care might be less fruitful for Black women communicating with someone who may not know to conduct comprehension checks and be proactive in provision of information. To be culturally responsive to Black patients with communication disorders, providers might apply this awareness of reduced question-asking to their strategies to improve patient–provider communication.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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