Publications by authors named "Sheila E Chapman"
In the United States, Black people face harsher health and social consequences of addiction compared to people who are not Black. These differential consequences are largely attributable to systemic racism. While addiction treatment may mitigate health disparities related to substance use, Black people also experience structural barriers and direct interpersonal racism which contribute to inequitable access and treatment outcomes.
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- Black individuals in the U.S. with substance use disorders face significant barriers to treatment, influenced by systemic racism and unequal access compared to White individuals.
- A scoping review was conducted to analyze the impact of shared racial identity (racial concordance) between Black patients and providers on addiction treatment experiences and outcomes.
- The review found limited evidence supporting racial concordance as a factor improving treatment access or outcomes, with only some positive effects noted, like increased perceived provider empathy. Future research is needed to explore broader outcome measures related to these dynamics.
The disparate effects of social determinants of health on cardiovascular health status and health care have been extensively documented by epidemiology. Yet, very little attention has been paid to how understanding and addressing social determinants of health might improve the quality of clinical interactions, especially by improving patients' adherence to recommended therapies. We present a case and suggested approach to illustrate how cardiovascular clinicians can use patient-centered approaches to identify and address social determinants of health barriers to adherence and reduce the impact of unconscious clinician biases.
View Article and Find Full Text PDFBackground: Physicians receive little education about unhealthy alcohol use and as a result patients often do not receive efficacious interventions. The objective of this study is to evaluate whether a free web-based alcohol curriculum would be used by physician educators and whether in-person faculty development would increase its use, confidence in teaching and teaching itself.
Methods: Subjects were physician educators who applied to attend a workshop on the use of a web-based curriculum about alcohol screening and brief intervention and cross-cultural efficacy.