Abstract
AbstractBlack patients are diagnosed with Parkinson’s disease (PD) at half the rate as White patients. The reasons for this large disparity are unknown. Here, we review evidence that practitioner bias may contribute. A key sign of PD is hypomimia or decreased facial expressivity. However, practitioner bias surrounding facial expressivity in Black people versus White people may lead practitioners to appraise Black patients with hypomimia as having higher levels of facial expressivity. Furthermore, practitioner bias may cause them to characterize reduced facial expressivity as being due to negative personality traits, as opposed to a medical sign, in Black patients with hypomimia. This racial bias in the evaluation of hypomimia in Black versus White patients could profoundly impact subsequent referral decisions and rates of diagnosis of PD. Therefore, exploring these differences is expected to facilitate addressing health care disparities through earlier and more accurate detection of PD in Black patients.
Publisher
Springer Science and Business Media LLC
Subject
Cellular and Molecular Neuroscience,Neurology (clinical),Neurology
Reference48 articles.
1. Chen, J. J. Parkinson’s disease: Health-related quality of life, economic cost, and implications of early treatment. Am. J. Manag Care. 16, S87–S93 (2010).
2. Yang, W. et al. Current and projected future economic burden of Parkinson’s disease in the U.S. NPJ Park Dis. 6, 15 (2020).
3. Bailey, M., Anderson, S. & Hall, D. A. Parkinson’s disease in African Americans: a review of the current literature. J. Parkinsons Dis. 10, 831–841 (2020).
4. Dahodwala, N. et al. Racial differences in the diagnosis of Parkinson’s disease. Mov. Disord. 24, 1200–1205 (2009a).
5. Wright Willis, A., Evanoff, B. A., Lian, M., Criswell, S. R. & Racette, B. A. Geographic and ethnic variation in Parkinson disease: a population-based study of US Medicare beneficiaries. Neuroepidemiology 34, 143–151 (2010).
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