Diana Jill Burge
Biographic Data
| ID | 166452 |
|---|---|
| NAME | Diana Jill Burge |
| GIVEN NAMES | Diana Jill |
| FAMILY NAME | Burge |
| SIGNATURE | BURGE D J |
| AFFILIATIONS | University of Minnesota |
| ORCID | 0000-0003-1139-7739 |
| VERIFIED | Yes |
| TOTAL WORKS | 34 |
| TOTAL CITATIONS | 362 |
| AUTHOR COUNT | 34 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2000 |
| LATEST PUBLICATION YEAR | 2023 |
| H-INDEX | 10 |
Differences in chronic pain care receipt among veterans from differing racialized groups and the impact of rural versus urban residence
PURPOSE: The current study aimed to identify differences in Veterans Affairs (VA) chronic pain care for Black, Asian, and Hispanic Americans, compared to non-Hispanic White Americans, and examine the intersection of race and rurality. METHODS: Using national administrative data, all veterans who presented to the VA for chronic pain in 2018 were included. Demographic and comorbidity variables were built from 2018 data and health care utilization v…
Heartache or Bellyache? Epigastric Pain, Communication Skills, and Implicit Bias
Purpose: Implicit bias contributes to health disparities through physician communication behaviors. 1 Research in clinical encounters suggests certain nonverbal and verbal communication is associated with racial implicit bias. 2 To date, there are no published simulations that can be used for teaching or assessment purposes in implicit bias recognition and management (IBRM). We developed a high-fidelity simulation 3 and adapted existing checklist…
Proactive tobacco treatment for veterans with posttraumatic stress disorder
Proactive outreach increased treatment utilization and abstinence among smokers with and without PTSD. Smokers with PTSD may need additional facilitation to initiate cessation treatment but are receptive when it is offered proactively. (PsycInfo Database Record (c) 2020 APA, all rights reserved)
Veterans’ perceptions of racial bias in VA mental healthcare and their impacts on patient engagement and patient-provider communication
Smoking Cessation among Female and Male Veterans before and after a Randomized Trial of Proactive Outreach
What Causes Racial Health Care Disparities? A Mixed-Methods Study Reveals Variability in How Health Care Providers Perceive Causal Attributions
Progress to address health care equity requires health care providers' commitment, but their engagement may depend on their perceptions of the factors contributing to inequity. To understand providers' perceptions of causes of racial health care disparities, a short survey was delivered to health care providers who work at 3 Veterans Health Administration sites, followed by qualitative interviews (N = 53). Survey data indicated that providers att…
Communicating with providers about racial healthcare disparities
Developing a Medical School Curriculum on Racism
The process of employing PHCRP in the development of an intervention about racism led to new insights on what it means to discuss racism among those marginalized and those with privilege. Conversations in each phase yielded new insights and strategies to advance a conversation about racism in health care
Similar perspectives on prostate cancer screening value and new guidelines across patient demographic and PSA level subgroups
BACKGROUND: In 2012, the United States Preventive Services Task Force (USPSTF) recommended against prostate-specific antigen (PSA)-based prostate cancer screening for all men. OBJECTIVE: To inform educational materials addressing patient questions and concerns about the 2012 USPSTF guidelines, we sought to: (i) characterize patient perceptions about prostate cancer screening benefits, harms and recommendations against screening, and (ii) compare …
Gender Differences in Demographic and Clinical Correlates among Veterans with Musculoskeletal Disorders
Beyond generalized sexual prejudice
Patient activation and visit preparation in African American veterans receiving mental health care
Findings indicate the need for greater awareness of the challenges of visit preparation as well as the potential consequences of lack of preparation. Results suggest the incorporation of visit preparation as part of routine mental health visits, and as a tool to increase patient activation, especially among minorities. Findings also inform intervention studies by emphasizing the need to explore sociocultural factors that may impact patient activa…
Informal Training Experiences and Explicit Bias against African Americans among Medical Students
Despite the widespread inclusion of diversity-related curricula in US medical training, racial disparities in the quality of care and physician bias in medical treatment persist. The present study examined the effects of both formal and informal experiences on non-African American medical students' ( N =2922) attitudes toward African Americans in a longitudinal study of 49 randomly selected US medical schools. We assessed the effects experiences …
The Impact of Everyday Discrimination and Racial Identity Centrality on African American Medical Student Well-Being
Racial Identity and Mental Well-Being
Medical School Experiences Associated with Change in Implicit Racial Bias Among 3547 Students
BACKGROUND: Physician implicit (unconscious, automatic) bias has been shown to contribute to racial disparities in medical care. The impact of medical education on implicit racial bias is unknown. OBJECTIVE: To examine the association between change in student implicit racial bias towards African Americans and student reports on their experiences with 1) formal curricula related to disparities in health and health care, cultural competence, and/o…
Do Contact and Empathy Mitigate Bias Against Gay and Lesbian People Among Heterosexual First-Year Medical Students? A Report From the Medical Student CHANGE Study
PURPOSE: A recent Institute of Medicine report concluded that lesbian and gay individuals face discrimination from health care providers and called for research on provider attitudes. Medical school is a critical juncture for improving future providers' treatment of sexual minorities. This study examined both explicit bias and implicit bias against lesbian women and gay men among first-year medical students, focusing on two predictors of such bia…
Mental Well-Being in First Year Medical Students
Proactive tobacco treatment for low income smokers
ClinicalTrials.gov: NCT01123967
Culture, acculturation and smoking use in Hmong, Khmer, Laotians, and Vietnamese communities in Minnesota
Leaders from Minnesota's Southeast Asian communities perceived key changes in tobacco-related attitudes, beliefs, and behaviors which were embedded in the context of shifting power, status, and gender roles within their communities. This has practical implications for developing policy and interventions. Older Southeast Asians are likely to benefit from culturally-tailored programs (e.g., that value politeness and the importance of acting in ways…
Smoking Cessation Among African American and White Smokers in the Veterans Affairs Health Care System
Objectives. We examined whether a proactive care smoking cessation intervention designed to overcome barriers to treatment would be especially effective at increasing cessation among African Americans receiving care in the Veterans Health Administration. Methods. We analyzed data from a randomized controlled trial, the Veterans Victory over Tobacco study, involving a population-based electronic registry of current smokers (702 African Americans, …
Unhealthy Interactions
Stereotype threat is the unpleasant psychological experience of confronting negative stereotypes about race, ethnicity, gender, sexual orientation, or social status. Hundreds of published studies show how the experience of stereotype threat can impair intellectual functioning and interfere with test and school performance. Numerous published interventions derived from this research have improved the performance and motivation of individuals targe…
Population-based tobacco treatment
ClinicalTrials.gov: NCT00608426
The Impact of Racism on Clinician Cognition, Behavior, and Clinical Decision Making
Over the past two decades, thousands of studies have demonstrated that Blacks receive lower quality medical care than Whites, independent of disease status, setting, insurance, and other clinically relevant factors. Despite this, there has been little progress towards eradicating these inequities. Almost a decade ago we proposed a conceptual model identifying mechanisms through which clinicians' behavior, cognition, and decision making might be i…
Stereotype Threat and Health Disparities
The Association between Perceived Discrimination and Underutilization of Needed Medical and Mental Health Care in a Multi-Ethnic Community Sample
This study examines the association between perceived discrimination and underutilization of needed medical and mental health care, in a representative, multi-ethnic community sample. Data were derived from a cross sectional survey of 10,098 White, U.S.-born Black, African-born Black, American Indian, Hispanic, and Southeast Asian adults in Hennepin County, Minnesota. Even after controlling for socio-demographic characteristics, health care acces…
The Impact of Racism on Clinician Cognition, Behavior, and Clinical Decision Making
Over the past two decades, thousands of studies have demonstrated that Blacks receive lower quality medical care than Whites, independent of disease status, setting, insurance, and other clinically relevant factors. Despite this, there has been little progress towards eradicating these inequities. Almost a decade ago we proposed a conceptual model identifying mechanisms through which clinicians' behavior, cognition, and decision making might be i…
Perceived discrimination and substance use in Hispanic/Latino, African-born Black, and Southeast Asian immigrants
The present investigation extends epidemiological research on discrimination and substance use to African-born Black, Southeast Asian, and Latino/Hispanic adult immigrants in the Midwest (N = 1,387). Discrimination was perceived by nearly 30% of immigrants in the sample during the past year and was significantly related to cigarette smoking, number of past-month drinking days, and engagement in recent binge drinking in the full sample. For Southe…
Physicians’ Perceptions of Patients’ Social and Behavioral Characteristics and Race Disparities in Treatment Recommendations for Men With Coronary Artery Disease
Objectives. A growing body of evidence suggests that provider decisionmaking contributes to racial/ethnic disparities in care. We examined the factors mediating the relationship between patient race/ethnicity and provider recommendations for coronary artery bypass graft surgery. Methods. Analyses were conducted with a data set that included medical record, angiogram, and provider survey data on postangiogram encounters with patients who were cate…
Unhealthy Interactions
Stereotype threat is the unpleasant psychological experience of confronting negative stereotypes about race, ethnicity, gender, sexual orientation, or social status. Hundreds of published studies show how the experience of stereotype threat can impair intellectual functioning and interfere with test and school performance. Numerous published interventions derived from this research have improved the performance and motivation of individuals targe…
Patient race and physicians' decisions to prescribe opioids for chronic low back pain
Beyond generalized sexual prejudice
White doctors and nurses on racial inequality in health care in the USA
In this paper we report on an interdisciplinary project interviewing doctors and nurses about racial inequality in health care in the USA. We analysed data from interviews with twenty-two white doctors and nurses in which they were asked to offer explanations for racial inequality in health care. Results provide insight into how whiteness operates to provide white patients more often with appropriate health care and how colour-blind ideology can …
Rocking the Vote
Journal Article Rocking the Vote: Using Personalized Messages to Motivate Voting among Young Adults Get access DIANA BURGESS, DIANA BURGESS Search for other works by this author on: Oxford Academic Google Scholar BETH HANEY, BETH HANEY Search for other works by this author on: Oxford Academic Google Scholar MARK SNYDER, MARK SNYDER Search for other works by this author on: Oxford Academic Google Scholar JOHN L. SULLIVAN, JOHN L. SULLIVAN Search f…
The Impact of Everyday Discrimination and Racial Identity Centrality on African American Medical Student Well-Being
Informal Training Experiences and Explicit Bias against African Americans among Medical Students
Despite the widespread inclusion of diversity-related curricula in US medical training, racial disparities in the quality of care and physician bias in medical treatment persist. The present study examined the effects of both formal and informal experiences on non-African American medical students' ( N =2922) attitudes toward African Americans in a longitudinal study of 49 randomly selected US medical schools. We assessed the effects experiences …
Mental Well-Being in First Year Medical Students
Veterans’ perceptions of racial bias in VA mental healthcare and their impacts on patient engagement and patient-provider communication
Developing a Medical School Curriculum on Racism
The process of employing PHCRP in the development of an intervention about racism led to new insights on what it means to discuss racism among those marginalized and those with privilege. Conversations in each phase yielded new insights and strategies to advance a conversation about racism in health care
Racial Identity and Mental Well-Being
What Causes Racial Health Care Disparities? A Mixed-Methods Study Reveals Variability in How Health Care Providers Perceive Causal Attributions
Progress to address health care equity requires health care providers' commitment, but their engagement may depend on their perceptions of the factors contributing to inequity. To understand providers' perceptions of causes of racial health care disparities, a short survey was delivered to health care providers who work at 3 Veterans Health Administration sites, followed by qualitative interviews (N = 53). Survey data indicated that providers att…
Smoking Cessation Among African American and White Smokers in the Veterans Affairs Health Care System
Objectives. We examined whether a proactive care smoking cessation intervention designed to overcome barriers to treatment would be especially effective at increasing cessation among African Americans receiving care in the Veterans Health Administration. Methods. We analyzed data from a randomized controlled trial, the Veterans Victory over Tobacco study, involving a population-based electronic registry of current smokers (702 African Americans, …
Attitudinal Ambivalence and the Conflict between Group and System Justification Motives in Low Status Groups
It is argued that members of low status groups are faced with a psychological conflict between group justification tendencies to evaluate members of one’s own group favorably and system justification tendencies to endorse the superiority of higher status out-groups. In Study 1, members of low status groups exhibited less ingroup favoritism and more ingroup ambivalence than did members of high status groups. Perceptions that the status differences…
Rocking the Vote
Journal Article Rocking the Vote: Using Personalized Messages to Motivate Voting among Young Adults Get access DIANA BURGESS, DIANA BURGESS Search for other works by this author on: Oxford Academic Google Scholar BETH HANEY, BETH HANEY Search for other works by this author on: Oxford Academic Google Scholar MARK SNYDER, MARK SNYDER Search for other works by this author on: Oxford Academic Google Scholar JOHN L. SULLIVAN, JOHN L. SULLIVAN Search f…
Why do providers contribute to disparities and what can be done about it?
Physicians’ Perceptions of Patients’ Social and Behavioral Characteristics and Race Disparities in Treatment Recommendations for Men With Coronary Artery Disease
Objectives. A growing body of evidence suggests that provider decisionmaking contributes to racial/ethnic disparities in care. We examined the factors mediating the relationship between patient race/ethnicity and provider recommendations for coronary artery bypass graft surgery. Methods. Analyses were conducted with a data set that included medical record, angiogram, and provider survey data on postangiogram encounters with patients who were cate…
Effects of Perceived Discrimination on Mental Health and Mental Health Services Utilization Among Gay, Lesbian, Bisexual and Transgender Persons
OBJECTIVES: Previous research has found that lesbian, gay, bisexual and transgender (LGBT) individuals are at risk for a variety of mental health disorders. We examined the extent to which a recent experience of a major discriminatory event may contribute to poor mental health among LGBT persons. METHODS: Data were derived from a cross-sectional strata-cluster survey of adults in Hennepin County, Minnesota, who identified as LGBT (n=472) or heter…
The Association between Perceived Discrimination and Underutilization of Needed Medical and Mental Health Care in a Multi-Ethnic Community Sample
This study examines the association between perceived discrimination and underutilization of needed medical and mental health care, in a representative, multi-ethnic community sample. Data were derived from a cross sectional survey of 10,098 White, U.S.-born Black, African-born Black, American Indian, Hispanic, and Southeast Asian adults in Hennepin County, Minnesota. Even after controlling for socio-demographic characteristics, health care acces…
Patient race and physicians' decisions to prescribe opioids for chronic low back pain
Stereotype Threat and Health Disparities
Perceived discrimination and substance use in Hispanic/Latino, African-born Black, and Southeast Asian immigrants
The present investigation extends epidemiological research on discrimination and substance use to African-born Black, Southeast Asian, and Latino/Hispanic adult immigrants in the Midwest (N = 1,387). Discrimination was perceived by nearly 30% of immigrants in the sample during the past year and was significantly related to cigarette smoking, number of past-month drinking days, and engagement in recent binge drinking in the full sample. For Southe…
White doctors and nurses on racial inequality in health care in the USA
In this paper we report on an interdisciplinary project interviewing doctors and nurses about racial inequality in health care in the USA. We analysed data from interviews with twenty-two white doctors and nurses in which they were asked to offer explanations for racial inequality in health care. Results provide insight into how whiteness operates to provide white patients more often with appropriate health care and how colour-blind ideology can …
The Impact of Racism on Clinician Cognition, Behavior, and Clinical Decision Making
Over the past two decades, thousands of studies have demonstrated that Blacks receive lower quality medical care than Whites, independent of disease status, setting, insurance, and other clinically relevant factors. Despite this, there has been little progress towards eradicating these inequities. Almost a decade ago we proposed a conceptual model identifying mechanisms through which clinicians' behavior, cognition, and decision making might be i…
Population-based tobacco treatment
ClinicalTrials.gov: NCT00608426
Unhealthy Interactions
Stereotype threat is the unpleasant psychological experience of confronting negative stereotypes about race, ethnicity, gender, sexual orientation, or social status. Hundreds of published studies show how the experience of stereotype threat can impair intellectual functioning and interfere with test and school performance. Numerous published interventions derived from this research have improved the performance and motivation of individuals targe…
Proactive tobacco treatment for low income smokers
ClinicalTrials.gov: NCT01123967
Culture, acculturation and smoking use in Hmong, Khmer, Laotians, and Vietnamese communities in Minnesota
Leaders from Minnesota's Southeast Asian communities perceived key changes in tobacco-related attitudes, beliefs, and behaviors which were embedded in the context of shifting power, status, and gender roles within their communities. This has practical implications for developing policy and interventions. Older Southeast Asians are likely to benefit from culturally-tailored programs (e.g., that value politeness and the importance of acting in ways…
Smoking Cessation Among African American and White Smokers in the Veterans Affairs Health Care System
Objectives. We examined whether a proactive care smoking cessation intervention designed to overcome barriers to treatment would be especially effective at increasing cessation among African Americans receiving care in the Veterans Health Administration. Methods. We analyzed data from a randomized controlled trial, the Veterans Victory over Tobacco study, involving a population-based electronic registry of current smokers (702 African Americans, …
Medical School Experiences Associated with Change in Implicit Racial Bias Among 3547 Students
BACKGROUND: Physician implicit (unconscious, automatic) bias has been shown to contribute to racial disparities in medical care. The impact of medical education on implicit racial bias is unknown. OBJECTIVE: To examine the association between change in student implicit racial bias towards African Americans and student reports on their experiences with 1) formal curricula related to disparities in health and health care, cultural competence, and/o…
Do Contact and Empathy Mitigate Bias Against Gay and Lesbian People Among Heterosexual First-Year Medical Students? A Report From the Medical Student CHANGE Study
PURPOSE: A recent Institute of Medicine report concluded that lesbian and gay individuals face discrimination from health care providers and called for research on provider attitudes. Medical school is a critical juncture for improving future providers' treatment of sexual minorities. This study examined both explicit bias and implicit bias against lesbian women and gay men among first-year medical students, focusing on two predictors of such bia…
Mental Well-Being in First Year Medical Students
Patient activation and visit preparation in African American veterans receiving mental health care
Findings indicate the need for greater awareness of the challenges of visit preparation as well as the potential consequences of lack of preparation. Results suggest the incorporation of visit preparation as part of routine mental health visits, and as a tool to increase patient activation, especially among minorities. Findings also inform intervention studies by emphasizing the need to explore sociocultural factors that may impact patient activa…
Informal Training Experiences and Explicit Bias against African Americans among Medical Students
Despite the widespread inclusion of diversity-related curricula in US medical training, racial disparities in the quality of care and physician bias in medical treatment persist. The present study examined the effects of both formal and informal experiences on non-African American medical students' ( N =2922) attitudes toward African Americans in a longitudinal study of 49 randomly selected US medical schools. We assessed the effects experiences …
The Impact of Everyday Discrimination and Racial Identity Centrality on African American Medical Student Well-Being
Racial Identity and Mental Well-Being
Similar perspectives on prostate cancer screening value and new guidelines across patient demographic and PSA level subgroups
BACKGROUND: In 2012, the United States Preventive Services Task Force (USPSTF) recommended against prostate-specific antigen (PSA)-based prostate cancer screening for all men. OBJECTIVE: To inform educational materials addressing patient questions and concerns about the 2012 USPSTF guidelines, we sought to: (i) characterize patient perceptions about prostate cancer screening benefits, harms and recommendations against screening, and (ii) compare …
Gender Differences in Demographic and Clinical Correlates among Veterans with Musculoskeletal Disorders
Medicine (27 works) · Psychology (25 works) · Racial and Ethnic Identity Research (19 works) · Psychiatry (18 works) · Health care (14 works) · Family medicine (12 works) · Political science (12 works) · Social Psychology (12 works) · Clinical Psychology (10 works) · Social Psychology (10 works)