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

Autor/inn/en	Fannin, Danai Kasambira; Elleby, Jada; Tackett, Maria; Minga, Jamila
Titel	Intersectionality of Race and Question-Asking in Women after Right Hemisphere Brain Damage
Quelle	In: Journal of Speech, Language, and Hearing Research, 66 (2023) 1, S.314-324 (11 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1092-4388
Schlagwörter	Language Usage; Pragmatics; Racial Differences; Ethnicity; Inquiry; Females; Neurological Impairments; Brain Hemisphere Functions; African Americans; Whites; Communication Disorders; Access to Information; Health Services; Cultural Influences; Adults + Suchen Sie Ihr Suchwort? Sprachgebrauch; Pragmalinguistik; Rassenunterschied; Ethnizität; Weibliches Geschlecht; Neurodegenerative Erkrankung; Afroamerikaner; White; Weißer; Kommunikationsstörung; Health service; Gesundheitsdienst; Gesundheitswesen; Cultural influence; Kultureinfluss
Abstract	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. (As Provided).
Anmerkungen	American Speech-Language-Hearing Association. 2200 Research Blvd #250, Rockville, MD 20850. Tel: 301-296-5700; Fax: 301-296-8580; e-mail: slhr@asha.org; Web site: http://jslhr.pubs.asha.org
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01