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. 2016 Feb 7;21(5):515–533. doi: 10.1080/13557858.2015.1126561

Table 5. Receiving understandable answers to important questions from staff, by ethnicity.

Ethnicity n % OR 95% CI p-Value ORadja 95% CI p-Value
(a) Received an understandable answer from a clinical nurse specialistb
Broad ethnic category
White 35,953 91.2 (ref)c     (ref)c    
Mixed 173 86.1 0.57 0.38–0.85 0.01 0.67 0.44–1.00 .05
Asian or Asian British 586 83.2 0.46 0.38–0.56 <.001 0.52 0.42–0.64 <0.001
Black or Black British 437 83.7 0.48 0.38–0.60 <.001 0.57 0.44–0.72 <0.001
Chinese 93 86.1 0.57 0.33–0.99 .05 0.65 0.37–1.28 0.12
Any other ethnic group 60 81.1 0.40 0.22–0.71 <.001 0.48 0.16–0.87 0.02
Ethnic sub-category
White British 34,745 91.6 (ref)d     (ref)d    
White Irish 496 88.6 0.71 0.55–0.92 .01 0.76 0.58–0.99 .04
Any other White background 712 90.6 0.88 0.69–1.12 .30 0.98 0.77–1.26 .90
White & Black Caribbean 45 81.8 0.41 0.21–0.82 .01 0.48 0.24–0.97 .04
White & Black African 19 86.4 0.58 0.17–1.96 .38 0.63 0.18–2.16 .46
White & Asian 57 87.7 0.65 0.31–1.37 .26 0.78 0.37–1.66 .52
Any other Mixed background 52 88.1 0.68 0.31–1.50 .34 0.80 0.36–1.77 .58
Indian 304 82.6 0.44 0.33–0.57 <.001 0.48 0.36–0.64 <.001
Pakistani 121 83.5 0.46 0.30–0.72 .001 0.53 0.34–0.82 .01
Bangladeshi 23 69.7 0.21 0.10–0.44 <.001 0.27 0.13–0.58 .001
Any other Asian background 138 87.3 0.63 0.40–1.01 .06 0.75 0.46–1.20 .23
Caribbean 229 82.4 0.43 0.31–0.58 <.001 0.50 0.36–0.68 <.001
African 184 84.4 0.50 0.34–0.72 <.001 0.61 0.42–0.89 .01
Any other Black background 24 92.3 1.01 0.26–4.65 .90 1.32 0.31–5.65 .71
Chinese 93 86.1 0.57 0.33–0.99 .05 0.65 0.37–1.28 .12
Any other ethnic group 60 81.1 0.40 0.22–0.71 <.001 0.48 0.16–0.87 .02
(b) Received an understandable answer from a doctore
Broad ethnic category
White 27,962 83.5 (ref)c   (ref)c      
Mixed 135 75.0 0.60 0.42–0.83 .003 0.64 0.45–0.91 .01
Asian or Asian British 427 69.3 0.45 0.38–0.53 <.001 0.49 0.41–0.59 <.001
Black or Black British 312 75.9 0.63 0.50–0.79 <.001 0.72 0.57–0.91 .01
Chinese 68 70.8 0.48 0.31–0.75 .001 0.51 0.32–0.81 .004
Any other ethnic group 55 84.6 1.09 0.56–2.14 .80 1.43 0.72–2.85 .31
Ethnic sub-category
White British 27,007 83.5 (ref)d     (ref)d    
White Irish 407 84.3 1.06 0.83–1.36 .65 1.11 0.86–1.42 .43
Any other White background 548 80.5 0.81 0.67–0.99 .04 0.88 0.72–1.07 .20
White & Black Caribbean 37 69.8 0.46 0.25–0.82 .01 0.49 0.27–0.89 .02
White & Black African 16 76.2 0.63 0.23–1.73 .37 0.68 0.24–1.89 .46
White & Asian 49 79.0 0.75 0.40–1.37 .35 0.84 0.45–1.58 .59
Any other Mixed background 33 75.0 0.59 0.30–1.17 .13 0.62 0.31–1.24 .18
Indian 226 71.8 0.50 0.39–0.64 <.001 0.53 0.41–0.59 <.001
Pakistani 97 68.8 0.44 0.31–0.62 <.001 0.49 0.34–0.71 <.001
Bangladeshi 11 33.3 0.12 0.05–0.20 <.001 0.14 0.07–0.30 <.001
Any other Asian background 93 73.2 0.54 0.36–0.80 .002 0.58 0.40–0.88 .01
Caribbean 165 73.3 0.54 0.40–0.73 <.001 0.64 0.47–0.87 .004
African 132 78.6 0.73 0.50–1.05 .09 0.81 0.55–1.18 .27
Any other Black background 15 83.3 0.99 0.29–3.41 .99 1.28 0.36–4.54 .70
Chinese 68 70.8 0.48 0.31–0.75 .001 0.51 0.32–0.81 .004
Any other ethnic group 55 84.6 1.09 0.56–2.14 .80 1.43 0.72–2.85 .31
(c) Received an understandable answer from a ward nursef
Broad ethnic category
White 24,144 75.9 (ref)c     (ref)c    
Mixed 129 73.7 0.89 0.64–1.25 .50 0.99 0.70–1.40 .964
Asian or Asian British 370 61.9 0.52 0.44–0.61 <.001 0.60 0.50–0.71 <.001
Black or Black British 262 65.7 0.61 0.49–0.75 <.001 0.73 0.59–0.91 .01
Chinese 60 59.4 0.46 0.31–0.69 <.001 0.53 0.35–0.79 .002
Any other ethnic group 46 71.9 0.81 0.47–1.40 .45 1.14 0.65–2.00 .64
Ethnic sub-category
White British 23,319 76.0 (ref)d     (ref)d    
White Irish 343 75.4 0.97 0.78–1.20 .77 1.04 0.83–1.29 .76
Any other White background 482 73.7 0.87 0.74–1.06 .18 1.01 0.84–1.21 .91
White & Black Caribbean 37 71.2 0.78 0.43–1.42 .42 0.85 0.46–1.56 .60
White & Black African 13 72.2 0.82 0.30–2.31 .71 0.85 0.30–2.44 .77
White & Asian 48 80.0 1.27 0.67–2.38 .47 1.48 0.77–1.51 .23
Any other Mixed background 31 68.9 0.70 0.37–1.32 .27 0.79 0.41–1.51 .48
Indian 194 62.8 0.53 0.42–0.67 <.001 0.62 0.48–0.79 <.001
Pakistani 83 61.0 0.50 0.35–0.70 <.001 0.57 0.40–0.81 .002
Bangladeshi 10 34.5 0.16 0.08–0.36 <.001 0.24 0.11–0.52 <.001
Any other Asian background 83 67.0 0.64 0.44–0.93 .02 0.75 0.51–1.10 .14
Caribbean 139 65.9 0.61 0.46–0.81 .001 0.76 0.57–1.03 .07
African 111 65.7 0.61 0.44–0.83 .002 0.70 0.50–0.97 .04
Any other Black background 12 63.2 0.54 0.31–0.69 <.001 0.69 0.26–1.79 .44
Chinese 60 59.4 0.46 0.31–0.69 <.001 0.53 0.35–0.79 .002
Any other ethnic group 46 71.9 0.81 0.47–1.40 .45 1.14 0.65–2.00 .64

Note: Significant associations (p < .05) are highlighted in bold.

aAdjusted for age, gender, long-standing condition, time since first treatment, tumour group, patient classification, response to treatment, IMD quintile, Trust location (in/outside Greater London) and Trust.

bAnalysis was restricted to 40,880 respondents and excluded patients who did not respond to Q24 (n = 18,931) or had missing data for age, gender, ethnicity, time since first treatment, long-standing condition status, response to treatment or IMD quintile (n = 8926). According to the likelihood ratio test, the model using ethnic sub-categories was not significantly better (at 95% confidence level) than the model using broad categories according to the likelihood ratio test (χ 2(10) = 12.80, p = .24).

cFor comparisons by broad ethnic categories, the reference group was White patients.

dFor comparisons by ethnic sub-categories, the reference group was White British patients.

eAnalysis was restricted to 34,877 respondents and excluded patients who did not respond to Q37 (n = 26,507) or had missing data for age, gender, ethnicity, time since first treatment, long-standing condition status, response to treatment or IMD quintile (n = 7353). According to the likelihood ratio test, the model using ethnic sub-categories was significantly better (at 95% confidence level) than the model using broad categories according to the likelihood ratio test (χ 2(10) = 18.06, p = .05).

fAnalysis was restricted to 33,138 respondents and excluded patients who did not respond to Q41 (n = 28,685) or had missing data for age, gender, ethnicity, time since first treatment, long-standing condition status, response to treatment or IMD quintile (n = 6914). According to the likelihood ratio test, the model using ethnic sub-categories was not significantly better (at 95% confidence level) than the model using broad categories according to the likelihood ratio test (χ2(10) = 9.74, p = 0.47).