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Co-cultural Communicative Practices of African American Women Seeking Depression Care

Wardlaw, Cassie, PhD, MSW, PMHNP-BC; Shambley-Ebron, Donna, PhD, RN, CTN-A

doi: 10.1097/ANS.0000000000000269
Section: Culture, Race & Discrimination

African Americans face unique communication challenges when interfacing with the health care system that has a history of discrimination and power differentials. In response to the trifecta of race, class, and gender oppression when seeking health care, African American women make critical decisions regarding how to communicate during the clinical encounter for depression care. The purpose of this study was to use focused ethnography to explore the co-cultural communicative practices that African American women use when seeking depression care. The concept of intersectionality was used to contextualize 5 domains that explained the depth and breadth of African American women's experiences and communication strategies when seeking care for depression.

University of Cincinnati, Cincinnati, Ohio.

Correspondence: Cassie Wardlaw, PhD, MSW, PMHNP-BC, College of Nursing, University of Cincinnati, PO Box 210038, Cincinnati, OH 45221 (

Funding was made possible (in part) by grant number 5T06SM060559-07. The views expressed in written training materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services, nor does the mention of trade names, commercial practices, or organizations imply endorsement by the US government.

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

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