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Gepubliceerd in:

01-06-2014

Relationships between discrimination in health care and health care outcomes among four race/ethnic groups

Auteurs: Maureen R. Benjamins, Steven Whitman

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 3/2014

Abstract

Discrimination has been found to be detrimental to health, but less is known about the influence of discrimination in health care. To address this, the current study (1) compared levels of racial/ethnic discrimination in health care among four race/ethnic groups; (2) determined associations between this type of discrimination and health care outcomes; and (3) assessed potential mediators and moderators as suggested by previous studies. Multivariate logistic regression models were used within a population-based sample of 1,699 White, African American, Mexican, and Puerto Rican respondents. Overall, 23 % of the sample reported discrimination in health care, with levels varying substantially by race/ethnicity. In adjusted models, this type of discrimination was associated with an increased likelihood of having unmet health care needs (OR = 2.48, CI = 1.57–3.90) and lower odds of perceiving excellent quality of care (OR = 0.43, CI = 0.28–0.66), but not with the use of a physician when not sick or use of alternative medicine. The mediating role of mental health factors was inconsistently observed and the relationships were not moderated by race/ethnicity. These findings expand the literature and provide preliminary evidence that can eventually inform the development of interventions and the training of health care providers.

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Al-Mandhari, S., Hassan, A., & Haran, D. (2004). Association between perceived health status and satisfaction with quality of care: evidence from users of primary health care in Oman. Family Practice, 21, 519–527.PubMedCrossRef

Andresen, E. M., Malmgren, J. A., Carter, W. B., & Donald, L. P. (1994). Screening for depression in well older adults: Evaluation of a short Form of the CES-D. American Journal of Preventive Medicine, 10, 77–84.PubMed

Ayalon, L., & Gum, M. (2011). The relationships between major lifetime discrimination, everyday discrimination, and mental health in three racial and ethnic groups of older adults. Aging & Mental Health, 15, 587–594.CrossRef

Barnes, L. L., Mendes de Leon, C. F., Lewis, T. T., Bienias, J. L., Wilson, R. S., & Denis, E. (2008). Perceived discrimination and mortality in a population-based study of older adults. American Journal of Public Health, 98, 1241–1247.PubMedCentralPubMedCrossRef

Benjamins, M. R. (2012). Race/ethnic discrimination and preventive service utilization in a sample of Whites, Blacks, Mexicans, and Puerto Ricans. Medical Care, 50, 870–876.PubMedCrossRef

Benjamins, M. R. (2013). Comparing measures of racial/ethnic discrimination, coping, and associations with health-related outcomes in a diverse sample. Journal of Urban Health. doi:10.1007/s11524-013-9787.

Benkert, R., Peters, R. M., Clark, R., & Keves-Foster, K. (2006). Effects of perceived racism, cultural mistrust and trust in providers on satisfaction with care. Journal of the National Medical Association, 98, 1532–1540.PubMedCentralPubMed

Blanchard, J., & Lurie, N. (2004). R-E-S-P-E-C-T: Patient reports of disrespect in the health care setting and its impact on care. Journal of Family Practice, 53, 721–729.PubMed

Bogart, L. M., Bird, S. T., Walt, L. C., Delahanty, D. L., & Figler, J. (2004). Association of stereotypes about physicians to health care satisfaction, help-seeking behavior, and adherence to treatment. Social Science and Medicine, 58, 1049–1058.PubMedCrossRef

Bogart, L. M., Catz, S. L., Kelly, J. A., & Benotsch, E. G. (2001). Factors influencing physicians’ judgments of adherence and treatment decisions for patients with HIV disease. Medical Decision Making, 21, 28–36.PubMedCrossRef

Brondolo, E., Brady ver Halen, N., Pencille, M., Beatty, D., & Contrada, R. J. (2009). Coping with racism: A selective review of the literature and a theoretical and methodological critique. Journal of Behavioral Medicine, 32, 64–88.PubMedCentralPubMedCrossRef

Brondolo, E., Hausmann, L. R., Jhalani, J., Pencille, M., Atencio-Bacayon, J., Kumar, A., et al. (2011). Dimensions of perceived racism and self-reported health: Examination of racial/ethnic differences and potential mediators. Annals of Behavioral Medicine, 42(1), 14–28.PubMedCrossRef

Burgess, D. J., Ding, Y., Hargreaves, M., van Ryn, M., & Phelan, S. (2008). The association between perceived discrimination and underutilization of needed medical and mental health care in a multi-ethnic community sample. Journal of Health Care for the Poor and Underserved, 19, 894–911.PubMedCrossRef

Casagrande, S. S., Gray, T. L., LaVeist, T. A., Gaskin, D. J., & Lisa, C. (2007). Perceived discrimination and adherence to medical care in a racially integrated community. Journal of General Internal Medicine, 22, 389–395.PubMedCentralPubMedCrossRef

Clark, R., Anderson, N. B., Clark, V. R., & Williams, D. R. (1999). Racism as a stressor for African Americans. A biopsychosocial model. American Psychologist, 54, 805–816.PubMedCrossRef

Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 385–396.PubMedCrossRef

Facione, N. C. & Facione, P. A. (2007). Perceived prejudice in healthcare and women's health protective behavior. Nursing Research, 56(3), 175–184.PubMedCrossRef

Finch, B. K., Hummer, R. A., Kolody, B., & William, A. V. (2001). The role of discrimination and acculturative stress in the physical health of Mexican-origin adults. Hispanic Journal of Behavioral Sciences, 23(4), 399–429.CrossRef

Gee, G. C., Ryan, A., Laflamme, D. J., & Holt, J. (2006). Self-Reported discrimination and mental health status among African descendants, Mexican Americans, and other Latinos in the New Hampshire REACH 2010 initiative: The added dimension of immigration. American Journal of Public Health, 96, 1821–1828.PubMedCentralPubMedCrossRef

Green, R., Carney, D. R., Pallin, D. J., Ngo, L. H., Raymond, K. L., Iezzoni, L. I., et al. (2007). Implicit bias among physicians and its prediction of thrombolysis decisions for black and white patients. Journal of General Internal Medicine, 22, 1231–1238.PubMedCentralPubMedCrossRef

Hausmann, L. R. M., Hannon, M. J., Kresevic, D. M., Hanusa, B. H., Kwoh, C. K., & Ibrahim, S. A. (2011). Impact of perceived discrimination in healthcare on patient-provider communication. Medical Care, 49, 626–633.PubMedCentralPubMedCrossRef

Hausmann, L. R. M., Jeong, K., Bost, J. E., & Ibrahim, S. A. (2008). Perceived discrimination in health care and use of preventive health services. Journal of General Internal Medicine, 23, 1679–1684.PubMedCentralPubMedCrossRef

Hausmann, L. R., Kressin, N. R., Hanusa, B. H., & Ibrahim, S. A. (2010). Perceived racial discrimination in health care and its association with patients’ healthcare experiences: Does the measure matter? Ethnicity and Disease, 20, 40–47.PubMed

Hoyo, C., Yarnall, K. S., Skinner, C. S., Moorman, P. G., Sellers, D., & Reid, L. (2005). Pain predicts non-adherence to Pap smear screening among middle-aged African American women. Preventive Medicine, 41, 439–445.PubMedCrossRef

Inzlicht, M., McKay, L., & Aronson, J. (2006). Stigma as ego depletion: How being the target of prejudice affects self-control. Psychological Science, 17, 262–269.PubMedCrossRef

Kish, L. (1965). Survey sampling. New York, NY: Wiley.

Kohout, F. J., Berkman, L. F., Evans, D. A., & Cornoni-Huntley, J. (1993). Two shorter forms of the CES-D depression symptoms index. Journal of Aging and Health, 5, 179.PubMedCrossRef

Kressin, N. R., Raymond, K. L., & Manze, M. (2008). Perceptions of race/ethnicity-based discrimination: A review of measures and evaluation of their usefulness for the health care setting. Journal of Health Care for the Poor and Underserved, 19, 697–730.PubMedCentralPubMedCrossRef

Krieger, N. (1999). Embodying inequality: A review of concepts, measures, and methods for studying health consequences of discrimination. International Journal of Health Services, 29, 295–352.PubMedCrossRef

Krieger, N., Smith, K., Naishadham, D., Hartman, C., & Barbeau, E. M. (2005). Experiences of discrimination: Validity and reliability of a self-report measure for population health research on racism and health. Social Science and Medicine, 61, 1576–1596.PubMedCrossRef

LaVeist, T. A., Nickerson, K. J., & Bowie, J. V. (2000). Attitudes about racism, medical mistrust, and satisfaction with care among African American and white cardiac patients. Medical Care Research and Review, 57, 146–161.PubMedCrossRef

Lee, C., Ayers, S. L., & Kronenfeld, J. J. (2009). The association between perceived provider discrimination, healthcare utilization and health status in racial and ethnic minorities. Ethnicity and Disease, 19, 330–337.PubMedCentralPubMed

MacKinnon, David. P. (2008). Introduction to statistical mediation analysis. New York, NY: Psychology Press, Taylor & Francis Group.

Massey, D. S., & Denton, N. A. (1993). American apartheid: Segregation and the making of the underclass. Cambridge, MA: Harvard University Press.

Paradies, Y. (2006). A systematic review of empirical research on self-reported racism and health. International Journal of Epidemiology, 35, 888–901.PubMedCrossRef

Pascoe, E. A., & Richman, L. S. (2009). Perceived discrimination and health: A meta-analytic review. Psychological Bulletin, 135, 531–554.PubMedCentralPubMedCrossRef

Peek, M. E., Nunez-Smith, M., Drum, M., & Lewis, T. T. (2011). Adapting the Everyday Discrimination Scale to medical settings: Reliability and validity testing in a sample of African American patients. Ethnicity and Disease, 21(4), 502–509.PubMedCentralPubMed

Perez, D. J., Fortuna, L., & Alegria, M. (2008). Prevalence and correlates of everyday discrimination among US Latinos. Journal of Community Psychology, 36, 421–433.PubMedCentralPubMedCrossRef

Ryan, M., Gee, G. C., & Laflamme, D. F. (2006). The association between self-reported discrimination, physical health and blood pressure: Findings from African Americans, Black immigrants, and Latino immigrants in New Hampshire. Journal of Health Care for the Poor and Underserved, 17, 116–132.PubMedCrossRef

Schneiderman, N., Ironson, G., & Siegel, S. D. (2005). Stress and health: Psychological, behavioral, and biological determinants. Annual Review of Clinical Psychology, 1, 607–628.PubMedCentralPubMedCrossRef

Schulman, K. A., Berlin, J. A., Harless, W., Kerner, J. F., Sistrunk, S., Gersh, B. J., et al. (1999). The effect of race and sex on physicians’ recommendations for cardiac catheterization. New England Journal of Medicine, 340, 618–626.PubMedCrossRef

Schultz, J., Gravlee, C. C., Williams, D. R., Israel, B. A., Mentz, G., & Rowe, Z. (2006). Discrimination, symptoms of depression, and self-rated health among African American Women in Detroit: Results from a longitudinal analysis. American Journal of Public Health, 96, 1265–1270.CrossRef

Shah, A. M., Whitman, S., & Silva, A. (2006). Variations in the health conditions of 6 Chicago community areas: A case for local-level data. American Journal of Public Health, 96, 1485–1491.PubMedCentralPubMedCrossRef

Shariff-Marco, S., Klassen, C., & Bowie, J. V. (2010). Racial/ethnic differences in self-reported racism and its association with cancer-related health behaviors. American Journal of Public Health, 100, 364–374.PubMedCentralPubMedCrossRef

Shavers, V. L., Fagan, P., Jones, D., Klein, W. M., Boyington, J., Moten, C., et al. (2012). The state of research on racial/ethnic discrimination in the receipt of health care. American Journal of Public Health, 102, 953–966.PubMedCentralPubMedCrossRef

Smedley, B. D., Stith, Y., & Nelson, R. (Eds.). (2003). Unequal treatment: Confronting racial and ethnic disparities in health care. Washington DC: The National Academies Press.

Sorkin, D., Ngo-Metzger, Q., & De Alba, I. (2010). Racial/ethnic discrimination in health care: Impact on perceived quality of care. Journal of General Internal Medicine, 25, 390–396.PubMedCentralPubMedCrossRef

Thoits, P. A. (2010). Stress and health. Journal of Health and Social Behavior, 51, S41–S53.PubMedCrossRef

Trivedi, N., & Ayanian, J. Z. (2006). Perceived discrimination and use of preventive health services. Journal of General Internal Medicine, 21, 553–558.PubMedCentralPubMedCrossRef

Van Houtven, C. H., Volis, C. I., Oddone, E. Z., Weinfurt, K. P., Friedman, J. Y., Schulman, K. A., et al. (2005). Perceived discrimination and reported delay of pharmacy prescriptions and medical tests. Journal of General Internal Medicine, 20, 578–583.PubMedCentralPubMedCrossRef

van Ryn, M. (2002). Research on the provider contribution to race/ethnicity disparities in medical care. Medical Care, 40(1 Suppl), 140–151.

Wallerstein, N. B., & Duran, B. (2006). Using community-based participatory research to address health disparities. Health Promotion and Practice, 7, 312–323.CrossRef

Wamala, S., Merlo, J., Bostrom, G., & Hogstedt, C. (2007). Perceived discrimination, socioeconomic disadvantage and refraining from seeking medical treatment in Sweden. Journal of Epidemiology and Community Health, 61, 409–415.PubMedCentralPubMedCrossRef

Whitman, S., Shah, M., & Benjamins, M. R. (Eds.). (2010). Urban health: Combating disparities with local data. New York: Oxford University Press.

Whitman, S., Williams, C., & Shah, M. (2004). Sinai Health System’s Improving Community Health Survey: Report I (ten key findings). Chicago, IL: Sinai Health System.

Williams, D. R., Yu, Y., Jackson, J. S., & Anderson, N. B. (1997). Racial differences in physical and mental health: Socioeconomic status, stress, and discrimination. American Journal of Health Psychology, 2, 335–351.CrossRef

Williams, D. R., & Mohammed, S. A. (2009). Discrimination and racial disparities in health: Evidence and needed research. Journal of Behavioral Medicine, 32, 20–47.PubMedCentralPubMedCrossRef

Titel: Relationships between discrimination in health care and health care outcomes among four race/ethnic groups
Auteurs: Maureen R. Benjamins
Steven Whitman
Publicatiedatum: 01-06-2014
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 3/2014
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-013-9496-7

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