J 2017

Perceived Discrimination and Privilege in Health Care: The Role of Socioeconomic Status and Race

ŠTĚPANÍKOVÁ, Irena a Gabriela R. OATES

Základní údaje

Originální název

Perceived Discrimination and Privilege in Health Care: The Role of Socioeconomic Status and Race

Autoři

ŠTĚPANÍKOVÁ, Irena (203 Česká republika, garant, domácí) a Gabriela R. OATES (840 Spojené státy)

Vydání

AMERICAN JOURNAL OF PREVENTIVE MEDICINE, NEW YORK, ELSEVIER SCIENCE INC, 2017, 0749-3797

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30304 Public and environmental health

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 4.127

Kód RIV

RIV/00216224:14310/17:00100127

Organizační jednotka

Přírodovědecká fakulta

DOI

UT WoS

000390667100011

Klíčová slova anglicky

RACIAL-DISCRIMINATION; SURVEILLANCE SYSTEM; DISPARITIES; INEQUALITIES; FUTURE; EXPERIENCES; DIRECTIONS; INDICATORS; INSURANCE; DECISIONS

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 10. 4. 2018 14:55, Ing. Nicole Zrilić

Anotace

V originále

Introduction: This study examined how perceived racial privilege and perceived racial discrimination in health care varied with race and socioeconomic status (SES). Methods: The sample consisted of white, black, and Native American respondents to the Behavioral Risk Factor Surveillance System (2005-2013) who had sought health care in the past 12 months. Multiple logistic regression models of perceived racial privilege and perceived discrimination were estimated. Analyses were performed in 2016. Results: Perceptions of racial privilege were less common among blacks and Native Americans compared with whites, while perceptions of racial discrimination were more common among these minorities. In whites, higher income and education contributed to increased perceptions of privileged treatment and decreased perceptions of discrimination. The pattern was reversed in blacks, who reported more discrimination and less privilege at higher income and education levels. Across racial groups, respondents who reported foregone medical care due to cost had higher risk of perceived racial discrimination. Health insurance contributed to less perceived racial discrimination and more perceived privilege only among whites. Conclusions: SES is an important social determinant of perceived privilege and perceived discrimination in health care, but its role varies by indicator and racial group. Whites with low education or no health insurance, well-educated blacks, and individuals who face cost-related barriers to care are at increased risk of perceived discrimination. Policies and interventions to reduce these perceptions should target structural and systemic factors, including society-wide inequalities in income, education, and healthcare access, and should be tailored to account for racially specific healthcare experiences.