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

ŠTĚPANÍKOVÁ, Irena a Gabriela R. OATES. Perceived Discrimination and Privilege in Health Care: The Role of Socioeconomic Status and Race. AMERICAN JOURNAL OF PREVENTIVE MEDICINE. NEW YORK: ELSEVIER SCIENCE INC, 2017, roč. 52, č. 1, s. "S86"-"S94", 9 s. ISSN 0749-3797. Dostupné z: https://dx.doi.org/10.1016/j.amepre.2016.09.024.

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

• Originální 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
• WWW: URL
• Impakt faktor: Impact factor: 4.127
• Kód RIV: RIV/00216224:14310/17:00100127
• Organizační jednotka: Přírodovědecká fakulta
• Doi: http://dx.doi.org/10.1016/j.amepre.2016.09.024
• UT WoS: 000390667100011
• Klíčová slova anglicky: RACIAL-DISCRIMINATION; SURVEILLANCE SYSTEM; DISPARITIES; INEQUALITIES; FUTURE; EXPERIENCES; DIRECTIONS; INDICATORS; INSURANCE; DECISIONS
• Štítky: NZ, rivok
• Příznaky: Mezinárodní význam, Recenzováno

Anotace

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.