J 2017

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

ŠTĚPANÍKOVÁ, Irena and Gabriela R. OATES

Basic information

Original name

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

Authors

ŠTĚPANÍKOVÁ, Irena (203 Czech Republic, guarantor, belonging to the institution) and Gabriela R. OATES (840 United States of America)

Edition

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

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30304 Public and environmental health

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 4.127

RIV identification code

RIV/00216224:14310/17:00100127

Organization unit

Faculty of Science

DOI

UT WoS

000390667100011

Keywords in English

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

Tags

Tags

International impact, Reviewed
Změněno: 10/4/2018 14:55, Ing. Nicole Zrilić

Abstract

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.