ŠTĚPANÍKOVÁ, Irena and 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, vol. 52, No 1, p. "S86"-"S94", 9 pp. ISSN 0749-3797. Available from: https://dx.doi.org/10.1016/j.amepre.2016.09.024.
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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
Original language English
Type of outcome Article in a journal
Field of Study 30304 Public and environmental health
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 4.127
RIV identification code RIV/00216224:14310/17:00100127
Organization unit Faculty of Science
Doi http://dx.doi.org/10.1016/j.amepre.2016.09.024
UT WoS 000390667100011
Keywords in English RACIAL-DISCRIMINATION; SURVEILLANCE SYSTEM; DISPARITIES; INEQUALITIES; FUTURE; EXPERIENCES; DIRECTIONS; INDICATORS; INSURANCE; DECISIONS
Tags NZ, rivok
Tags International impact, Reviewed
Changed by Changed by: Ing. Nicole Zrilić, učo 240776. Changed: 10/4/2018 14:55.
Abstract
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.
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