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Showing content from https://pubmed.ncbi.nlm.nih.gov/16808735/ below:

Perceived discrimination and use of preventive health services

Affiliations

• ¹ Division of General Medicine, Brigham and Women's Hospital, Boston, MA, USA.

• PMID: 16808735
• PMCID: PMC1924636
• DOI: 10.1111/j.1525-1497.2006.00413.x

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Amal N Trivedi et al. J Gen Intern Med. 2006 Jun.

• ¹ Division of General Medicine, Brigham and Women's Hospital, Boston, MA, USA.

• PMID: 16808735
• PMCID: PMC1924636
• DOI: 10.1111/j.1525-1497.2006.00413.x

Item in Clipboard

Background: Little is known about the relation between perceptions of health care discrimination and use of health services.

Objectives: To determine the prevalence of perceived discrimination in health care, its association with use of preventive services, and the contribution of perceived discrimination to disparities in these services by race/ethnicity, gender, and insurance status.

Design, setting, and participants: Cross-sectional study of 54,968 respondents to the 2001 California Health Interview Survey.

Measurements: Subjects were asked about experience with discrimination in receiving health care and use of 6 preventive health services, all within the previous 12 months.

Methods: We used multivariate logistic regression with propensity-score methods to examine the adjusted relationship between perceived discrimination and receipt of preventive care.

Results: Discrimination was reported by 4.7% of respondents, and among these respondents the most commonly reported reasons were related to type of insurance (27.6%), race or ethnicity (13.7%), and income (6.7%). In adjusted analyses, persons who reported discrimination were less likely to receive 4 preventive services (cholesterol testing for cardiovascular disease, hemoglobin A1c testing and eye exams for diabetes, and flu shots), but not 2 other services (aspirin for cardiovascular disease, prostate specific antigen testing). Adjusting for perceived discrimination did not significantly change the relative likelihood of receipt of preventive care by race/ethnicity, gender, and insurance status.

Conclusions: Persons who report discrimination may be less likely to receive some preventive health services. However, perceived discrimination is unlikely to account for a large portion of observed disparities in receipt of preventive care.

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