The Link Between Everyday Discrimination, Healthcare Utilization, and Health Status Among a National Sample of Women

被引:28
作者
Dehkordy, Soudabeh Fazeli [1 ,2 ]
Hall, Kelli S. [3 ]
Dalton, Vanessa K. [4 ,5 ]
Carlos, Ruth C. [1 ,5 ,6 ]
机构
[1] Univ Michigan, Dept Radiol, Sch Med, Univ Hosp Floor B2 Room A209H,1500 E Med Ctr Dr, Ann Arbor, MI 48109 USA
[2] St John Providence Hosp, Dept Grad Med Educ, Southfield, MI USA
[3] Emory Univ, Rollins Sch Publ Hlth, Dept Behav Sci & Hlth Educ, Atlanta, GA USA
[4] Univ Michigan, Dept Obstet & Gynecol, Sch Med, Ann Arbor, MI 48109 USA
[5] Univ Michigan, Inst Healthcare Policy & Innovat, Ann Arbor, MI 48109 USA
[6] Univ Michigan, Program Imaging Comparat Effectiveness & Hlth Ser, Ann Arbor, MI 48109 USA
关键词
everyday discrimination; healthcare; health status; AFRICAN-AMERICAN WOMEN; PERCEIVED DISCRIMINATION; RACIAL-DISCRIMINATION; BLOOD-PRESSURE; MEDICAL DISCRIMINATION; MULTIETHNIC SAMPLE; CHRONIC EXPOSURE; STIGMA; ASSOCIATION; CANCER;
D O I
10.1089/jwh.2015.5522
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Research has not adequately examined the potential negative effects of perceiving routine discrimination on general healthcare utilization or health status, especially among reproductive-aged women. We sought to evaluate the association between everyday discrimination, health service use, and perceived health among a national sample of women in the United States. Materials and Methods: Data were drawn from the Women's Healthcare Experiences and Preferences survey, a randomly selected, national probability sample of 1078 U.S. women aged 18-55 years. We examined associations between everyday discrimination (via a standardized scale) on frequency of health service utilization and perceived general health status using chi-square and multivariable logistic regression modeling. Results: Compared with women who reported healthcare visits every 3 years or less (reference group), each one-point increase in discrimination score was associated with higher odds of having healthcare visits annually or more often (odds ratio [OR]=1.36, confidence interval [95% CI]=1.01-1.83). Additionally, each one-point increase in discrimination score was significantly associated with lower odds of having excellent/very good perceived health (OR=0.65; 95% CI=0.54-0.80). Conclusion: Perceived discrimination was associated with increased exposure to the healthcare setting among this national sample of women. Perceived discrimination was also inversely associated with excellent/very good perceived health status.
引用
收藏
页码:1044 / 1051
页数:8
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