Social Discrimination and Health Care: A Multidimensional Framework of Experiences among a Low-Income Multiethnic Sample

被引:30
作者
D'Anna, Laura Hoyt [1 ]
Hansen, Marissa [1 ]
Mull, Brittney [2 ]
Canjura, Carol [1 ]
Lee, Esther [1 ]
Sumstine, Stephanie [1 ]
机构
[1] Calif State Univ Long Beach, 1250 Bellflower Blvd,FO5-120, Long Beach, CA 90840 USA
[2] Howard Univ, Coll Med, Washington, DC USA
关键词
Social discrimination; health care; minority health; delivery of health care; PERCEIVED RACIAL-DISCRIMINATION; BLACK WOMENS HEALTH; QUALITY-OF-CARE; RACIAL/ETHNIC DISCRIMINATION; SOCIOECONOMIC-STATUS; PHYSICIANS PERCEPTIONS; AFRICAN-AMERICAN; PUBLIC-HEALTH; DISPARITIES; RACE;
D O I
10.1080/19371918.2018.1434584
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The study aims to describe the perceived discriminatory health care treatment experiences and its impact on care among minority urban-dwelling adults. Semistructured qualitative interviews (N=51) were conducted with patients from community-based health care settings, and systematic, grounded theory approach was used. Three distinct themes emerged: (a) the sources of discriminatory experiences, (b) its impact on health care, and (c) the provider/organization recommendations to address discriminatory practices. The study highlights the relevance of perceived discrimination in avoidance of health care services, nonadherence to treatment, and adverse health-related sequelae by low-income urban-dwelling adults with little access to health care.
引用
收藏
页码:187 / 201
页数:15
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