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

来源：

SOCIAL WORK IN PUBLIC HEALTH | 2018年 / 33卷 / 03期

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

页码：187 / 201

页数：15

共 54 条

[41] Validation of the Group-Based Medical Mistrust Scale Among Urban Black Men [J].

Shelton, Rachel C. ;

Winkel, Gary ;

Davis, Stacy N. ;

Roberts, Nicole ;

Valdimarsdottir, Heiddis ;

Hall, Simon J. ;

Thompson, Hayley S. .

JOURNAL OF GENERAL INTERNAL MEDICINE, 2010, 25 (06) :549-555

[42]

Smedley BD., 2003, UNEQUAL TREATMENT CO, DOI 10.17226/12875

[43] Racial/Ethnic Discrimination in Health Care: Impact on Perceived Quality of Care [J].

Sorkin, Dara H. ;

Ngo-Metzger, Quyen ;

De Alba, Israel .

JOURNAL OF GENERAL INTERNAL MEDICINE, 2010, 25 (05) :390-396

[44] Perceived Discrimination and Privilege in Health Care: The Role of Socioeconomic Status and Race [J].

Stepanikova, Irena ;

Oates, Gabriela R. .

AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2017, 52 (01) :S86-S94

[45]

Straus A., 2008, Basics of qualitative research

[46] Racial discrimination and breast cancer incidence in US black women - The Black Women's Health Study [J].

Taylor, Teletia R. ;

Williams, Carla D. ;

Makambi, Kepher H. ;

Mouton, Charles ;

Harrell, Jules P. ;

Cozier, Yvette ;

Palmer, Julie R. ;

Rosenberg, Lynn ;

Adams-Campbell, Lucile L. .

AMERICAN JOURNAL OF EPIDEMIOLOGY, 2007, 166 (01) :46-54

[47] Physicians' perceptions of patients' social and behavioral characteristics and race disparities in treatment recommendations for men with coronary artery disease [J].

van Ryn, M ;

Burgess, D ;

Malat, J ;

Griffin, J .

AMERICAN JOURNAL OF PUBLIC HEALTH, 2006, 96 (02) :351-357

[48] The effect of patient race and socio-economic status on physicians' perceptions of patients [J].

van Ryn, M ;

Burke, J .

SOCIAL SCIENCE & MEDICINE, 2000, 50 (06) :813-828

[49] Paved with good intentions: Do public health and human service providers contribute to racial/ethnic disparities in health? [J].

van Ryn, M ;

Fu, SS .

AMERICAN JOURNAL OF PUBLIC HEALTH, 2003, 93 (02) :248-255

[50]

van Ryn M, 2002, MED CARE, V40, P140

← 1 2 3 4 5 6 →