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01.03.2007 | Populations at Risk

Perceived Discrimination and Adherence to Medical Care in a Racially Integrated Community

verfasst von: Sarah Stark Casagrande, MHS, Tiffany L. Gary, PhD, Thomas A. LaVeist, PhD, Darrell J. Gaskin, PhD, Lisa A. Cooper, MD, MPH

Erschienen in: Journal of General Internal Medicine | Ausgabe 3/2007

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Background

Past research indicates that access to health care and utilization of services varies by sociodemographic characteristics, but little is known about racial differences in health care utilization within racially integrated communities.

Objective

To determine whether perceived discrimination was associated with delays in seeking medical care and adherence to medical care recommendations among African Americans and whites living in a socioeconomically homogenous and racially integrated community.

Design

A cross-sectional analysis from the Exploring Health Disparities in Integrated Communities Study.

Participants

Study participants include 1,408 African-American (59.3%) and white (40.7%) adults (≥18 years) in Baltimore, Md.

Measurements

An interviewer-administered questionnaire was used to assess the associations of perceived discrimination with help-seeking behavior for and adherence to medical care.

Results

For both African Americans and whites, a report of 1–2 and >2 discrimination experiences in one’s lifetime were associated with more medical care delays and nonadherence compared to those with no experiences after adjustment for need, enabling, and predisposing factors (odds ratio [OR] = 1.8, 2.6; OR = 2.2, 3.3, respectively; all P < .05). Results were similar for perceived discrimination occurring in the past year.

Conclusions

Experiences with discrimination were associated with delays in seeking medical care and poor adherence to medical care recommendations INDEPENDENT OF NEED, ENABLING, AND PREDISPOSING FACTORS, INCLUDING MEDICAL MISTRUST; however, a prospective study is needed. Further research in this area should include exploration of other potential mechanisms for the association between perceived discrimination and health service utilization.

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Titel: Perceived Discrimination and Adherence to Medical Care in a Racially Integrated Community
verfasst von: Sarah Stark Casagrande, MHS
Tiffany L. Gary, PhD
Thomas A. LaVeist, PhD
Darrell J. Gaskin, PhD
Lisa A. Cooper, MD, MPH
Publikationsdatum: 01.03.2007
Verlag: Springer-Verlag
Erschienen in: Journal of General Internal Medicine / Ausgabe 3/2007
Print ISSN: 0884-8734
Elektronische ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-006-0057-4

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Background

Objective

Design

Participants

Measurements

Results

Conclusions

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