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J Health Care Poor Underserved. 2011 Feb;22(1):211-25. doi: 10.1353/hpu.2011.0033.

Correlates of patient-reported racial/ethnic health care discrimination in the Diabetes Study of Northern California (DISTANCE).

Author information

1
University of Washington, Department of Health Services, School of Public Health, Seattle, WA 98195, USA. crees@u.washington.edu

Abstract

OBJECTIVES:

We examined possible determinants of self-reported health care discrimination.

METHODS:

We examined survey data from the Diabetes Study of Northern California (DISTANCE), a race-stratified sample of Kaiser diabetes patients. Respondents reported perceived discrimination, and regression models examined socioeconomic, acculturative, and psychosocial correlates.

RESULTS:

Subjects (n=17,795) included 20% Blacks, 23% Latinos, 13% East Asians, 11% Filipinos, and 27% Whites. Three percent and 20% reported health care and general discrimination. Health care discrimination was more frequently reported by minorities (ORs ranging from 2.0 to 2.9 compared with Whites) and those with poorer health literacy (OR=1.10, 95% CI: 1.04-1.16), limited English proficiency (OR=1.91, 95% CI: 1.32-2.78), and depression (OR=1.53, 95% CI: 1.10-2.13).

CONCLUSIONS:

In addition to race/ethnicity, health literacy and English proficiency may be bases of discrimination. Evaluation is needed to determine whether patients are treated differently or more apt to perceive discrimination, and whether depression fosters and/or follows perceived discrimination.

PMID:
21317516
PMCID:
PMC3075840
DOI:
10.1353/hpu.2011.0033
[Indexed for MEDLINE]
Free PMC Article

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