How white and African Americans view their health and social problems. Different experiences, different expectations.

How white and African Americans view their health and social problems. Different experiences, different expectations.
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白人和非裔美国人如何看待他们的健康和社会问题。

DOI:
10.1001/jama.1995.03520280089048
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发表时间:
1995
期刊:
JAMA
影响因子:
--
通讯作者:
Drew E. Altman
Drew E. Altman
中科院分区:
--
文献类型:
--
作者:
R. Blendon;Ann C. Scheck;Karen Donelan;Craig A. Hill;Mark A. Smith;Dennis Beatrice;Drew E. Altman

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尽管美国许多卫生和社会福利项目和机构的支出和规模有所增加,但种族差异在美国社会的许多方面仍然存在。尤其令人不安的是,我国人口的健康状况因种族而有很大差异。近年来的一些研究表明,白人和非洲裔美国人在健康状况、发病率和死亡率、获得保健服务的机会以及对所获得的保健服务质量的看法等方面存在巨大差异
DESPITE increases in expenditures and expansions of many US health and social welfare programs and institutions, racial disparities persist in many aspects of American society. Particularly troubling is the reality that the health of our nation's population differs so greatly by race. A number of studies in recent years have documented substantial differences between white and African Americans in health status, morbidity and mortality, access to health services, and perceptions of quality in health care services received.1-9 Consistent with these reports of differences in overall health, national opinion surveys show that African Americans are more likely than whites to rate the health services in their communities as fair or poor (46% and 23%)10; our study also indicates that African Americans are more likely to state that the health system in this country needs to be completely rebuilt (42% vs 31%). This disparity between the assessments of African Americans