Prevalence and patterns of discrimination among US health care consumers

Prevalence and patterns of discrimination among US health care consumers
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DOI:
10.2190/tcac-p90f-atm5-b5u0
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发表时间:
2003-01-01
影响因子:
3.4
通讯作者:
Rolley, NC
Rolley, NC
中科院分区:
医学4区
文献类型:
--
作者:
LaVeist, TA;Rolley, NC

文献摘要

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作者使用联邦基金少数民族健康调查的数据,研究了美国医疗保健系统中感知歧视的普遍性和模式,并将社会地位变量作为决定因素进行了研究。感兴趣的主要社会地位群体是年龄、种族、民族、社会阶层、性别和健康状况。每一种社会地位类别都使受访者更有可能感受到基于相应歧视来源的歧视。也就是说,年轻的受访者比年长的受访者更容易感受到年龄歧视。非裔美国人和西班牙裔美国人比白人更容易受到种族歧视。低收入者经历了阶级歧视,妇女经历了性别歧视,报告健康状况不佳的人更有可能感受到基于健康或残疾状况的歧视。
The authors examine the prevalence and patterns of perceived discrimination in the U.S. health care system and examine social status variables as determinants, using data from the Commonwealth Fund's Minority Health Survey. The primary social status groups of interest are age, race, ethnicity, social class, sex, and health status. Each social status category placed respondents at greater risk of perceiving discrimination based on the corresponding source of discrimination. That is, younger respondents were more likely to perceive age discrimination than were older respondents. African Americans and Hispanics perceived more race discrimination than whites. Low-income individuals experienced class discrimination, women experienced sex discrimination, and individuals who reported being in poor health were more likely to perceive discrimination based on health or disability status.