Barriers to Health Care Among Adults With Minoritized Identities in the United States, 2013-2017
Barriers to Health Care Among Adults With Minoritized Identities in the United States, 2013-2017
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DOI：
10.2105/ajph.2020.305598
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发表时间：
2020-06-01
影响因子：
12.7
通讯作者：
Sparks, P. Johnelle
中科院分区：
文献类型：
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作者：
Hernandez, Stephanie M.;Sparks, P. Johnelle
目标。研究小型化身份与美国医疗保健障碍之间的关系。采用2013-2017年度全国健康访谈调查中收集到的具有全国代表性的数据进行描述性和逻辑回归分析。男性和女性被归入四类中的一类：无小数化身份、种族/族裔小数化身份(MIoRE)、性别小数化身份(MIOS)或种族/族裔和性身份小数化(MIoRES)。考虑了影响卫生保健的五大障碍。相对于异性恋的白人成年人，在控制了社会经济地位后，患有MIoRE的成年人报告障碍的可能性较小，患有MIoRE的成年人报告障碍的可能性更大，MIoRES的成年人报告障碍的可能性更大。护理障碍因性别、小数化身份和获得卫生保健本身的衡量标准而异。使用交叉视角探讨健康差距的研究将讨论从考察个体差异转移到考察社会结构(如医疗保健系统)在维持和复制不平等方面的作用。
Objectives. To examine the relationship between minoritized identity and barriers to health care in the United States.Methods. Nationally representative data collected from the 2013 to 2017 waves of the National Health Interview Survey were used to conduct descriptive and logistic regression analyses. Men and women were placed in 1 of 4 categories: no minoritized identities, minoritized identities of race/ethnicity (MIoRE), minoritized identities of sexuality (MIoS), or minoritized identities of both race/ethnicity and sexuality (MIoRES). Five barriers to health care were considered.Results. Relative to heterosexual White adults and after controlling for socioeconomic status, adults with MIoRE were less likely to report barriers, adults with MIoS were more likely to report barriers, and adults with MIoRES were more likely to report barriers across 2 of the study measures.Conclusions. Barriers to care varied according to gender, minoritized identity, and the measure of access to health care itself.Public Health Implications. Approaching health disparities research using an intersectional lens moves the discussion from examining individual differences to examining the role of social structures such as the health care system in maintaining and reproducing inequality.