Unconscious biases: racial microaggressions in American Indian health care.
Unconscious biases: racial microaggressions in American Indian health care.
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DOI：
10.3122/jabfm.2015.02.140194
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发表时间：
2015-03
期刊：
影响因子：
--
通讯作者：
Onello E
中科院分区：
文献类型：
--
作者：
Walls ML;Gonzalez J;Gladney T;Onello E
This paper reports on the prevalence and correlates of microaggressive experiences in healthcare settings reported by American Indian (AI) adults with type 2 diabetes. This community-based participatory research project includes two AI reservation communities. Data were collected via in-person paper-and-pencil survey interviews with 218 AI adults diagnosed with type 2 diabetes. Over 1/3 of the sample reported experiencing a microaggression in interactions with their health providers. Reports of microaggressions were correlated with self-reported history of heart attack, worse depressive symptoms, and prior year hospitalization. Depressive symptom ratings appeared to account for some of the association between microaggressions and hospitalization (but not history of heart attack) in multivariate models. Microaggressive experiences undermine the ideals of patient-centered care and in this study were correlated with worse mental and physical health reports for American Indians living with a chronic disease. Providers should be cognizant of these subtle, often unconscious forms of discrimination.
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