The association between perceived discrimination and underutilization of needed medical and mental health care in a multi-ethnic community sample
The association between perceived discrimination and underutilization of needed medical and mental health care in a multi-ethnic community sample
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DOI：
10.1353/hpu.0.0063
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发表时间：
2008-08-01
影响因子：
1.4
通讯作者：
Phelan, Sean
中科院分区：
文献类型：
--
作者：
Burgess, Diana J.;Ding, Yingmei;Phelan, Sean
本研究探讨了感知歧视和所需的医疗和精神卫生保健利用不足之间的关联，在一个具有代表性的，多民族的社区样本。数据来源于对10，098名美国白色人的横断面调查。出生在明尼苏达州亨内平县的黑人、非洲裔黑人、美洲印第安人、西班牙裔和东南亚成年人。即使在控制了社会人口特征，医疗保健获取以及身心健康之后，美国白人中的歧视与医疗保健利用不足有关。出生的黑人，和美国印第安人，并与白人，美国之间的精神卫生保健利用不足有关。出生于黑人、东南亚人和美洲印第安人。不同类型的歧视（重大歧视、日常歧视、保健歧视）与保健利用不足的相关性在各族裔群体中各不相同。种族和族裔少数群体中歧视现象更为普遍，可能导致他们对保健服务利用不足。需要进一步研究，以了解不同类型的歧视对不同群体的影响。
This study examines the association between perceived discrimination and underutilization of needed medical and mental health care, in a representative, multi-ethnic community sample. Data were derived from a cross sectional survey of 10,098 White, U.S.-born Black, African-born Black, American Indian, Hispanic, and Southeast Asian adults in Hennepin County, Minnesota. Even after controlling for socio-demographic characteristics, health care access, and physical and mental health, perceived discrimination was associated with underutilization of medical care among Whites, U.S.-born Blacks, and American Indians and was associated with underutilization of mental health care among Whites, U.S.-born Blacks, Southeast Asians, and American Indians. Correlates of different types of discrimination (major, everyday, health care) on underutilization of care varied among ethnic groups. The higher prevalence of discrimination among racial and ethnic minorities may contribute to their underutilization of health care services. Future research is needed to understand the impacts of different types of discrimination on different groups.