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Perceived discrimination in health care among American Indians/Alaska natives.
Ethn Dis. 2006 Autumn; 16(4):766-71.ED

Abstract

OBJECTIVES

We compared the prevalence of, and reasons for, perceived discrimination in health care among American Indian/Alaska Natives (AI/ANs) and persons of AI/AN + White heritage to African Americans, Asian Americans, and Whites.

DESIGN

Data on perceived discrimination were collected by the 2001 California Health Interview Survey (CHIS). We used chi-square tests to evaluate the prevalence of perceived discrimination and the reasons for perceived discrimination across racial groups.

SETTING

The 2001 CHIS, a telephone survey, one of the largest cross-sectional surveys ever conducted in the United States.

PARTICIPANTS

Participants in this analysis were adults > or = 18 years of age, interviewed from 55,000 households that took part in the survey.

INTERVENTIONS

Participants in the 2001 CHIS were asked "Thinking of your experiences with receiving health care in the past 12 months, have you felt you were discriminated against for any reason?" Respondents who endorsed this item were asked about possible reasons for the discrimination.

MAIN OUTCOME MEASURES

1) Does the prevalence of perceived discrimination in health care differ between AI/ANs, AI/AN + Whites, African Americans, Asian Americans, and Whites? and 2) Do the reasons for perceived discrimination in health care vary by race or ethnicity?

RESULTS

Discrimination was perceived by 7.1% of the AI/AN alone group, 8.8% of AI/AN + White respondents, 5.6% of African Americans, 4.3% of Whites, and 2.6% of Asian Americans. After adjusting for covariates, the odds of perceived discrimination were different for AI/AN + White (odds ratio [OR] =2.0, 95% confidence interval [CI] 1.5-2.5) and Asian American (OR = .5, 95% CI .4-.7) when compared to Whites.

CONCLUSIONS

AI/ANs, and especially those who identify as AI/AN + White, were the most likely among racial groups to report discrimination in health care.

Authors+Show Affiliations

Agency for Healthcare Research and Quality, Rockville, Maryland, USA. pjohansson@dc.doctorscommunity.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

17061725

Citation

Johansson, Patrik, et al. "Perceived Discrimination in Health Care Among American Indians/Alaska Natives." Ethnicity & Disease, vol. 16, no. 4, 2006, pp. 766-71.
Johansson P, Jacobsen C, Buchwald D. Perceived discrimination in health care among American Indians/Alaska natives. Ethn Dis. 2006;16(4):766-71.
Johansson, P., Jacobsen, C., & Buchwald, D. (2006). Perceived discrimination in health care among American Indians/Alaska natives. Ethnicity & Disease, 16(4), 766-71.
Johansson P, Jacobsen C, Buchwald D. Perceived Discrimination in Health Care Among American Indians/Alaska Natives. Ethn Dis. 2006;16(4):766-71. PubMed PMID: 17061725.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Perceived discrimination in health care among American Indians/Alaska natives. AU - Johansson,Patrik, AU - Jacobsen,Clemma, AU - Buchwald,Dedra, PY - 2006/10/26/pubmed PY - 2007/7/12/medline PY - 2006/10/26/entrez SP - 766 EP - 71 JF - Ethnicity & disease JO - Ethn Dis VL - 16 IS - 4 N2 - OBJECTIVES: We compared the prevalence of, and reasons for, perceived discrimination in health care among American Indian/Alaska Natives (AI/ANs) and persons of AI/AN + White heritage to African Americans, Asian Americans, and Whites. DESIGN: Data on perceived discrimination were collected by the 2001 California Health Interview Survey (CHIS). We used chi-square tests to evaluate the prevalence of perceived discrimination and the reasons for perceived discrimination across racial groups. SETTING: The 2001 CHIS, a telephone survey, one of the largest cross-sectional surveys ever conducted in the United States. PARTICIPANTS: Participants in this analysis were adults > or = 18 years of age, interviewed from 55,000 households that took part in the survey. INTERVENTIONS: Participants in the 2001 CHIS were asked "Thinking of your experiences with receiving health care in the past 12 months, have you felt you were discriminated against for any reason?" Respondents who endorsed this item were asked about possible reasons for the discrimination. MAIN OUTCOME MEASURES: 1) Does the prevalence of perceived discrimination in health care differ between AI/ANs, AI/AN + Whites, African Americans, Asian Americans, and Whites? and 2) Do the reasons for perceived discrimination in health care vary by race or ethnicity? RESULTS: Discrimination was perceived by 7.1% of the AI/AN alone group, 8.8% of AI/AN + White respondents, 5.6% of African Americans, 4.3% of Whites, and 2.6% of Asian Americans. After adjusting for covariates, the odds of perceived discrimination were different for AI/AN + White (odds ratio [OR] =2.0, 95% confidence interval [CI] 1.5-2.5) and Asian American (OR = .5, 95% CI .4-.7) when compared to Whites. CONCLUSIONS: AI/ANs, and especially those who identify as AI/AN + White, were the most likely among racial groups to report discrimination in health care. SN - 1049-510X UR - https://www.unboundmedicine.com/medline/citation/17061725/Perceived_discrimination_in_health_care_among_American_Indians/Alaska_natives_ L2 - https://medlineplus.gov/choosingadoctororhealthcareservice.html DB - PRIME DP - Unbound Medicine ER -