Correlates of Patient-Reported Racial/Ethnic Health Care Discrimination in the Diabetes Study of Northern California (DISTANCE)

Details

• Personal Author:
  Adler NE ; Grembowski D ; Karter AJ ; Lyles CR ; Schillinger D ; Spigner C ; Young BA
• Description:
  Objectives. We examined possible determinants of self-reported health care discrimination. Methods. We examined survey data from the Diabetes Study of Northern California (DISTANCE), a race-stratified sample of Kaiser diabetes patients. Respondents reported perceived discrimination, and regression models examined socioeconomic, acculturative, and psychosocial correlates. Results. Subjects (n = 17,795) included 20% Blacks, 23% Latinos, 13% East Asians, 11% Filipinos, and 27% Whites. Three percent and 20% reported health care and general discrimination. Health care discrimination was more frequently reported by minorities (ORs ranging from 2.0 to 2.9 compared with Whites) and those with poorer health literacy (OR51.10, 95% CI: 1.04-1.16), limited English proficiency (OR = 1.91, 95% CI: 1.32-2.78), and depression (OR = 1.53, 95% CI: 1.10-2.13). Conclusions. In addition to race/ethnicity, health literacy and English proficiency may be bases of discrimination. Evaluation is needed to determine whether patients are treated differently or more apt to perceive discrimination, and whether depression fosters and/or follows perceived discrimination. [Description provided by NIOSH]
• Subjects:
  Blood Healthcare Disparities Hematologic Diseases Minority Health Occupational Health Race Factors Safety
• Keywords:
  Author Keywords: Race/Ethnicity Blood Sugar Disorders Diabetes Care Discrimination Health Care Health Disparities Language Barrier Managed Care Minority Health Racial Factors Socioeconomics

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• ISSN:
  1049-2089
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  California ; OSHA Region 10 ; OSHA Region 9 ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  211-225
• Volume:
  22
• Issue:
  1
• NIOSHTIC Number:
  nn:20056914
• Citation:
  J Health Care Poor Underserved 2011 Feb; 22(1):211-225
• Contact Point Address:
  Courtney Rees, Department of Health Services, University of Washington School of Public Health, Box 357660, Seattle, WA 98195
• Email:
  crees@u.washington.edu
• Federal Fiscal Year:
  2011
• Performing Organization:
  University of Washington
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Journal of Health Care for the Poor and Underserved
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:ebf52bf442109fe8a94f9d3c66f8038d3a64da94d8daf51c11cd565b39c6ab16931f5e94760a3daaf629d725a1d350b637b184697de404fda9a69faec8eab997
• Download URL:
  https://stacks.cdc.gov/view/cdc/214407/cdc_214407_DS1.pdf
• File Type:
  [PDF - 204.95 KB ]