| Title |
Trends for Reported Discrimination in Health Care in a National Sample of Older Adults with Chronic Conditions
|
|---|---|
| Published in |
Journal of General Internal Medicine, December 2017
|
| DOI | 10.1007/s11606-017-4209-5 |
| Pubmed ID | |
| Authors |
Thu T. Nguyen, Anusha M. Vable, M. Maria Glymour, Amani Nuru-Jeter |
| Abstract |
Discrimination in health care settings is associated with poor health outcomes and may be especially harmful to individuals with chronic conditions, who need ongoing clinical care. Although efforts to reduce discrimination are growing, little is known about national trends in discrimination in health care settings. For Black, White, and Hispanic respondents with chronic disease in the 2008-2014 Health and Retirement Study (N = 13,897 individuals and 21,078 reports), we evaluated trends in patient-reported discrimination, defined based on frequency of receiving poorer service or treatment than other people from doctors or hospitals ("never" vs. all other). Respondents also reported the perceived reason for the discrimination. In addition, we evaluated whether wealth predicted lower prevalence of discrimination for Blacks or Whites. We used generalized estimating equation models to account for dependency of repeated measures on individuals and wave-specific weights to represent the US non-institutionalized population aged 54+ . The estimated prevalence of experiencing discrimination in health care among Blacks with a major chronic condition was 27% (95% CI: 23, 30) in 2008 and declined to 20% (95% CI: 17, 22) in 2014. Reports of receiving poorer service or treatment were stable for Whites (17%, 95% CI: 16, 19 in 2014). The Black-White difference in reporting any health care discrimination declined from 8.2% (95% CI: 4.5, 12.0) in 2008 to 2.5% (95% CI: -1.1, 6.0) in 2014. There was no clear trend for Hispanics. Blacks reported race and Whites reported age as the most common reason for discrimination. Findings suggest national declines in patient-reported discrimination in health care among Blacks with chronic conditions from 2008 to 2014, although reports of discrimination remain common for all racial/ethnic groups. Our results highlight the critical importance of monitoring trends in reports of discrimination in health care to advance equity in health care. |
X Demographics
The data shown below were collected from the profiles of 21 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 14 | 67% |
| United Kingdom | 1 | 5% |
| India | 1 | 5% |
| Unknown | 5 | 24% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Scientists | 7 | 33% |
| Members of the public | 7 | 33% |
| Practitioners (doctors, other healthcare professionals) | 4 | 19% |
| Science communicators (journalists, bloggers, editors) | 3 | 14% |
Mendeley readers
The data shown below were compiled from readership statistics for 68 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 68 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Ph. D. Student | 12 | 18% |
| Other | 5 | 7% |
| Student > Bachelor | 5 | 7% |
| Researcher | 5 | 7% |
| Librarian | 4 | 6% |
| Other | 12 | 18% |
| Unknown | 25 | 37% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 12 | 18% |
| Medicine and Dentistry | 11 | 16% |
| Social Sciences | 10 | 15% |
| Psychology | 8 | 12% |
| Biochemistry, Genetics and Molecular Biology | 1 | 1% |
| Other | 2 | 3% |
| Unknown | 24 | 35% |
Attention Score in Context
This research output has an Altmetric Attention Score of 706. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 04 August 2022.
All research outputs
#26,663
of 24,138,997 outputs
Outputs from Journal of General Internal Medicine
#21
of 7,860 outputs
Outputs of similar age
#574
of 447,354 outputs
Outputs of similar age from Journal of General Internal Medicine
#3
of 107 outputs
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