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Journal article
Insurance Types, Usual Sources of Health Care, and Perceived Discrimination
Journal of the American Board of Family Medicine, v 33(4), pp 580-591
01 Jul 2020
PMID: 32675269
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Introduction: Discrimination can compromise access to and utilization of health care and lead to poorer health. As such, it is important to understand the factors associated with experiences of discrimination in health care.
Methods: Using data from the 2015 to 2017 California Health Interview Survey (n = 63,100), this study examined whether insurance types and sites of usual sources of care were associated with reasons for perceived discrimination in health care and whether the reasons were associated with delaying health care. Odds of study outcomes were calculated among insured adults using logistic regressions. Insurance coverage types and sites of usual sources of care were the main independent variables. Six reasons for lifetime discrimination in health care were examined: 1) dissatisfaction with the health care system, 2) race or skin color, 3) age, 4) way the participant speaks English or other barrier to communication, 5) insurance status or type, and 6) income or education.
Results: Adults with Medicaid perceived more discrimination due to race or skin color relative to those with employer-sponsored coverage. This association does not vary by race/ethnicity. Perceived discrimination due to 1) dissatisfaction with the health care system, 2) insurance status or type, and 3) barriers to communication were each associated with increased delays in getting needed medical care.
Conclusions: Findings highlight potential insurance types and sources of care that could contribute to perceptions of being discriminated.
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Details
- Title
- Insurance Types, Usual Sources of Health Care, and Perceived Discrimination
- Creators
- Hector E. Alcala - SUNY Stony Brook, Dept Family Populat & Prevent Med, Program Publ Hlth, Stony Brook, NY 11794 USAAmanda E. Ng - Univ Maryland, UMD Sch Publ Hlth, Dept Epidemiol & Biostat, College Pk, MD 20742 USASujoy Gayen - SUNY Stony Brook, Dept Family Populat & Prevent Med, Program Publ Hlth, Stony Brook, NY 11794 USAAlexander N. Ortega - Drexel University
- Publication Details
- Journal of the American Board of Family Medicine, v 33(4), pp 580-591
- Publisher
- Amer Board Family Medicine
- Number of pages
- 12
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:000551678800013
- Scopus ID
- 2-s2.0-85088157074
- Other Identifier
- 991019168694204721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Primary Health Care