Discrimination in the United States: Experiences of Latinos

Autor: Justin M. Sayde, John M. Benson, Sara N. Bleich, Robert J. Blendon, Mary G. Findling, Carolyn Miller, Logan S. Casey
Rok vydání: 2019
Předmět:
Adult
Male
Special Issue: Experiences of Discrimination in America
Adolescent
Social Determinants of Health
media_common.quotation_subject
Hispanic
Logistic regression
Racism
White People
Odds
03 medical and health sciences
0302 clinical medicine
survey research
Surveys and Questionnaires
Health care
Humans
Latinos
030212 general & internal medicine
Social determinants of health
Healthcare Disparities
Socioeconomic status
Aged
media_common
Social policy
Data source
Special Issue: Experiences of Discrimination in America: Race
Ethnicity
Gender
and Sexuality
business.industry
030503 health policy & services
Health Policy
racial/ethnic differences in health and health care
Hispanic or Latino
Middle Aged
Patient Acceptance of Health Care
United States
Telephone
Socioeconomic Factors
Female
0305 other medical science
business
Psychology
discrimination
Demography
Zdroj: Health Services Research
ISSN: 1475-6773
0017-9124
DOI: 10.1111/1475-6773.13216
Popis: Objective To examine experiences of racial/ethnic discrimination among Latinos in the United States, which broadly contribute to their poor health outcomes. Data Source and Study Design Data come from a nationally representative, probability‐based telephone survey including 803 Latinos and a comparison group of 902 non‐Hispanic white US adults, conducted January—April 2017. Methods We calculated the percent of Latinos reporting discrimination in several domains, including health care. We used logistic regression to compare the Latino‐white difference in odds of discrimination, and among Latinos only to examine variation by socioeconomic status and country of birth. Principal Findings One in five Latinos (20 percent) reported experiencing discrimination in clinical encounters, while 17 percent avoided seeking health care for themselves or family members due to anticipated discrimination. A notable share of Latinos also reported experiencing discrimination with employment (33 percent applying for jobs; 32 percent obtaining equal pay/promotions), housing (31 percent), and police interactions (27 percent). In adjusted models, Latinos had significantly higher odds than whites for reporting discrimination in health care visits (OR: 3.18, 95% CI: 1.61, 6.26) and across several other domains. Latinos with college degrees had significantly higher odds of reporting discrimination in multiple domains than those without college degrees, with few differences between foreign‐born and US‐born Latinos. Conclusions Latinos in the United States report experiencing widespread discrimination in health care and other areas of their lives, at significantly higher levels than whites. Being born in the United States and earning a college degree are not protective against discrimination, suggesting that further health and social policy efforts to eliminate discrimination are needed.
Databáze: OpenAIRE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje