The Link Between Everyday Discrimination, Healthcare Utilization, and Health Status Among a National Sample of Women

Research has not adequately examined the potential negative effects of perceiving routine discrimination on general healthcare utilization or health status, especially among reproductive-aged women. We sought to evaluate the association between everyday discrimination, health service use, and percei...

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Veröffentlicht in:Journal of women's health (Larchmont, N.Y. 2002) N.Y. 2002), 2016-10, Vol.25 (10), p.1044-1051
Hauptverfasser: Fazeli Dehkordy, Soudabeh, Hall, Kelli S, Dalton, Vanessa K, Carlos, Ruth C
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container_end_page 1051
container_issue 10
container_start_page 1044
container_title Journal of women's health (Larchmont, N.Y. 2002)
container_volume 25
creator Fazeli Dehkordy, Soudabeh
Hall, Kelli S
Dalton, Vanessa K
Carlos, Ruth C
description Research has not adequately examined the potential negative effects of perceiving routine discrimination on general healthcare utilization or health status, especially among reproductive-aged women. We sought to evaluate the association between everyday discrimination, health service use, and perceived health among a national sample of women in the United States. Data were drawn from the Women's Healthcare Experiences and Preferences survey, a randomly selected, national probability sample of 1078 U.S. women aged 18-55 years. We examined associations between everyday discrimination (via a standardized scale) on frequency of health service utilization and perceived general health status using chi-square and multivariable logistic regression modeling. Compared with women who reported healthcare visits every 3 years or less (reference group), each one-point increase in discrimination score was associated with higher odds of having healthcare visits annually or more often (odds ratio [OR] = 1.36, confidence interval [95% CI] = 1.01-1.83). Additionally, each one-point increase in discrimination score was significantly associated with lower odds of having excellent/very good perceived health (OR = 0.65; 95% CI = 0.54-0.80). Perceived discrimination was associated with increased exposure to the healthcare setting among this national sample of women. Perceived discrimination was also inversely associated with excellent/very good perceived health status.
doi_str_mv 10.1089/jwh.2015.5522
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Additionally, each one-point increase in discrimination score was significantly associated with lower odds of having excellent/very good perceived health (OR = 0.65; 95% CI = 0.54-0.80). Perceived discrimination was associated with increased exposure to the healthcare setting among this national sample of women. 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subjects Adolescent
Adult
Attitude of Health Personnel
Attitude to Health
Female
Health Services - statistics & numerical data
Health Services - utilization
Health Status
Health Surveys
Healthcare Disparities
Humans
Insurance, Health
Logistic Models
Middle Aged
Original
Population Surveillance
Prejudice
Socioeconomic Factors
Young Adult
title The Link Between Everyday Discrimination, Healthcare Utilization, and Health Status Among a National Sample of Women
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