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The state of research on racial/ethnic discrimination in the receipt of health care

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  • Shavers, V.L.
  • Fagan, P.
  • Jones, D.
  • Klein, W.M.P.
  • Boyington, J.
  • Moten, C.
  • Rorie, E.

Abstract

Objectives. We conducted a review to examine current literature on the effects of interpersonal and institutional racism and discrimination occurring within health care settings on the health care received by racial/ethnic minority patients. Methods. We searched the PsychNet, PubMed, and Scopus databases for articles on US populations published between January 1, 2008 and November 1, 2011. We used various combinations of the following search terms: discrimination, perceived discrimination, race, ethnicity, racism, institutional racism, stereotype, prejudice or bias, and health or health care. Fifty-eight articles were reviewed. Results. Patient perception of discriminatory treatment and implicit provider biases were the most frequently examined topics in health care settings. Few studies examined the overall prevalence of racial/ethnic discrimination and none examined temporal trends. In general, measures used were insufficient for examining the impact of interpersonal discrimination or institutional racism within health care settings on racial/ethnic disparities in health care. Conclusions. Better instrumentation, innovative methodology, and strategies are needed for identifying and tracking racial/ethnic discrimination in health care settings.

Suggested Citation

  • Shavers, V.L. & Fagan, P. & Jones, D. & Klein, W.M.P. & Boyington, J. & Moten, C. & Rorie, E., 2012. "The state of research on racial/ethnic discrimination in the receipt of health care," American Journal of Public Health, American Public Health Association, vol. 102(5), pages 953-966.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2012.300773_8
    DOI: 10.2105/AJPH.2012.300773
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    1. Altman, Molly R. & Oseguera, Talita & McLemore, Monica R. & Kantrowitz-Gordon, Ira & Franck, Linda S. & Lyndon, Audrey, 2019. "Information and power: Women of color's experiences interacting with health care providers in pregnancy and birth," Social Science & Medicine, Elsevier, vol. 238(C), pages 1-1.
    2. Akinade, Temitope & Kheyfets, Anna & Piverger, Naissa & Layne, Tracy M. & Howell, Elizabeth A. & Janevic, Teresa, 2023. "The influence of racial-ethnic discrimination on women's health care outcomes: A mixed methods systematic review," Social Science & Medicine, Elsevier, vol. 316(C).
    3. Dharam Persaud-Sharma & Joseph Burns, 2018. "First Nations People: Addressing the Relationships between Under-Enrollment in Medical Education, STEM Education, and Health in the United States," Societies, MDPI, vol. 8(1), pages 1-11, February.
    4. Madina Agénor & J. Wyatt Koma & Ashley E. Pérez & Alex McDowell & Gilbert Gonzales, 2023. "Differences in Health Insurance and Usual Source of Care Among Racial/Ethnic and Sexual Orientation Subgroups of U.S. Women and Men," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 42(3), pages 1-26, June.
    5. Larrell L. Wilkinson & Olivio J. Clay & Anthony C. Hood & Eric P. Plaisance & Lakesha Kinnerson & Brandon D. Beamon & Dominique Hector, 2020. "The Association of Emotional and Physical Reactions to Perceived Discrimination with Depressive Symptoms Among African American Men in the Southeast," IJERPH, MDPI, vol. 17(1), pages 1-16, January.
    6. Alejandro Gil-Salmerón & Konstantinos Katsas & Elena Riza & Pania Karnaki & Athena Linos, 2021. "Access to Healthcare for Migrant Patients in Europe: Healthcare Discrimination and Translation Services," IJERPH, MDPI, vol. 18(15), pages 1-14, July.
    7. Prabal K De, 2020. "Beyond race: Impacts of non-racial perceived discrimination on health access and outcomes in New York City," PLOS ONE, Public Library of Science, vol. 15(9), pages 1-13, September.
    8. Allison Hatley-Cotter & Georgette Saad & Elizabeth Brestan-Knight, 2022. "Treatment Readiness among Primarily Latine Families Seeking Parent–Child Interaction Therapy (PCIT) in an Urban Setting," IJERPH, MDPI, vol. 19(8), pages 1-16, April.
    9. Lynn N. Ibekwe & Maria Eugenia Fernández-Esquer & Sandi L. Pruitt & Nalini Ranjit & Maria E. Fernández, 2021. "Racism and Cancer Screening among Low-Income, African American Women: A Multilevel, Longitudinal Analysis of 2-1-1 Texas Callers," IJERPH, MDPI, vol. 18(21), pages 1-19, October.
    10. Cécile Rousseau & Youssef Oulhote & Mónica Ruiz-Casares & Janet Cleveland & Christina Greenaway, 2017. "Encouraging understanding or increasing prejudices: A cross-sectional survey of institutional influence on health personnel attitudes about refugee claimants' access to health care," PLOS ONE, Public Library of Science, vol. 12(2), pages 1-14, February.

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