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Self-reported experience of racial discrimination and health care use in New Zealand: Results from the 2006/07 New Zealand Health Survey

Author

Listed:
  • Harris, R.
  • Cormack, D.
  • Tobias, M.
  • Yeh, L.-C.
  • Talamaivao, N.
  • Minster, J.
  • Timutimu, R.

Abstract

Objectives. We investigated whether reported experience of racial discrimination in health care and in other domains was associated with cancer screening and negative health care experiences. Methods. We used 2006/07 New Zealand Health Survey data (n = 12 488 adults). We used logistic regression to examine the relationship of reported experience of racial discrimination in health care (unfair treatment by a health professional) and in other domains (personal attack, unfair treatment in work and when gaining housing) to breast and cervical cancer screening and negative patient experiences adjusted for other variables. Results. Racial discrimination by a health professional was associated with lower odds of breast (odds ratio [OR] = 0.37; 95% confidence interval [CI] = 0.14, 0.996) and cervical cancer (OR = 0.51; 95% CI = 0.30, 0.87) screening among Maori women. Racial discrimination by a health professional (OR = 1.57; 95% CI = 1.15, 2.14) and racial discrimination more widely (OR = 1.55; 95% CI = 1.35, 1.79) were associated with negative patient experiences for all participants. Conclusions. Experience of racial discrimination in both health care and other settings may influence health care use and experiences of care and is a potential pathway to poor health.

Suggested Citation

  • Harris, R. & Cormack, D. & Tobias, M. & Yeh, L.-C. & Talamaivao, N. & Minster, J. & Timutimu, R., 2012. "Self-reported experience of racial discrimination and health care use in New Zealand: Results from the 2006/07 New Zealand Health Survey," American Journal of Public Health, American Public Health Association, vol. 102(5), pages 1012-1019.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2011.300626_6
    DOI: 10.2105/AJPH.2011.300626
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    Cited by:

    1. Came, H. & Doole, C. & McKenna, B. & McCreanor, T., 2018. "Institutional racism in public health contracting: Findings of a nationwide survey from New Zealand," Social Science & Medicine, Elsevier, vol. 199(C), pages 132-139.
    2. Tenbensel, Tim & Cumming, Jacqueline & Willing, Esther, 2023. "The 2022 restructure of Aotearoa New Zealand's health system: Will it succeed in advancing equity where others have failed?," Health Policy, Elsevier, vol. 134(C).
    3. Santosh Jatrana & Ken Richardson & Tony Blakely & Saira Dayal, 2014. "Does Mortality Vary between Asian Subgroups in New Zealand: An Application of Hierarchical Bayesian Modelling," PLOS ONE, Public Library of Science, vol. 9(8), pages 1-10, August.
    4. Ricci Harris & Donna Cormack & James Stanley & Ruruhira Rameka, 2015. "Investigating the Relationship between Ethnic Consciousness, Racial Discrimination and Self-Rated Health in New Zealand," PLOS ONE, Public Library of Science, vol. 10(2), pages 1-15, February.
    5. Cathleen Aspinall & Jenny M. Parr & Julia Slark & Denise Wilson, 2020. "The culture conversation: Report from the 2nd Australasian ILC meeting—Auckland 2019," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(11-12), pages 1768-1773, June.

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