Friedman Joëlle Y, Anstrom Kevin J, Weinfurt Kevin P, McIntosh Mary, Bosworth Hayden B, Oddone Eugene Z, Bright Cedric M, Schulman Kevin A
Center for Clinical and Genetic Economics, Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27715, USA.
N C Med J. 2005 Jul-Aug;66(4):267-75.
We sought to compare findings of a national survey of perceptions of racial/ethnic discrimination in healthcare to those of a community survey, with emphasis on the perceptions of Latinos.
Responses from a national survey were compared to a telephone survey of residents of Durham County, North Carolina.
Black respondents in the Durham sample were more likely than those in the national sample to feel that a healthcare provider had treated them with disrespect because of health insurance status (28% vs 14%; P < 0.001). Approximately one third of Durham Latinos and 14% of Latinos in the national sample felt they had been treated with disrespect because of their English-language ability (P < 0.01). Compared to a national sample of white participants, white respondents in Durham were more likely to believe that black persons are worse off in terms of receiving routine medical care (40% vs 27%; P < 0.01) and having health insurance (58% vs 43%; P < 0.01). As compared to their national counterparts, there was a similar trend for how white respondents in Durham perceived how Latinos fared (P < 0.001 for all comparisons).
Overall the perception of bias in healthcare was greater among Durham residents, especially among newly immigrated Latinos, than among their national counterparts.
我们试图将一项关于医疗保健中种族/族裔歧视认知的全国性调查结果与一项社区调查结果进行比较，重点关注拉丁裔的认知。
将全国性调查的回复与对北卡罗来纳州达勒姆县居民的电话调查结果进行比较。
达勒姆样本中的黑人受访者比全国样本中的黑人受访者更有可能认为医疗保健提供者因健康保险状况而对他们不尊重（28%对14%；P<0.001）。达勒姆约三分之一的拉丁裔和全国样本中14%的拉丁裔认为他们因英语能力而受到不尊重（P<0.01）。与全国白人参与者样本相比，达勒姆的白人受访者更有可能认为黑人在接受常规医疗护理（40%对27%；P<0.01）和拥有健康保险方面情况更差（58%对43%；P<0.01）。与全国的白人受访者相比，达勒姆的白人受访者对拉丁裔情况的认知也有类似趋势（所有比较的P<0.001）。
总体而言，达勒姆居民，尤其是新移民拉丁裔，对医疗保健中偏见的认知比全国其他地区的居民更强。
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