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在美国接受医疗护理时与感知到的种族歧视相关的因素。

Factors Associated with Perceived Racial Discrimination While Receiving Medical Care in the United States.

作者信息

Ayangunna Elizabeth, Kalu Kingsley, Shah Bushra, Karibayeva Indira, Shah Gulzar

机构信息

Independent Researchers, Statesboro, GA 30460, USA.

Department of Health Policy and Community Health, Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, GA 30460, USA.

出版信息

Healthcare (Basel). 2025 Aug 5;13(15):1906. doi: 10.3390/healthcare13151906.

Abstract

Health equity can only be achieved when every individual has access to quality healthcare without fear of being discriminated against. This study analyzed the sociodemographic characteristics associated with self-reported racial discrimination when receiving medical care in the United States. This quantitative cross-sectional study utilized the 2022 National Trends Survey 6. We performed a logistic regression analysis using 6102 survey responses from study participants who answered the question about perceived discrimination. Older adults aged 75 years and above had significantly lower odds of reporting perceived discrimination when receiving medical care compared to those aged 18-34 years (AOR = 0.24; 95% CI: 0.10-0.58). The odds of reporting perceived discrimination were significantly higher among non-Hispanic Blacks (AOR = 7.30; 95% CI: 4.48-11.88), Hispanics (AOR = 3.56; 95% CI: 2.45-5.17), non-Hispanic Asians (AOR = 5.95; 95% CI: 2.25-15.73), and individuals identifying as non-Hispanic Other (AOR = 10.91; 95% CI: 5.42-21.98), compared to non-Hispanic Whites. Compared to individuals from households earning less than USD 20,000, the odds of reporting perceived discrimination when receiving medical care were significantly lower among individuals from households earning between USD 50,000 and <USD 75,000 (AOR = 0.42; 95% CI: 0.23-0.78) and those earning USD 75,000 or more (AOR = 0.43; 95% CI: 0.22-0.83). Despite having a multicultural and ethnically diverse population, racial discrimination persists in the United States and has become a barrier to achieving health equity. Health organizations should implement policies that ensure health workers attend mandatory anti-racism training.

摘要

只有当每个人都能获得高质量的医疗保健且不用担心受到歧视时,才能实现健康公平。本研究分析了在美国接受医疗护理时与自我报告的种族歧视相关的社会人口学特征。这项定量横断面研究采用了2022年全国趋势调查6。我们对6102名回答了有关感知歧视问题的研究参与者的调查回复进行了逻辑回归分析。与18 - 34岁的人群相比,75岁及以上的老年人在接受医疗护理时报告感知歧视的几率显著更低(调整后比值比[AOR]=0.24;95%置信区间[CI]:0.10 - 0.58)。与非西班牙裔白人相比,非西班牙裔黑人(AOR = 7.30;95% CI:4.48 - 11.88)、西班牙裔(AOR = 3.56;95% CI:2.45 - 5.17)、非西班牙裔亚洲人(AOR = 5.95;95% CI:2.25 - 15.73)以及自我认定为非西班牙裔其他种族的人(AOR = 10.91;95% CI:5.42 - 21.98)报告感知歧视的几率显著更高。与家庭收入低于20000美元的人相比,家庭收入在50000美元至低于75000美元之间的人(AOR = 0.42;95% CI:0.23 - 0.78)以及收入75000美元及以上的人(AOR = 0.43;95% CI:0.22 - 0.83)在接受医疗护理时报告感知歧视的几率显著更低。尽管美国人口具有多元文化和种族多样性,但种族歧视在美国依然存在,并已成为实现健康公平的障碍。卫生组织应实施政策以确保卫生工作者参加强制性的反种族主义培训。

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本文引用的文献

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Poverty, Racism, and the Public Health Crisis in America.贫困、种族主义与美国的公共健康危机
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