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Title

Racial Discrimination in Health Care and Utilization of Health Care: A Cross-sectional Study of California Adults (Journal of General Internal Medicine)

Publication Topics

California Health Interview Survey; 2015 California Health Interview Survey (CHIS 2015); 2016 California Health Interview Survey (CHIS 2016); Access to Health Care; Health Insurance Coverage and Programs; Health Insurance Expansion; Medicaid/Medi-Cal; Health Care Reform; Adult

Publication Type

CHIS Journal Article

Publication Date

2018-08-08T07:00:00Z

Author 1

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1160&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1160&RootFolder=*">Héctor E. Alcalá</a>

Author 2

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1565&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1565&RootFolder=*">Daniel M. Cook</a>

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Abstract

The study aimed to determine if type of insurance coverage and location of usual source of care used were associated with perceptions of racial or ethnic discrimination in health care. Additionally, this study examined if perceived racial or ethnic discrimination influenced delaying or forgoing prescriptions or medical care using data from the 2015-16 California Health Interview Survey (CHIS) for 39,171 adults.

Logistic regression models estimated odds of perceiving racial or ethnic discrimination from insurance type and location of usual source of care. Logistic regression models estimated odds of delaying or forgoing medical care or prescriptions. Key health care utilization variables were: Current insurance coverage, location of usual source of care, delaying or forgoing medical care, and delaying or forgoing prescriptions. Authors examined if these effects differed by race. Ever experiencing racial or ethnic discrimination in the health care setting functioned as a dependent and independent variable in analyses.

When insurance type and location of care were included in the same model, only the former was associated with perceived discrimination. Specifically, those with Medicaid had 66 percent higher odds of perceiving discrimination, relative to those with employer-sponsored coverage. Race did not moderate the impact of discrimination. Perceived discrimination was associated with higher odds of delaying or forgoing both prescriptions and medical care.

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Journal Article: Racial Discrimination in Health Care and Utilization of Health Care: A Cross-sectional Study of California Adults

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Press Release

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California Health Interview Survey (CHIS)

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Created at 10/2/2018 12:30 PM by i:0#.f|uclachissqlmembershipprovider|celeste
Last modified at 10/2/2018 12:35 PM by i:0#.f|uclachissqlmembershipprovider|celeste