This study investigates whether perceived racism is associated with delayed/forgone care among minority older adults, and whether poor doctor communication mediates this relationship. Study cohort consisted of 1,756 minority participants, aged 65 years and older, in the 2015 California Health Interview Survey (CHIS). Multivariable logistic regression analyses were conducted with relevant covariates, including insurance coverage, years living in the U.S., and language. A mediation analysis was also performed.

Findings:

• Among minority older individuals, perceived racism was significantly associated with delayed/forgone care.
• Poor doctor communication significantly and partially mediated the relationship, accounting for 9.9% of the total effect.

Perceived racism may contribute to health disparities for older minority individuals in part through doctors communicating messages that discourage adequate utilization of health care. Future research should explore culturally sensitive communication skills that reduce this barrier to receiving adequate health care.