Perceived discrimination and use of health care services in a North Carolina population of Latino immigrants

Sara C. Keller, Mina Silberberg, Katherine E. Hartmann, J. Lloyd Michener

Research output: Contribution to journalArticle

Abstract

Relationships were investigated between perceived discrimination at the usual health care source and health care services use among Latinos. Three perceived discrimination variables were explored-based on race/ethnicity, based on insurance status, or based on either. Participants ( N = 281) were Latino immigrants enrolled in a care management program. Perceived discrimination was not associated with having well-visits. However, perceived discrimination based on insurance status and any perceived discrimination were both associated with increased likelihood of going without needed health care (OR = 2.7, 95% CI: 1.4-5.3, p < .05; and OR = 3.0, 95% CI: 1.4-6.2, p < .05; respectively). Perceived discrimination based on insurance status was also inversely associated with emergency department visits (OR = 0.42, 95% CI: 0.23-0.79, p < .05). Addressing sources of perceived discrimination could improve health care access in this population.

Original languageEnglish (US)
Pages (from-to)4-13
Number of pages10
JournalHispanic Health Care International
Volume8
Issue number1
DOIs
StatePublished - Mar 19 2010

Keywords

  • Discrimination
  • Ethnicity
  • Health care services
  • Insurance status
  • Latinos

ASJC Scopus subject areas

  • Nursing(all)

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