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Ethnic disparities in access to care in post-apartheid South Africa

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  • Kon, Z.R.
  • Lackan, N.

Abstract

Objectives. We investigated ethnic disparities in obtaining medical care among the 4 major ethnic groups (Blacks, Whites, Coloreds [i.e., those of mixed race], and Asians) in post-apartheid South Africa. Methods. Data for the study came fromthe 2002 Afrobarometer: Round II Survey of South Africa. Bivariate and multivariate analyses were used to examine differences across racial and ethnic groups in how often respondents went without medical care. Results. A total of 40.8% of Blacks and 22.9% of Coloreds reported going without medical care at some point in the past year, compared with 10.9% of Whites and 6.9% of Asians. Disparities were found not only in health but in education, income, and basic public health infrastructures. Sociodemographic characteristics and perceptions regarding democracy, markets, and civil society were similar for Blacks and Coloreds and for Whites and Asians. Conclusions. Fourteen years after the end of apartheid, Blacks and Coloreds in South Africa are still underserved and disadvantaged compared with their White and Asian counterparts, especially regarding health care.

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  • Kon, Z.R. & Lackan, N., 2008. "Ethnic disparities in access to care in post-apartheid South Africa," American Journal of Public Health, American Public Health Association, vol. 98(12), pages 2272-2277.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2007.127829_1
    DOI: 10.2105/AJPH.2007.127829
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    Cited by:

    1. Murphy, Adrianna & Kowal, Paul & Albertini, Marco & Rechel, Bernd & Chatterji, Somnath & Hanson, Kara, 2018. "Family transfers and long-term care: An analysis of the WHO Study on global AGEing and adult health (SAGE)," The Journal of the Economics of Ageing, Elsevier, vol. 12(C), pages 195-201.
    2. Hani Kim & Uros Novakovic, 2021. "Towards Solving Health Inequities: A Method to Identify Ideological Operation in Global Health Programs," IJERPH, MDPI, vol. 18(9), pages 1-13, April.
    3. Deumert, Ana, 2010. "'It would be nice if they could give us more language' - Serving South Africa's multilingual patient base," Social Science & Medicine, Elsevier, vol. 71(1), pages 53-61, July.
    4. Jayati Das-Munshi & Crick Lund & Catherine Mathews & Charlotte Clark & Catherine Rothon & Stephen Stansfeld, 2016. "Mental Health Inequalities in Adolescents Growing Up in Post-Apartheid South Africa: Cross-Sectional Survey, SHaW Study," PLOS ONE, Public Library of Science, vol. 11(5), pages 1-16, May.
    5. Koomson, Isaac & Afoakwah, Clifford & Ampofo, Akwasi, 2022. "How does ethnic diversity affect energy poverty? Insights from South Africa," Energy Economics, Elsevier, vol. 111(C).
    6. King, Brian & Winchester, Margaret S., 2018. "HIV as social and ecological experience," Social Science & Medicine, Elsevier, vol. 208(C), pages 64-71.
    7. Bell, Griffin J. & Ncayiyana, Jabulani & Sholomon, Ari & Goel, Varun & Zuma, Khangelani & Emch, Michael, 2022. "Race, place, and HIV: The legacies of apartheid and racist policy in South Africa," Social Science & Medicine, Elsevier, vol. 296(C).

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