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Perceived racial discrimination in health care: a comparison of Veterans Affairs and other patients

Author

Listed:
  • Hausmann, L.R.
  • Jeong, K.
  • Bost, J.E.
  • Kressin, N.R.
  • Ibrahim, S.A.

Abstract

OBJECTIVES: We compared rates of perceived racial discrimination in health care settings for veteran and nonveteran patients and for veterans who used the Veterans Affairs health care system and those who did not. METHODS: Data were drawn from the 2004 Behavioral Risk Factor Surveillance System. We used logistic regression to examine whether perceived racial discrimination in health care was associated with veteran status or use of Veterans Affairs health care, after adjusting for patient characteristics. RESULTS: In this sample of 35,902 people, rates of perceived discrimination were equal for veterans and nonveterans (3.4% and 3.5%, respectively; crude odds ratio [OR] = 1.00; 95% confidence interval [CI] = 0.77, 1.28; adjusted OR = 0.92; 95% CI = 0.66, 1.28). Among veterans (n = 3420), perceived discrimination was more prevalent among patients who used Veterans Affairs facilities than among those who did not (5.4% vs 2.7%; OR = 2.08; 95% CI = 1.04, 4.18). However, this difference was not significant after adjustment for patient characteristics (OR = 1.30; 95% CI = 0.54, 3.13). CONCLUSIONS: Perceived racial discrimination in health care was equally prevalent among veterans and nonveterans and among veterans who used the Veterans Affairs health care system and those who did not.

Suggested Citation

  • Hausmann, L.R. & Jeong, K. & Bost, J.E. & Kressin, N.R. & Ibrahim, S.A., 2009. "Perceived racial discrimination in health care: a comparison of Veterans Affairs and other patients," American Journal of Public Health, American Public Health Association, vol. 99, pages 718-724.
    • Handle: RePEc:aph:ajpbhl:2009:99:s3:s718-724_0
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    Cited by:

    1. Leslie R M Hausmann & Audrey L Jones & Shauna E McInnes & Susan L Zickmund, 2020. "Identifying healthcare experiences associated with perceptions of racial/ethnic discrimination among veterans with pain: A cross-sectional mixed methods survey," PLOS ONE, Public Library of Science, vol. 15(9), pages 1-19, September.
    2. Attanasio, Laura B. & Hardeman, Rachel R., 2019. "Declined care and discrimination during the childbirth hospitalization," Social Science & Medicine, Elsevier, vol. 232(C), pages 270-277.
    3. Ricci Harris & Donna Cormack & James Stanley & Ruruhira Rameka, 2015. "Investigating the Relationship between Ethnic Consciousness, Racial Discrimination and Self-Rated Health in New Zealand," PLOS ONE, Public Library of Science, vol. 10(2), pages 1-15, February.
    4. Alyson Ma & Alison Sanchez & Mindy Ma, 2022. "Racial disparities in health care utilization, the affordable care act and racial concordance preference," International Journal of Health Economics and Management, Springer, vol. 22(1), pages 91-110, March.

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