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Socially-Assigned Race, Healthcare Discrimination and Preventive Healthcare Services

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  • Tracy MacIntosh
  • Mayur M Desai
  • Tene T Lewis
  • Beth A Jones
  • Marcella Nunez-Smith

Abstract

Background: Race and ethnicity, typically defined as how individuals self-identify, are complex social constructs. Self-identified racial/ethnic minorities are less likely to receive preventive care and more likely to report healthcare discrimination than self-identified non-Hispanic whites. However, beyond self-identification, these outcomes may vary depending on whether racial/ethnic minorities are perceived by others as being minority or white; this perception is referred to as socially-assigned race. Purpose: To examine the associations between socially-assigned race and healthcare discrimination and receipt of selected preventive services. Methods: Cross-sectional analysis of the 2004 Behavioral Risk Factor Surveillance System “Reactions to Race” module. Respondents from seven states and the District of Columbia were categorized into 3 groups, defined by a composite of self-identified race/socially-assigned race: Minority/Minority (M/M, n = 6,837), Minority/White (M/W, n = 929), and White/White (W/W, n = 25,913). Respondents were 18 years or older, with 61.7% under age 60; 51.8% of respondents were female. Measures included reported healthcare discrimination and receipt of vaccinations and cancer screenings. Results: Racial/ethnic minorities who reported being socially-assigned as minority (M/M) were more likely to report healthcare discrimination compared with those who reported being socially-assigned as white (M/W) (8.9% vs. 5.0%, p = 0.002). Those reporting being socially-assigned as white (M/W and W/W) had similar rates for past-year influenza (73.1% vs. 74.3%) and pneumococcal (69.3% vs. 58.6%) vaccinations; however, rates were significantly lower among M/M respondents (56.2% and 47.6%, respectively, p-values

Suggested Citation

  • Tracy MacIntosh & Mayur M Desai & Tene T Lewis & Beth A Jones & Marcella Nunez-Smith, 2013. "Socially-Assigned Race, Healthcare Discrimination and Preventive Healthcare Services," PLOS ONE, Public Library of Science, vol. 8(5), pages 1-7, May.
    • Handle: RePEc:plo:pone00:0064522
    DOI: 10.1371/journal.pone.0064522
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    References listed on IDEAS

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    1. Williams, D.R. & Neighbors, H.W. & Jackson, J.S., 2003. "Racial/ethnic discrimination and health: Findings from community studies," American Journal of Public Health, American Public Health Association, vol. 93(2), pages 200-208.
    2. Diana J. Burgess, 2010. "Are Providers More Likely to Contribute to Healthcare Disparities Under High Levels of Cognitive Load? How Features of the Healthcare Setting May Lead to Biases in Medical Decision Making," Medical Decision Making, , vol. 30(2), pages 246-257, March.
    3. Zapka, J.G. & Bigelow, C. & Hurley, T. & Ford, L.D. & Egelhofer, J. & Cloud, W.M. & Sachsse, E., 1996. "Mammography use among sociodemographically diverse women: The accuracy of self-report," American Journal of Public Health, American Public Health Association, vol. 86(7), pages 1016-1021.
    4. Lisa Kiang & David T. Takeuchi, 2009. "Phenotypic Bias and Ethnic Identity in Filipino Americans," Social Science Quarterly, Southwestern Social Science Association, vol. 90(2), pages 428-445, June.
    5. Selvin, E. & Brett, K.M., 2003. "Breast and cervical cancer screening: Sociodemographic predictors among White, Black, and Hispanic women," American Journal of Public Health, American Public Health Association, vol. 93(4), pages 618-623.
    6. Arthur H. Goldsmith & Darrick Hamilton & William Darity, Jr, 2007. "From Dark to Light: Skin Color and Wages Among African-Americans," Journal of Human Resources, University of Wisconsin Press, vol. 42(4).
    7. Burton, D.C. & Flannery, B. & Bennett, N.M. & Farley, M.M. & Gershman, K. & Harrison, L.H. & Lynfield, R. & Susan Petit, K. & Reingold, A.L. & Schaffner, W. & Thomas, A. & Brian, D. & Rose Jr., C.E. &, 2010. "Socioeconomic and racial/ethnic disparities in the incidence of bacteremic pneumonia among US adults," American Journal of Public Health, American Public Health Association, vol. 100(10), pages 1904-1911.
    8. Jones, C.P., 2000. "Levels of racism: A theoretic framework and a gardener's tale," American Journal of Public Health, American Public Health Association, vol. 90(8), pages 1212-1215.
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    2. Donna M Cormack & Ricci B Harris & James Stanley, 2013. "Investigating the Relationship between Socially-Assigned Ethnicity, Racial Discrimination and Health Advantage in New Zealand," PLOS ONE, Public Library of Science, vol. 8(12), pages 1-10, December.

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