Journal
JOURNAL OF GENERAL INTERNAL MEDICINE
Volume 23, Issue 10, Pages 1679-1684Publisher
SPRINGER
DOI: 10.1007/s11606-008-0730-x
Keywords
perceived discrimination; preventive health; behavioral risk factor surveillance system; centers for disease control and prevention
Funding
- NCRR NIH HHS [UL1 RR024153] Funding Source: Medline
- NIAMS NIH HHS [K24 AR055259, 1K24AR055259-01] Funding Source: Medline
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OBJECTIVE: To examine the relationship between perceived discrimination and preventive health care utilization. DESIGN AND PARTICIPANTS: Cross-sectional analysis using the 2004 Behavioral Risk Factor Surveillance System Reactions to Race module (N = 28,839). MEASUREMENTS: Outcomes were self-reported utilization of seven preventive health services. Predictors included perceived negative and positive racial discrimination ( vs. none) while seeking health care in the past year. Multivariable models adjusted for additional patient characteristics. MAIN RESULTS: In unadjusted models, negative discrimination was significantly associated with less utilization of mammogram, pap test, PSA test, blood stool test, and sigmoidoscopy/colonoscopy (ORs = 0.53-0.73, p <.05), but not flu or pneumococcal vaccines (ORs = 0.76 and 0.84). Positive discrimination was significantly associated with more utilization of all services (ORs = 1.29-1.58, p <.05) except pap test (OR = 0.94). In adjusted models, neither negative nor positive discrimination was predictive of utilization, except for PSA test (positive discrimination OR = 1.33, p <.05). CONCLUSIONS: Perceived racial discrimination in health care does not independently predict preventive health care utilization.
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