An Examination of Factors Associated with Healthcare Discrimination in Latina Immigrants: The Role of Healthcare Relationships and Language

作者：Sheppard Vanessa B^*; Williams Karen Patricia; Wang Judy; Shavers Vickie; Mandelblatt Jeanne S

来源：Journal of the National Medical Association, 2014, 106(1): 15-22.

DOI：10.1016/s0027-9684(15)30066-3

• Latina immigrants
• discrimination
• healthcare
• communication

Background: Understanding factors that are associated with perceived discrimination in Latina immigrants may provide opportunities to improve care for this growing population., %26lt;br%26gt;Objective: To examine the prevalence of discrimination experiences in urban Latina Immigrants and identify socio-cultural and healthcare factors that predict discrimination experiences. %26lt;br%26gt;Design: Cross-sectional survey of 166 Latino immigrants., %26lt;br%26gt;Measurements: Socio-cultural: region of origin, Primary language, and education. Healthcare factors: insurance, place of care, patient-provider communication, trust in provider, and satisfaction with care. Multivariable logistic regression was used to examine factors that predicted discrimination. %26lt;br%26gt;Results: 42% had at least one discrimination experienOe. Communication with providers was the factor most strongly%26apos; associated with reporting having a discrimination experience while controlling for other variables (p%26lt;. 01). Women with good communication with their provider were 71% less likely to report discrimination. %26lt;br%26gt;Conclusion: Better communication with providers may recluce Latinas%26apos; perceptions of discrimination and thereby improve healthcare access and use of services.

• 出版日期2014