Medical Mistrust, Perceived Discrimination, and Satisfaction With Health Care Among Young‐Adult Rural Latinos

López-Cevallos, Daniel; Harvey, S. Marie; Warren, Jocelyn T.

doi:10.1111/jrh.12063

Cited by 93 publications

(67 citation statements)

References 35 publications

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“…For example, we were unable to adjust for other measures of socioeconomic position (due to data quality issues in collected data) or measures of social desirability (as these were not included in the original NZHS data collection). In addition, we could not examine measures of trust in medical care or providers in our models, which is often examined as a mediator in the association between racial discrimination and satisfaction in healthcare 36–38 …”

Section: Discussionmentioning

confidence: 99%

“…Our findings are consistent with international research demonstrating a link between experience of racism and higher unmet need, 16,29,34,35 and lower satisfaction. 14,34,36,37 These studies have demonstrated links between racism within the health setting 14,34,35,37,38 and other forms of racism 16,29,36,38 with healthcare measures. Most of these studies were undertaken in the United States.…”

Section: Discussionmentioning

confidence: 99%

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Experience of racism and associations with unmet need and healthcare satisfaction: the 2011/12 adult New Zealand Health Survey

Harris

Cormack

Stanley

2019

Australian and New Zealand Journal of Public Health

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Objective: Racism may affect health through differential access to, and quality of, healthcare. This study examined associations between experience of racism and unmet need and satisfaction with healthcare. Methods: Cross‐sectional analysis of the 2011/12 adult New Zealand Health Survey (n=12,596) was undertaken. Logistic regression was used to examine associations between experience of racism (by a health professional and other experiences of racism [ever]) and unmet need for a general practitioner and satisfaction with a usual medical centre in the past year. Results: Experience of racism by a health professional and other forms of racism were higher among Māori, Pacific and Asian groups compared to European/Other. Both racism measures were associated with higher unmet need (health professional racism adjusted OR 3.52, 95%CI 2.42–5.11; other racism OR 2.21, 95%CI 1.78–2.75) and lower satisfaction with a usual medical centre (health professional racism adjusted OR 0.25, 95%CI 0.15–0.34; other racism OR 0.60, 95%CI 0.45–0.79). Conclusions: Racism may act as a barrier to, and influence the quality of, healthcare. Implications for public health: Addressing racism as a public health issue and major driver of inequities in healthcare and health outcomes is required within the health sector and wider society.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Experience of racism and associations with unmet need and healthcare satisfaction: the 2011/12 adult New Zealand Health Survey

Harris

Cormack

Stanley

2019

Australian and New Zealand Journal of Public Health

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“…Although some discussions of incidents where members felt discriminated against occurred during board meetings, discussion of discrimination and marginalization during the interviews was notably more prominent. In quantitative studies, perceived discrimination in health care among Latinos has been associated with lower health care satisfaction and reports of worse doctor–patient communication (López-Cevallos, Harvey, & Warren, 2014; Perez, Sribney, & Rodríguez, 2009; Shavers et al, 2012). Parental report of a medical home in national surveys often depends on positive responses to questions that deal with satisfaction with care and doctor–patient communication.…”

Section: Discussionmentioning

confidence: 99%

“…Perceived discrimination may result in more negative responses to these types of questions but has yet to be explored as a contributor to the lower medical home prevalence for Latino children. Prior quantitative research focused on experiences of discrimination have found foreign-born, Spanish-speaking Latinos are less likely to report discrimination in health care than nonimmigrants or English speakers (López-Cevallos et al, 2014; Perez et al, 2009; Shavers et al, 2012). The poignant and prevalent discrimination described by board members contrasts with these quantitative findings.…”

Section: Discussionmentioning

confidence: 99%

A Voice and a Vote: The Advisory Board Experiences of Spanish-Speaking Latina Mothers

DeCamp¹,

Gregory²,

Polk³

et al. 2015

Hisp Hlth Care Int

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Latino children experience disparities in health care access and quality. Family advisory groups for clinics and hospitals may be one way to address disparities. We implemented and sustained an advisory board whose parent participants were exclusively limited-English proficient Latina mothers. As part of the board evaluation, we conducted semistructured individual interviews with parent participants during initial participation and after the final board meeting of the year. Members were satisfied with their board participation in both initial and follow-up interviews. They reported that board membership was an important way to improve clinic services and a unique opportunity for Latinos in the community. Experiences of discrimination and marginalization in health care settings were a theme across interviews. Members reported board membership countered these negative experiences. An advisory board including Spanish-speaking parents is an opportunity to engage vulnerable populations, which may result in broader impact on health care disparities. Los niños latinos experimentan disparidad en el acceso y calidad del cuidado de salud. Grupos de familias asesoras para clínicas y hospitales pueden ser una forma de hacer frente a las disparidades. Nosotros implementamos y sostuvimos un consejo asesor cuyos participantes fueron exclusivamente madres latinas con dominio limitado del inglés. Como parte de la evaluación del consejo, condujimos entrevistas semi-estructuradas individuales con las madres participantes durante la participación inicial y después de la última reunión del año del consejo. Los miembros estaban satisfechas con su participación en el consejo en ambas entrevistas, la inicial y la de seguimiento. Ellas reportaron que ser miembros del consejo era una forma importante para mejorar los servicios de la clínica y una oportunidad única para los latinos en la comunidad. Las experiencias de discriminación y marginalización en las instalaciones de cuidado de salud eran un tema a lo largo de las entrevistas. Los miembros reportaron que ser miembros del consejo contrarrestó estas experiencias negativas. Un consejo asesor incluyendo padres que hablan español es una oportunidad para involucrar a poblaciones vulnerables, las cuales pueden resultar en un impacto más amplio en las disparidades del cuidado de salud.

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“…In one study, up to 40% of foreign-born older Latinos were found to have undiagnosed dementia for at least 3 years (2). Because rural dwelling Latinos are a rapidly growing sub population, and yet have some of the poorest access to, and utilization of healthcare services, culturally-acceptable and easily administered interventions designed for this specific population hold potential to have a wide impact(3). …”

Section: Introductionmentioning

confidence: 99%

Telepsychiatry for Neurocognitive Testing in Older Rural Latino Adults

Vahia

Camacho

et al. 2015

The American Journal of Geriatric Psychiatry

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As the population of older Latinos in the U.S. increases, availability of culturally-adapted geriatric psychiatry services is becoming a growing concern. This issue is exacerbated for rural Latino populations. In this study, we assessed whether neurocognitive assessment via telepsychiatry (TP) using a Spanish-language battery would be comparable to in-person (IP) testing using the same battery in a sample of Spanish-speaking older adults in a rural setting. Patients (N=22) received IP and TP testing 2 weeks apart. The order of IP and TP test administrations in individual subjects was determined randomly. Comparison of scores indicated that there were no significant differences between IP and TP test performance though both groups scored non-significantly higher at the second visit. This study demonstrates feasibility and utility of neurocognitive testing in Spanish using TP among older rural Latinos.

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Medical Mistrust, Perceived Discrimination, and Satisfaction With Health Care Among Young‐Adult Rural Latinos

Cited by 93 publications

References 35 publications

Experience of racism and associations with unmet need and healthcare satisfaction: the 2011/12 adult New Zealand Health Survey

Experience of racism and associations with unmet need and healthcare satisfaction: the 2011/12 adult New Zealand Health Survey

A Voice and a Vote: The Advisory Board Experiences of Spanish-Speaking Latina Mothers

Telepsychiatry for Neurocognitive Testing in Older Rural Latino Adults

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