Does health care setting matter in reports of discrimination?

J Ambul Care Manage. Oct-Dec 2010;33(4):314-27. doi: 10.1097/JAC.0b013e3181f517fb.


We investigated the associations between the health care setting types that California adults report as their regular source of care, socioeconomic status, and perceived racial/ethnic medical care-related discrimination. Data were analyzed from the 2005 California Health Interview Survey (n = 36,694). Adults who identified clinics/health centers/hospital clinics or "other settings" as their usual source of health care had increased odds for perceived racial/ethnic discrimination compared with those who utilized private and health maintenance organizations doctors' offices, although this was true only for middle, but not lower or higher, socio-economic respondents. We suggest several explanations for these findings and improvements for assessing health care-based racial discrimination.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • California
  • Community Health Centers
  • Female
  • Health Care Surveys
  • Health Facilities*
  • Healthcare Disparities / ethnology*
  • Humans
  • Interviews as Topic
  • Male
  • Middle Aged
  • Patient Satisfaction / ethnology*
  • Prejudice*
  • Young Adult