The Latinx/Hispanic population experiences higher reported health care discrimination than non-Latinx/ Hispanic White individuals. Having a lower income is also associated with more health problems and lower health care access than having a higher income. However, minimal research has examined ethnicity and income together when exploring health care experiences. The main aim of the present study was to examine differences in perceived health care discrimination, health care experiences, and psychological health by the intersection of ethnicity and income. Participants included 200 adults in the United States who completed online questionnaires through the data collection site, Prolific. They were categorized into four groups by ethnicity and annual household income (lower income <$50,000; higher income ≥$50,000): lower income Latinx/Hispanic (n = 61), higher income Latinx/Hispanic (n = 39), lower income non-Latinx/Hispanic White (n = 47), and higher income non-Latinx/Hispanic White (n = 53). Members of multiply marginalized groups tended to report poorer outcomes than members of other groups. For example, lower income Latinx/ Hispanic individuals had significantly higher perceived health care discrimination, medical mistrust, depression, anxiety, and stress, and lower health care quality than higher income non-Latinx/Hispanic White individuals. Lower income Latinx/Hispanic individuals also had significantly higher medical mistrust than lower income non-Latinx/Hispanic White individuals and were less likely to have health insurance than the other three groups. Lower income Latinx/Hispanic individuals had significantly lower health status than higher income Latinx/Hispanic individuals. These findings demonstrate the importance of conducting intersectional analyses and the combined effects of ethnicity and income on health.
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