Perceived discrimination and health outcomes among Asian Indians in the United States

Misra, Ranjita; Hunte, Haslyn E. R.

doi:10.1186/s12913-016-1821-8

Cited by 19 publications

(23 citation statements)

References 60 publications

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“…Adjusting for other tested factors did not affect this association. The results differ from previous studies in which the used factors have been associated with unmet need for medical care 3,5,6,12,15,16,[18][19][20][21][22]24,26,27 . The strong association could be due to a bi-directional relationship between the discriminatory treatment and unmet need for care.…”

Section: Discussioncontrasting

confidence: 99%

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The Association Between the Perceived Unjust Treatment in Healthcare Settings and the Unmet Need for General Practitioner Services Among People With Foreign Background in Finland

Somersalo¹,

Kankkunen

Lilja³

et al. 2020

Preprint

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Background: Unjust experiences are relatively common among people with foreign background (PFB) in Finland. Despite universal access to public health care, previous studies have shown inequities in the unmet need for medical care between immigrants and the general population. This study examines the association between unjust treatment in healthcare settings and unmet need for general practitioner (GP) services among PFB. Method: The data for this study were drawn from Survey on work and well-being among people of foreign origin (UTH) (n = 4977, response rate 66%). The respondent characteristics were weighted and summarized, and multivariate logistic regression analyses were performed to assess the adjusted odds ratios (OR) of association between perceived unjust treatment and unmet need for GP services. The analyses were conducted in a four-step process where the first model tested the association between unjust treatment in health care settings and unmet need for GP services, second model adjusted this association by sociodemographic factors, third model was further adjusted by migration related factors, and the fourth model adjusted the previous models even further by health related factors.Results: The results of multivariate regression showed that PFB reporting unjust treatment were also significantly more likely to report an unmet need for GP services. The difference remained significant even after controlling for other tested factors (OR=8.68, 95% CI 6.09-12.36, p<.001). In addition to perceived unjust treatment, only younger age, lower self-rated health and existing long-term illness were significantly associated with unmet need for medical care in the final, fully adjusted model.Conclusions: Thus, perceived unjust treatment in health care settings is significantly associated with unmet need for general practitioner services. Ensuring cultural competence throughout the entire organizational structures creates an environment to promote equal treatment for all clients. The overall costs can be reduced effectively by giving the best possible treatment for all health care users.

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Section: Discussioncontrasting

confidence: 99%

“…Perceived unjust treatment has also been linked to poorer self-rated health 8,20 which is a widely accepted predictor of both morbidity and mortality 23 . Those that report poor self-rated health or have existing chronic illnesses often also express greater need for medical care than others 3,24 .…”

Section: Introductionmentioning

confidence: 99%

The Association Between the Perceived Unjust Treatment in Healthcare Settings and the Unmet Need for General Practitioner Services Among People With Foreign Background in Finland

Somersalo¹,

Kankkunen

Lilja³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Discrimination, too, has been reported elsewhere: two studies on minority populations in the United States (US) and a study on immigrants in Spain also highlights that these groups experienced discrimination within healthcare settings [ 26 , 29 , 30 ]. Another in-depth study conducted in Thailand found that Sub-Saharan African migrants living in Bangkok experienced a high level of dissatisfaction with the services provided by health professionals [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

Accessing health services in India: experiences of seasonal migrants returning to Nepal

Adhikary¹,

Aryal

Dhungana

et al. 2020

BMC Health Serv Res

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Background Migration to India is a common livelihood strategy for poor people in remote Western Nepal. To date, little research has explored the degree and nature of healthcare access among Nepali migrant workers in India. This study explores the experiences of returnee Nepali migrants with regard to accessing healthcare and the perspectives of stakeholders in the government, support organizations, and health providers working with migrant workers in India. Methods Six focus group discussions (FGDs) and 12 in-depth interviews with returnee migrants were conducted by trained moderators in six districts in Western Nepal in late 2017. A further 12 stakeholders working in the health and education sector were also interviewed. With the consent of the participants, FGDs and interviews were audio-recorded. They were then transcribed and translated into English and the data were analysed thematically. Results The interviewed returnee migrants worked in 15 of India’s 29 states, most as daily-wage labourers. Most were from among the lowest castes so called-Dalits. Most migrants had had difficulty accessing healthcare services in India. The major barriers to access were the lack of insurance, low wages, not having an Indian identification card tied to individual biometrics so called: Aadhaar card. Other barriers were unsupportive employers, discrimination at healthcare facilities and limited information about the locations of healthcare services. Conclusions Nepali migrants experience difficulties in accessing healthcare in India. Partnerships between the Nepali and Indian governments, migrant support organizations and relevant stakeholders such as healthcare providers, government agencies and employers should be strengthened so that this vulnerable population can access the healthcare they are entitled to.

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“…43,44 All participants reported how well they spoke English, with options including very well, well, and not well. 45 …”

Section: Smoking and Acculturation Among Latinos -Pulvers Et Almentioning

confidence: 99%

Daily and Nondaily Smoking Varies by Acculturation among English-Speaking, US Latino Men and Women

et al. 2018

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Background: Higher smoking prevalence and quantity (cigarettes per day) has been linked to acculturation in the United States among Latinas, but not Latino men. Our study examines variation between a different and increasingly important target behavior, smoking level (nondaily vs daily) and acculturation by sex.Methods: An online English-language survey was administered to 786 Latino smokers during July through August 2012. The Brief Acculturation Rating Scale for Mexican Americans-II (ARSMA-II) and other acculturation markers were used. Multinomial logistic regression models were implemented to assess the association between smoking levels (nondaily, light daily, and moderate/ heavy daily) with acculturation markers.Results: Greater ARMSA-II scores (relative risk ratio, RRR=.81, 95% CI: .72-.91) and being born inside the United States (RRR=.42, 95% CI: .24-.74) were associated with lower relative risk of nondaily smoking. Greater Latino orientation (RRR=1.29, 95% CI: 1.11-1.48) and preference for Spanish language (RRR=1.06, 95% CI: 1.02-1.10) and media (RRR=1.12, 95% CI: 1.05-1.20) were associated with higher relative risk of nondaily smoking. The relationship between acculturation and smoking level did not differ by sex. Conclusion:This study found that among both male and female, English-speaking Latino smokers, nondaily smoking was associated with lower acculturation, while daily smoking was linked with higher acculturation.

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Perceived discrimination and health outcomes among Asian Indians in the United States

Cited by 19 publications

References 60 publications

The Association Between the Perceived Unjust Treatment in Healthcare Settings and the Unmet Need for General Practitioner Services Among People With Foreign Background in Finland

The Association Between the Perceived Unjust Treatment in Healthcare Settings and the Unmet Need for General Practitioner Services Among People With Foreign Background in Finland

Accessing health services in India: experiences of seasonal migrants returning to Nepal

Daily and Nondaily Smoking Varies by Acculturation among English-Speaking, US Latino Men and Women

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