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Racism and health service utilisation: a systematic review and meta-analysis

Ben, Jehonathan, Cormack, Donna, Harris, Ricci and Paradies, Yin 2017, Racism and health service utilisation: a systematic review and meta-analysis, PLoS one, vol. 12, no. 12, pp. 1-22, doi: 10.1371/journal.pone.0189900.

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Title Racism and health service utilisation: a systematic review and meta-analysis
Author(s) Ben, Jehonathan
Cormack, Donna
Harris, Ricci
Paradies, YinORCID iD for Paradies, Yin orcid.org/0000-0001-9927-7074
Journal name PLoS one
Volume number 12
Issue number 12
Article ID e0189900
Start page 1
End page 22
Total pages 22
Publisher Public Library of Science
Place of publication San Francisco, Calif.
Publication date 2017-12-18
ISSN 1932-6203
Keyword(s) adult
aged
communication
delivery of health care
ethnic groups
female
health personnel
health services
health services research
male
middle aged
odds ratio
outcome assessment (health care)
patient compliance
patient satisfaction
prejudice
racism
treatment outcome
United States
Summary Although racism has been posited as driver of racial/ethnic inequities in healthcare, the relationship between racism and health service use and experience has yet to be systematically reviewed or meta-analysed. This paper presents a systematic review and meta-analysis of quantitative empirical studies that report associations between self-reported racism and various measures of healthcare service utilisation. Data were reviewed and extracted from 83 papers reporting 70 studies. Studies included 250,850 participants and were conducted predominately in the U.S. The meta-analysis included 59 papers reporting 52 studies, which were analysed using random effects models and mean weighted effect sizes. Racism was associated with more negative patient experiences of health services (HSU-E) (OR = 0.351 (95% CI [0.236,0.521], k = 19), including lower levels of healthcare-related trust, satisfaction, and communication. Racism was not associated with health service use (HSU-U) as an outcome group, and was not associated with most individual HSU-U outcomes, including having had examinations, health service visits and admissions to health professionals and services. Racism was associated with health service use outcomes such as delaying/not getting healthcare, and lack of adherence to treatment uptake, although these effects may be influenced by a small sample of studies, and publication bias, respectively. Limitations to the literature reviewed in terms of study designs, sampling methods and measurements are discussed along with suggested future directions in the field.
Language eng
DOI 10.1371/journal.pone.0189900
Field of Research 111799 Public Health and Health Services not elsewhere classified
MD Multidisciplinary
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2017, Ben et al.
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30105676

Document type: Journal Article
Collections: Alfred Deakin Research Institute
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.