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Racial and cultural minority experiences and perceptions of health care provision in a mid-western region

Shepherd, Stephane M., Willis-Esqueda, Cynthia, Paradies, Yin, Sivasubramaniam, Diane, Sherwood, Juanita and Brockie, Teresa 2018, Racial and cultural minority experiences and perceptions of health care provision in a mid-western region, International journal for equity in health, vol. 17, no. 1, doi: 10.1186/s12939-018-0744-x.

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Title Racial and cultural minority experiences and perceptions of health care provision in a mid-western region
Author(s) Shepherd, Stephane M.
Willis-Esqueda, Cynthia
Paradies, YinORCID iD for Paradies, Yin orcid.org/0000-0001-9927-7074
Sivasubramaniam, Diane
Sherwood, Juanita
Brockie, Teresa
Journal name International journal for equity in health
Volume number 17
Issue number 1
Article ID 33
Total pages 10
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2018-03-16
ISSN 1475-9276
Keyword(s) Cultural competence
Cultural matching
Health care discrimination
Health disparities
Minority health
Science & Technology
Life Sciences & Biomedicine
Public, Environmental & Occupational Health
PERCEIVED DISCRIMINATION
MENTAL-HEALTH
DEPRESSIVE SYMPTOMS
UNITED-STATES
IDENTITY
OUTCOMES
RACE
BIAS
DISPARITIES
AMERICANS
Summary BACKGROUND: Disparities across a number of health indicators between the general population and particular racial and cultural minority groups including African Americans, Native Americans and Latino/a Americans have been well documented. Some evidence suggests that particular groups may receive poorer standards of care due to biased beliefs or attitudes held by health professionals. Less research has been conducted in specifically non-urban areas with smaller minority populations.

METHODS: This study explored the self-reported health care experiences for 117 racial and cultural minority Americans residing in a Mid-Western jurisdiction. Prior health care experiences (including perceived discrimination), attitudes towards cultural competence and satisfaction with health care interactions were ascertained and compared across for four sub-groups (African-American, Native American, Latino/a American, Asian American). A series of multiple regression models then explored relationships between a concert of independent variables (cultural strength, prior experiences of discrimination, education level) and health care service preferences and outcomes.

RESULTS: Overall, racial/cultural minority groups (African Americans, Native Americans, Latino/a Americans, and Asian Americans) reported general satisfaction with current healthcare providers, low levels of both health care provider racism and poor treatment, high levels of cultural strength and good access to health care services. Native American participants however, reported more frequent episodes of poor treatment compared to other groups. Incidentally, poor treatment predicted lower levels of treatment satisfaction and racist experiences predicted being afraid of attending conventional health care services. Cultural strength predicted a preference for consulting a health care professional from the same cultural background.

CONCLUSIONS: This study provided a rare insight into minority health care expectations and experiences in a region with comparatively lower proportions of racial and cultural minorities. Additionally, the study explored the impact of cultural strength on health care interactions and outcomes. While the bulk of the sample reported satisfaction with treatment, the notable minority of participants reporting poor treatment is still of some concern. Cultural strength did not appear to impact health care behaviours although it predicted a desire for cultural matching. Implications for culturally competent health care provision are discussed within.
Language eng
DOI 10.1186/s12939-018-0744-x
Field of Research 111799 Public Health and Health Services not elsewhere classified
1117 Public Health And Health Services
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2018, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30107007

Document type: Journal Article
Collections: School of Humanities and Social Sciences
Open Access Collection
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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.