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Impact of Perceived Racism on Healthcare Access Among Older Minority Adults (American Journal of Preventive Medicine)

Publication Topics

California Health Interview Survey; 2015 California Health Interview Survey (CHIS 2015); Access to Health Care; Barriers to/Disparities in Health Care; Screening for Early Disease Detection; Use of Health Services; Racial and Ethnic Groups

Publication Type

CHIS Journal Article

Publication Date


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This study investigates whether perceived racism is associated with delayed/forgone care among minority older adults, and whether poor doctor communication mediates this relationship. Study cohort consisted of 1,756 minority participants, aged 65 years and older, in the 2015 California Health Interview Survey (CHIS). Multivariable logistic regression analyses were conducted with relevant covariates, including insurance coverage, years living in the U.S., and language. A mediation analysis was also performed.

  • Among minority older individuals, perceived racism was significantly associated with delayed/forgone care.
  • Poor doctor communication significantly and partially mediated the relationship, accounting for 9.9% of the total effect.
Perceived racism may contribute to health disparities for older minority individuals in part through doctors communicating messages that discourage adequate utilization of health care. Future research should explore culturally sensitive communication skills that reduce this barrier to receiving adequate health care.


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Journal Article: Impact of Perceived Racism on Healthcare Access Among Older Minority Adults

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Press Release

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California Health Interview Survey (CHIS)

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Version: 2.0
Created at 7/18/2019 3:17 PM by i:0#.f|uclachissqlmembershipprovider|celeste
Last modified at 7/18/2019 3:18 PM by i:0#.f|uclachissqlmembershipprovider|celeste