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The Influence of Perceived Discrimination in Healthcare Settings on Psychological Distress among a Diverse Sample of Older Asian Americans (Aging & Mental Health)

Publication Topics

Access to Health Care; Barriers to/Disparities in Health Care; Asian; Mental and Emotional Health; California Health Interview Survey; 2015 California Health Interview Survey (CHIS 2015); 2016 California Health Interview Survey (CHIS 2016); 2017 California Health Interview Survey (CHIS 2017); Elderly

Publication Type

CHIS Journal Article

Publication Date


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<a onclick="OpenPopUpPage('http:\u002f\\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=1945\u0026RootFolder=*', RefreshPage); return false;" href=";ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=1945&amp;RootFolder=*">Chien-Ching Li</a>

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SummaryThe purpose of this study was to determine the relationship between discrimination in health care settings and psychological distress. This study utilized a retrospective cross-sectional study design. The dataset was obtained from 2015–2017 California Health Interview Survey (CHIS). Health care discrimination experience (yes, no) was measured using the following question "Over your entire lifetime, how often have you been treated unfairly when getting medical care (never, rarely, sometimes, often)?" Psychological distress was the study outcome and was measured using the Kessler Psychological Distress Scale. A composite score (0–24) was created for psychological distress for the prior 30 days and for the worse most in the past 12 months. A hierarchical multivariate linear regression was conducted to examine the influence of health care discrimination experience on psychological distress after adjusting for other covariates.

Findings: Study participants had a mean age of 64.35 years, were primarily female (54.93%), heterosexual (96.61%), and married or living with a partner (73.37%). About 10% of older Asian Americans ever perceived health care discrimination over their entire lifetime. Perceived discrimination was associated with higher levels of psychological distress for the past 30 days and for the worst month in the past year after controlling for covariates.

Self-reported discrimination was relatively low in this sample of older Asian American adults. However, consistent with prior research, perceived discrimination in the healthcare setting was associated with increased psychological distress. The findings have implications for improving the quality of health care services received.


Article 1

Journal Article: The Influence of Perceived Discrimination in Healthcare Settings on Psychological Distress among a Diverse Sample of Older Asian Americans

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Press Release

Related Link 1

California Health Interview Survey (CHIS)

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Version: 4.0
Created at 8/11/2021 9:28 PM by i:0#.f|uclachissqlmembershipprovider|celeste
Last modified at 9/2/2021 2:14 PM by i:0#.f|uclachissqlmembershipprovider|venetia