Discrimination in Medical Settings across Populations: Evidence From the All of Us Research Program

Discrimination in medical settings (DMS) contributes to healthcare disparities in the United States, but few studies have determined the extent of DMS in a large national sample and across different populations. This study estimated the national prevalence of DMS and described demographic and health...

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Bibliographic Details
Published in:American journal of preventive medicine 2024-10, Vol.67 (4), p.568-580
Main Authors: Wang, Vivian Hsing-Chun, Cuevas, Adolfo G., Osokpo, Onome Henry, Chang, Ji Eun, Zhang, Donglan, Hu, Anqing, Yun, Jeongwook, Lee, Adaora, Du, Shilei, Williams, David R., Pagán, José A.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Female
Healthcare Disparities - statistics & numerical data
Humans
Male
Middle Aged
Prevalence
Racism - statistics & numerical data
Socioeconomic Factors
Surveys and Questionnaires
United States
Young Adult
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Summary:Discrimination in medical settings (DMS) contributes to healthcare disparities in the United States, but few studies have determined the extent of DMS in a large national sample and across different populations. This study estimated the national prevalence of DMS and described demographic and health-related characteristics associated with experiencing DMS in seven different situations. Survey data from 41,875 adults participating in the All of Us Research Program collected in 2021–2022 and logistic regression were used to examine the association between sociodemographic and health-related characteristics and self-reported DMS among adults engaged with a healthcare provider within the past 12 months. Statistical analysis was performed in 2023–2024. About 36.89% of adults reported having experienced at least one DMS situation. Adults with relative social and medical disadvantages had higher prevalence of experiencing DMS. Compared to their counterparts, respondents with higher odds of experiencing DMS in at least one situation identified as female, non-Hispanic Black, having at least some college, living in the South, renter, having other living arrangement, being publicly insured, not having a usual source of care, having multiple chronic conditions, having any disability, and reporting fair or poor health, p
ISSN:0749-3797
1873-2607
1873-2607
DOI:10.1016/j.amepre.2024.05.018