ArticleJournal of general internal medicine2007
Perceived discrimination and adherence to medical care in a racially integrated community.
Article in Journal of general internal medicine, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 138 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
138 citing papers in PubMed, 2 syntheses or guidelines pooled it, 247 citations in OpenAlex.
- Pooled it
- Ubiquitous Yet Unclear: A Systematic Review of Medical Mistrust.Behavioral medicine (Washington, D.C.)Pooled it
- Distrust in the Health Care System and Adherence to Direct-Acting Antiviral Therapy among People with HepatitisViruses · 2024Trial
- A randomized controlled trial of motivational interviewing tailored for heavy drinking latinxs.Journal of consulting and clinical psychology · 2019Trial
- Perceived racial discrimination and adoption of health behaviors in hypertensive Black Americans: the CAATCH trial.Journal of health care for the poor and underserved · 2014Trial
- Patient-reported racial/ethnic healthcare provider discrimination and medication intensification in the Diabetes Study of Northern California (DISTANCE).Journal of general internal medicine · 2011Trial
- Interventions improve poor adherence with once daily glaucoma medications in electronically monitored patients.Ophthalmology · 2009Trial
- Race and Patient-Physician Communication on Blood Pressure Management: Helping Improve Care.Current cardiology reports · 2026Review
- Discrimination and technology-based disease control.PloS one · 2026Article
- Religious Service Attendance, Religious Discrimination, and Well-being in a Nationally Representative Sample of Canadians.Journal of religion and health · 2025Article
- Examining the Intersectional and Structural Issues of Routine Healthcare Utilization and Access Inequities for LGB People with Chronic Diseases.International journal of environmental research and public health · 2025Article
- Who feels safe calling 911: are prior experiences of anti-Black racial discrimination associated with hesitancy seeking emergency medical services in the event of accidental drug overdose? - a study protocol.Annals of medicine · 2025Article
- Perceived Discrimination in Medical Care Settings on A1c Data From theHealth education & behavior : the official publication of the Society for Public Health Education · 2025Article
- Interpersonal discrimination experiences in outpatient care are associated with non-adherence - results of a population survey in Germany.BMC public health · 2025Article
- Experiences of discrimination across the life course among pregnancy planners in the United States and Canada.SSM - population health · 2025Article
- Self-rated pain and observed pain behavior in Black and White Americans with chronic low back pain.The journal of pain · 2025Article
- Perceived Discrimination in Health Care Settings and Care Delays in Patients With Diabetes and Hypertension.JAMA network open · 2025Article
- Marginalized Identities, Healthcare Discrimination, and Parental Stress about COVID-19.Journal of marriage and the family · 2025Article
- Disparities in Healthcare Accessibility and Discrimination Faced by Black Quebecers: a Race and Language Perspective.Journal of racial and ethnic health disparities · 2024Article
- Perceived discrimination and its association with self-rated health, chronic pain, mental health, and utilization of health services among Syrian refugees in Norway: a cross-sectional study.Frontiers in public health · 2024Article
78 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundPast research indicates that access to health care and utilization of services varies by sociodemographic characteristics, but little is known about racial differences in health care utilization within racially integrated communities.
objectiveTo determine whether perceived discrimination was associated with delays in seeking medical care and adherence to medical care recommendations among African Americans and whites living in a socioeconomically homogenous and racially integrated community.
designA cross-sectional analysis from the Exploring Health Disparities in Integrated Communities Study.
participantsStudy participants include 1,408 African-American (59.3%) and white (40.7%) adults (> or =18 years) in Baltimore, Md. MEASUREMENTS: An interviewer-administered questionnaire was used to assess the associations of perceived discrimination with help-seeking behavior for and adherence to medical care.
resultsFor both African Americans and whites, a report of 1-2 and >2 discrimination experiences in one's lifetime were associated with more medical care delays and nonadherence compared to those with no experiences after adjustment for need, enabling, and predisposing factors (odds ratio [OR] = 1.8, 2.6; OR = 2.2, 3.3, respectively; all P < .05). Results were similar for perceived discrimination occurring in the past year.
conclusionsExperiences with discrimination were associated with delays in seeking medical care and poor adherence to medical care recommendations INDEPENDENT OF NEED, ENABLING, AND PREDISPOSING FACTORS, INCLUDING MEDICAL MISTRUST; however, a prospective study is needed. Further research in this area should include exploration of other potential mechanisms for the association between perceived discrimination and health service utilization.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.