ArticleBMC public health2018
Barrier or stressor? The role of discrimination experiences in health service use.
Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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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.
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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.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Latent variable and clustering methods in intersectionality research: systematic review of methods applications.Social psychiatry and psychiatric epidemiology · 2022Pooled it
- Trial
- Phenomenological exploration of perceptions, experiences, facilitators, and inhibitors in patients with knee osteoarthritis during physiotherapy rehabilitation in a low- and middle-income country.BMC musculoskeletal disorders · 2026Article
- Discrimination, Satisfaction, and use of Public Healthcare Services by South American Migrants in Southern Chile: A Quantitative Study.Journal of immigrant and minority health · 2026Article
- Health care use as an aspect of immigrant integration? An analysis of health care cost convergence among new immigrants and natives in Finland.Journal of migration and health · 2026Article
- The Impact of Language on the Mental Health of Black Quebecers.Journal of racial and ethnic health disparities · 2023Article
- Article
- A comparison of single and intersectional social identities associated with discrimination and mental health service use: data from the 2014 Adult Psychiatric Morbidity Survey in England.Social psychiatry and psychiatric epidemiology · 2022Article
- Health protection challenges of slums residents during the COVID-19 pandemic, according to the social determinants of health framework: A case study of Kerman city in Iran.Journal of education and health promotion · 2022Article
- Access to mental healthcare in the year after first fit note: a longitudinal study of linked clinical records.BMJ open · 2021Article
- This is our lane: talking with patients about racism.Women's midlife health · 2021Review
- Adolescent profiles of ethnicity/race and socioeconomic status: Implications for sleep and the role of discrimination and ethnic/racial identity.Advances in child development and behaviorArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundDiscrimination is a well-established stressor that is substantially associated with poor health and a known contributor to health inequalities. However, the role of discrimination in health service use is less explored. This study will take an intersectional approach to investigate differences in health service use and examine the role of discrimination experiences.
methodsData on health service use were assessed in a diverse inner London sample of 1052 participants in the South East London Community Health (SELCoH) Study. Latent class analysis (LCA) was used to define classes of intersectional social status using multiple indicators of socioeconomic status (SES), ethnicity and migration status. Adjusted associations between intersectional social status and discrimination experiences with health service use indicators are presented.
resultsUsing latent class analysis allowed us to identify an intersectional social status characterized by multiple disadvantage that was associated with decreased secondary physical health service use and a class characterized by both privilege and disadvantage that was associated with increased health service use for mental disorder after controlling for age, gender and health status. Anticipated discrimination was also associated with increased service use for mental disorder in adjusted models. There was no evidence to suggest that discrimination experiences were acting as a barrier to health service use.
conclusionsThis study highlights the complex ways in which discrimination experiences may increase the need for health services whilst also highlighting differences in health service use at the intersection of ethnicity, migration status and SES. Findings from this study illustrate the importance of measuring multiple levels of discrimination and taking an intersectional approach for health service use research.
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