ArticleAmerican journal of preventive medicine2019
Impact of Perceived Racism on Healthcare Access Among Older Minority Adults.
Article in American journal of preventive medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.
- Association Between Patient Race/Ethnicity, Health Literacy, Socio-Economic Status, and Incidence of Medication Errors: A Systematic Review.Journal of racial and ethnic health disparities · 2026Pooled it
- Association of everyday discrimination with health outcomes among Asian and non-Asian US older adults before and during the COVID-19 pandemic.Frontiers in public health · 2022Trial
- Race and Ethnicity as Factors in Healthcare Discrimination in the United States: A Cross-Sectional Study.Journal of racial and ethnic health disparities · 2026Article
- Factors Associated with Emergency Department Utilization among Older Black Adults with Chronic Illness in the United States.Journal of racial and ethnic health disparities · 2026Article
- Identifying Barriers and Facilitators to Accessing Care for Historically Marginalized Communities Affected by Parkinson Disease: A Qualitative Study.Journal of racial and ethnic health disparities · 2025Article
- Anti-Black racism in Canadian health care: a qualitative study of diverse perceptions of racism and racial discrimination among Black adults in Montreal, Quebec.BMC public health · 2024Article
- Community attitudes and Indigenous health disparities: evidence from Australia's Voice referendum.The Lancet regional health. Western Pacific · 2024Article
- Development of an evidence-informed governance and stewardship framework for elderly healthcare in Iran: A qualitative study.Heliyon · 2024Article
- COVID-19 and Access to Kidney Transplantation for Older Candidates in the United States: A National Registry Study.Kidney medicine · 2024Article
- Vaccination intention and uptake within the Black community in Appalachia.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2023Article
- Considerations When Designing and Implementing Pragmatic Clinical Trials That Include Older Hispanics.Ethnicity & disease · 2023Article
- Health Effects of Policing in Hospitals: a Narrative Review.Journal of racial and ethnic health disparities · 2023Review
- The Perception of Nurses about Migrants after the COVID-19 Pandemic: Close Contact Improves the Relationship.International journal of environmental research and public health · 2023Article
- Exploring the intersection of structural racism and ageism in healthcare.Journal of the American Geriatrics Society · 2022Article
- Development, Application and Evaluation of an Active Learning Methodology for Health Science Students, Oriented towards Equity and Cultural Diversity in the Treatment and Care of Geriatric Patients.International journal of environmental research and public health · 2022Article
- Disparities in Psychosocial Distress Screening and Management of Lung and Ovarian Cancer Survivors.JCO oncology practice · 2022Article
- Looking through racism in the nurse-patient relationship from the lens of culturally congruent care: A scoping review.Journal of advanced nursing · 2022Article
- Virtual Care and the Inverse Care Law: Implications for Policy, Practice, Research, Public and Patients.International journal of environmental research and public health · 2022Article
- Racism in healthcare: a scoping review.BMC public health · 2022Article
- Community Partnership Guide for Engaging with Academic Researchers.Progress in community health partnerships : research, education, and action · 2022Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
introductionOlder minority individuals are less likely to receive adequate health care than their white counterparts. This study investigates whether perceived racism is associated with delayed/forgone care among minority older adults, and whether poor doctor communication mediates this relationship.
methodsStudy cohort consisted of minority participants, aged ≥65 years, in the 2015 California Health Interview Survey (N=1,756). Authors obtained data in November 2017, and statistical analyses were performed from February to April 2018. 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.
resultsAmong minority older individuals, perceived racism was significantly associated with delayed/forgone care (AOR=3.92, 95% CI=1.38, 11.15, p=0.010). Poor doctor communication significantly and partially mediated the relationship (AOR=3.64, 95% CI=1.30, 10.21, p=0.014), accounting for 9.9% of the total effect.
conclusionsPerceived 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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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.