ArticleBMC public health2020
Discrimination in healthcare as a barrier to care: experiences of socially disadvantaged populations in France from a nationally representative survey.
Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 5 of them syntheses that pooled it.
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Who cites it
76 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- The Perpetual Cycle of Racial Bias in Healthcare and Healthcare Education: A Systematic Review.Journal of racial and ethnic health disparities · 2026Pooled it
- Acceptability of community health worker and peer supported interventions for ethnic minorities with type 2 diabetes: a qualitative systematic review.Frontiers in clinical diabetes and healthcare · 2024Pooled it
- Pooled it
- Ethnic inequalities in multiple long-term health conditions in the United Kingdom: a systematic review and narrative synthesis.BMC public health · 2023Pooled it
- Ethnic Inequalities in Healthcare Use and Care Quality among People with Multiple Long-Term Health Conditions Living in the United Kingdom: A Systematic Review and Narrative Synthesis.International journal of environmental research and public health · 2021Pooled it
- COVID-19 Prevention Behaviors and Mistrust Among Black and Latino Public Housing Residents in NYC.Health education & behavior : the official publication of the Society for Public Health Education · 2026Trial
- Predictors for non-response to PROMs across three areas of inpatient rehabilitation - a nationwide cross-sectional study in Switzerland.Journal of patient-reported outcomes · 2026Observational
- Diversity climate and discrimination at German universities: a cross-sectional study among students in health-related degree programs.BMC medical education · 2026Article
- Everyday Discrimination and Health Care Utilization Among US Adults.JAMA network open · 2026Article
- Bias and discrimination in healthcare through the eyes of future professionals: a qualitative study of student observations.BMC medical education · 2026Article
- Social Marketing for Health Equity: Promoting Preventive Health Behavior Among Women in Rural Communities.International journal of environmental research and public health · 2026Article
- Healthcare utilisation among migrants in the Netherlands' unique hybrid healthcare system: the HELIUS study.BMJ global health · 2026Article
- Equal cardiac arrest care - a qualitative study of healthcare professionals' experiences.BMC medical ethics · 2026Article
- COVID-Related Discrimination and Health Care Access among a Nationally Representative, Diverse Sample of US Adults.Journal of racial and ethnic health disparities · 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
- Morbidity burden and predictors of hospitalization among unaccompanied migrants and persons prone to statelessness in Ghana.PLOS global public health · 2026Article
- Article
- Interpersonal discrimination experiences in outpatient care are associated with non-adherence - results of a population survey in Germany.BMC public health · 2025Article
- Unseen barriers: addressing racism in European healthcare.International journal for equity in health · 2025Article
- Frequency of interpersonal discrimination experiences - differences between inpatient and outpatient care and associations with delayed and forgone care.International journal for equity in health · 2025Article
16 more citing papers are in PubMed but not listed here.
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Authors and funding
2 authors.
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Abstract
backgroundPeople in socially disadvantaged groups face a myriad of challenges to their health. Discrimination, based on group status such as gender, immigration generation, race/ethnicity, or religion, are a well-documented health challenge. However, less is known about experiences of discrimination specifically within healthcare settings, and how it may act as a barrier to healthcare.
methodsUsing data from a nationally representative survey of France (N = 21,761) with an oversample of immigrants, we examine rates of reported discrimination in healthcare settings, rates of foregoing healthcare, and whether discrimination could explain disparities in foregoing care across social groups.
resultsRates of both reporting discrimination within healthcare and reporting foregone care in the past 12 months were generally highest among women, immigrants from Africa or Overseas France, and Muslims. For all of these groups, experiences of discrimination potentially explained significant proportions of their disparity in foregone care (Percent disparity in foregone care explained for: women = 17%, second-generation immigrants = 8%, Overseas France = 13%, North Africa = 22%, Sub-Saharan Africa = 32%, Muslims = 26%). Rates of foregone care were also higher for those of mixed origin and people who reported "Other Religion", but foregone healthcare was not associated with discrimination for those groups.
conclusionsExperiences of discrimination within the healthcare setting may present a barrier to healthcare for people that are socially disadvantaged due to gender, immigration, race/ethnicity, or religion. Researchers and policymakers should consider barriers to healthcare that lie within the healthcare experience itself as potential intervention targets.
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