ArticleJournal of general internal medicine2026
Factors Associated with Perceived Discrimination in Healthcare Among United States Middle-aged and Older Adults.
Article in Journal of general internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Everyday Discrimination and Health Care Utilization Among US Adults.JAMA network open · 2026Article
- Association Between Discrimination in Health Care and ASCVD Among Middle-Aged and Older Adults in the United States.Circulation. Population health and outcomes · 2026Article
- Social Marketing for Health Equity: Promoting Preventive Health Behavior Among Women in Rural Communities.International journal of environmental research and public health · 2026Article
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Authors and funding
8 authors.
Funding
Abstract
backgroundDiscrimination in healthcare settings impedes quality care, leading to poorer health outcomes.
objectiveTo examine racial differences in perceived discrimination in healthcare settings across age among middle-aged and older adults and identify factors associated with these experiences.
designLongitudinal cohort data from the Health and Retirement Study collected between 2008 and 2020.
participantsThe sample included 17,478 United States adults aged 50 and older who had at least one doctor visit or hospitalization in the prior two years. MAIN MEASURES: Self-reported perceived discrimination in healthcare settings, measured using an item from the Everyday Discrimination Scale and categorized as "never" versus "any" experienced discrimination. Generalized linear mixed models were used to identify factors associated with experiencing discrimination. Assessed factors included sociodemographic (age, gender, marital status, education, wealth, insurance status, employment) and clinical characteristics (depressive symptoms, difficulty with activities of daily living [ADLs], number of doctor visits, hospitalizations, body mass index [BMI], and comorbidities).
resultsBlack adults were significantly more likely to experience discrimination in healthcare settings than White adults, and these disparities were most pronounced at younger ages. Factors associated with higher odds of reporting discrimination included Black race, male gender, not being married, being uninsured, higher educational attainment, depressive symptoms, difficulty with ADLs, history of arthritis, and higher BMI. In race-stratified analyses, unemployment was associated with higher odds of reporting discrimination among Black adults. Among White adults, being unmarried and uninsured were significant factors associated with discrimination. CONCLUSIONS AND RELEVANCE: Black adults reported higher rates of perceived discrimination in healthcare settings than White adults, especially during middle adulthood. Multiple sociodemographic and clinical factors were associated with these experiences. These findings underscore the need to address discrimination in healthcare to improve patient-provider relationships among middle-aged and older adults.
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