Perceived discrimination and adherence to medical care in a racially integrated community.

摘要: Background Past research indicates that access to health care and utilization of services varies by sociodemographic characteristics, but little is known about racial differences in within racially integrated communities. Objective To determine whether perceived discrimination was associated with delays seeking medical adherence recommendations among African Americans whites living a socioeconomically homogenous community. Design A cross-sectional analysis from the Exploring Health Disparities Integrated Communities Study. Participants Study participants include 1,408 African-American (59.3%) white (40.7%) adults (≥18 years) Baltimore, Md. Measurements An interviewer-administered questionnaire used assess associations help-seeking behavior for care. Results For both whites, report 1–2 >2 experiences one’s lifetime were more nonadherence compared those no after adjustment need, enabling, predisposing factors (odds ratio [OR]=1.8, 2.6; OR=2.2, 3.3, respectively; all P<.05). Results similar occurring past year. Conclusions Experiences poor INDEPENDENT OF NEED, ENABLING, AND PREDISPOSING FACTORS, INCLUDING MEDICAL MISTRUST; however, prospective study needed. Further this area should exploration other potential mechanisms association between service utilization.