Title
Association between perceived discrimination and healthcare–seeking behavior in people with a disability
Date Issued
01 January 2018
Access level
metadata only access
Resource Type
journal article
Publisher(s)
Elsevier Inc.
Abstract
Background: Experiences of discrimination lead people from vulnerable groups to avoid medical healthcare. It is yet to be known if such experiences affect people with disabilities (PWD) in the same manner. Objectives: To determine the association between perceived discrimination and healthcare-seeking behavior in people with disabilities and to explore differences of this association across disability types. Methods: We performed a cross-sectional study with data from a national survey of people with disabilities. Perceived discrimination and care-seeking behavior were measured as self-reports from the survey. Dependence for daily life activities, possession of health insurance, and other disability-related variables were included and considered as confounders. We used Poisson regression models and techniques for multistage sampling in the analyses. A stratified analysis was used to explore effects of discrimination across types of disability. Results: Most of PWD were 65 years or older (67.1%). Prevalence of healthcare seeking was 78.8% in those who perceived discrimination, and 86.1% in those who did not. After adjusting for potential confounders, the probability of not seeking care was higher in people who reported perceived discrimination (adjusted PR = 1.15; 95%CI: 1.04–1.28). In a stratified analysis, significant effects of discrimination were found in people with communication disability (adjusted PR = 1.34, 95%CI: 1.07–1.67) and with physical disability (adjusted PR = 1.17, 95%CI: 1.03–1.34). Conclusions: People with disabilities who perceive discrimination are less likely to seek healthcare. This association was higher for people with communication and physical disabilities. These results provide evidence to institutions who attempt to tackle discrimination.
Start page
93
End page
98
Volume
11
Issue
1
Language
English
OCDE Knowledge area
Salud pública, Salud ambiental
Psicología (incluye terapias de aprendizaje, habla, visual y otras discapacidades físicas y mentales)
Subjects
Scopus EID
2-s2.0-85017457431
PubMed ID
Source
Disability and Health Journal
ISSN of the container
19366574
DOI of the container
10.1016/j.dhjo.2017.04.002
Source funding
Naval Medical Research Unit—6
Sponsor(s)
This article was prepared as part of the activities of the Masters in Epidemiological Research offered jointly by the Universidad Peruana Cayetano Heredia (UPCH) and the US Naval Medical Research Unit No. 6 (NAMRU-6), Peru. This program is part of the grant 2D43TW007393-11 “Peru Infectious Diseases Epidemiology Research Training Consortium”, sponsored by the Fogarty International Center of the US National Institutes of Health (NIH/FIC) .
This article was prepared as part of the activities of the Masters in Epidemiological Research offered jointly by the Universidad Peruana Cayetano Heredia (UPCH) and the US Naval Medical Research Unit No. 6 (NAMRU-6), Peru. This program is part of the grant 2D43TW007393-11 ?Peru Infectious Diseases Epidemiology Research Training Consortium?, sponsored by the Fogarty International Center of the US National Institutes of Health (NIH/FIC).
Sources of information:
Directorio de Producción Científica
Scopus