Discrimination in Healthcare Settings is Associated with Disability in Older Adults: Health and Retirement Study, 2008-2012

Journal of General Internal Medicine
Stephanie E RogersAlexander K Smith

Abstract

As our society ages, improving medical care for an older population will be crucial. Discrimination in healthcare may contribute to substandard experiences with the healthcare system, increasing the burden of poor health in older adults. Few studies have focused on the presence of healthcare discrimination and its effects on older adults. We aimed to examine the relationship between healthcare discrimination and new or worsened disability. This was a longitudinal analysis of data from the nationally representative Health and Retirement Study administered in 2008 with follow-up through 2012. Six thousand and seventeen adults over the age of 50 years (mean age 67 years, 56.3 % female, 83.1 % white) were included in this study. Healthcare discrimination assessed by a 2008 report of receiving poorer service or treatment than other people by doctors or hospitals (never, less than a year=infrequent; more than once a year=frequent). Outcome was self-report of new or worsened disability by 2012 (difficulty or dependence in any of six activities of daily living). We used a Cox proportional hazards model adjusting for age, race/ethnicity, gender, net worth, education, depression, high blood pressure, diabetes, cancer, lung disease, heart...Continue Reading

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Citations

Feb 3, 2016·Seminars in Oncology Nursing·Mary Pat LynchAnn Kutney-Lee
May 13, 2015·Journal of General Internal Medicine·Kim Rhoads, Daniel Dohan
May 17, 2017·The Gerontologist·José Manuel Sousa São JoséAnnika Taghizadeh Larsson
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Mar 12, 2021·Neuro-oncology·Brigitta G Baumert, Gianfranco Angelo Pesce

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