Health care barriers, racism, and intersectionality in Australia

Social Science & Medicine
João L BastosYin C Paradies

Abstract

While racism has been shown to negatively affect health care quality, little is known about the extent to which racial discrimination works with and through gender, class, and sexuality to predict barriers to health care (e.g., perceived difficulty accessing health services). Additionally, most existing studies focus on racial disparities in the U.S. context, with few examining marginalized groups in other countries. To address these knowledge gaps, we analyze data from the 2014 Australian General Social Survey, a nationally representative survey of individuals aged 15 and older living in 12,932 private dwellings. Following an intersectional perspective, we estimate a series of multivariable logit regression models to assess three hypotheses: racial discrimination will be positively associated with perceived barriers to health care (H1); the effect of perceived racial discrimination will be particularly severe for women, sexual minorities, and low socio-economic status individuals (H2); and, in addition to racial discrimination, other forms of perceived discrimination will negatively impact perceived barriers to health care (H3). Findings show that perceptions of racial discrimination are significantly associated with perceived...Continue Reading

Citations

May 14, 2019·Qualitative Health Research·Sacha KendallElizabeth Sullivan
Oct 1, 2019·Journal of Advanced Nursing·Shoshana V AronowitzTherese S Richmond
Dec 7, 2019·Australasian Journal on Ageing·Jeromey B TempleRuth Williams
Aug 8, 2019·Health Promotion International·Emma HeardAllyson Mutch
Aug 28, 2020·Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community·Alison Gerlach, Colleen Varcoe
Dec 17, 2020·International Journal of Health Services : Planning, Administration, Evaluation·Helena Mendes Constante, João Luiz Bastos
Jan 3, 2021·Journal of Bioethical Inquiry·Amanuel Elias, Yin Paradies
Mar 13, 2021·International Journal of Health Services : Planning, Administration, Evaluation·Sze Yan LiuPeter Muennig
May 1, 2021·International Journal of Environmental Research and Public Health·Kathomi GatwiriElizabeth Rix
May 22, 2021·Health Sociology Review : the Journal of the Health Section of the Australian Sociological Association·Zubaidah Mohamed ShaburdinTrudie Newman
Jun 22, 2021·Nursing Inquiry·Ashley M RuizLucy Mkandawire-Valhmu
Jul 28, 2021·Nursing Inquiry·Suzanne WilleyMandy Truong
Dec 12, 2021·Journal of Health Organization and Management·Peter NugusLerona Dana Lewis

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