Factors Associated with Perceived Racial Discrimination While Receiving Medical Care in the United States

<b>Background:</b> Health equity can only be achieved when every individual has access to quality healthcare without fear of being discriminated against. This study analyzed the sociodemographic characteristics associated with self-reported racial discrimination when receiving medical care in the United States. <b>Methods:</b> This quantitative cross-sectional study utilized the 2022 National Trends Survey 6. We performed a logistic regression analysis using 6102 survey responses from study participants who answered the question about perceived discrimination. <b>Results:</b> Older adults aged 75 years and above had significantly lower odds of reporting perceived discrimination when receiving medical care compared to those aged 18-34 years (AOR = 0.24; 95% CI: 0.10-0.58). The odds of reporting perceived discrimination were significantly higher among non-Hispanic Blacks (AOR = 7.30; 95% CI: 4.48-11.88), Hispanics (AOR = 3.56; 95% CI: 2.45-5.17), non-Hispanic Asians (AOR = 5.95; 95% CI: 2.25-15.73), and individuals identifying as non-Hispanic Other (AOR = 10.91; 95% CI: 5.42-21.98), compared to non-Hispanic Whites. Compared to individuals from households earning less than USD 20,000, the odds of reporting perceived discrimination when receiving medical care were significantly lower among individuals from households earning between USD 50,000 and <USD 75,000 (AOR = 0.42; 95% CI: 0.23-0.78) and those earning USD 75,000 or more (AOR = 0.43; 95% CI: 0.22-0.83). <b>Conclusions:</b> Despite having a multicultural and ethnically diverse population, racial discrimination persists in the United States and has become a barrier to achieving health equity. Health organizations should implement policies that ensure health workers attend mandatory anti-racism training.

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Journal
Healthcare
Published
2025-08-05
DOI
https://doi.org/10.3390/healthcare13151906
Primary Topic
Racial and Ethnic Identity Research
Type
article
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0.00
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article

Factors Associated with Perceived Racial Discrimination While Receiving Medical Care in the United States

Bushra Shah, Indira Karibayeva, Gulzar H. Shah, Elizabeth Ayangunna et al.
Healthcare
Racial and Ethnic Identity Research
article

Factors Associated with Perceived Racial Discrimination While Receiving Medical Care in the United States

Bushra Shah, Indira Karibayeva, Gulzar H. Shah, Elizabeth Ayangunna, Kingsley Kalu
article en

Abstract

<b>Background:</b> Health equity can only be achieved when every individual has access to quality healthcare without fear of being discriminated against. This study analyzed the sociodemographic characteristics associated with self-reported racial discrimination when receiving medical care in the United States. <b>Methods:</b> This quantitative cross-sectional study utilized the 2022 National Trends Survey 6. We performed a logistic regression analysis using 6102 survey responses from study participants who answered the question about perceived discrimination. <b>Results:</b> Older adults aged 75 years and above had significantly lower odds of reporting perceived discrimination when receiving medical care compared to those aged 18-34 years (AOR = 0.24; 95% CI: 0.10-0.58). The odds of reporting perceived discrimination were significantly higher among non-Hispanic Blacks (AOR = 7.30; 95% CI: 4.48-11.88), Hispanics (AOR = 3.56; 95% CI: 2.45-5.17), non-Hispanic Asians (AOR = 5.95; 95% CI: 2.25-15.73), and individuals identifying as non-Hispanic Other (AOR = 10.91; 95% CI: 5.42-21.98), compared to non-Hispanic Whites. Compared to individuals from households earning less than USD 20,000, the odds of reporting perceived discrimination when receiving medical care were significantly lower among individuals from households earning between USD 50,000 and <USD 75,000 (AOR = 0.42; 95% CI: 0.23-0.78) and those earning USD 75,000 or more (AOR = 0.43; 95% CI: 0.22-0.83). <b>Conclusions:</b> Despite having a multicultural and ethnically diverse population, racial discrimination persists in the United States and has become a barrier to achieving health equity. Health organizations should implement policies that ensure health workers attend mandatory anti-racism training.

HealthcareVol. 13(15)
Georgia Southern University (US), Oldham Council (GB)
Reduced inequalities, Peace, Justice and strong institutions
Openalex Percentile: Top 74%
Racial and Ethnic Identity Research
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