Perceived Discrimination and Racial Health Disparities: The Association of Race, Health Care Coverage and General Health on Perception of Discrimination
Wallace, Robyn Clemons
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Prior research acknowledges that racial health disparities are a challenge faced in public health. While the association between race, discrimination and health outcomes has been evaluated, this study explored perceived race-based discrimination and its association with health care coverage and self-evaluated general health. Multivariable logistic regression was conducted to examine if race, health care coverage status, and general health impact perceptions of an individual’s health care experience adjusting for age, gender, income, education attainment, and state. Analyses found that race - specifically self-identifying as Black, proved as a significant indicator for perceived discrimination while having poor general health and lacking health insurance coverage were both associated with increased odds and strong statistical relation to perceived discrimination regardless of race/ethnicity. Evidence from this research suggests that race and behavioral risk factors influence perceived bias and may further substantiate causal effects of racial health disparities.