Table 3.
Odds Ratios (95% Confidence Interval) for Delay in Seeking Medical Care and Adherence to Medical Care Recommendations (Several vs Few Issues) for Whites and African Americans for Lifetime Racial Discrimination and Discrimination in Getting Medical Care
Model 1* | Model 2† | Model 3‡ | ||||
---|---|---|---|---|---|---|
White | African-American | White | African-American | White | African-American | |
Several vs few | Several vs few | Several vs few | ||||
Racial discrimination score | ||||||
No discrimination experiences | Ref | Ref | Ref | Ref | Ref | Ref |
1–2 experiences | 2.3§ (1.6, 3.3) | 1.5§ (1.1, 2.1) | 2.6§ (1.7, 4.0) | 1.7§ (1.2, 2.5) | 2.2§ (1.4, 3.5) | 1.8§ (1.2, 2.6) |
>2 experiences | 4.2§ (2.1, 8.4) | 3.1§ (2.1, 4.4) | 3.8§ (1.7, 8.5) | 2.5§ (1.6, 3.9) | 3.3§ (1.4, 7.6) | 2.6§ (1.7, 4.1) |
Discrimination in getting medical care | ||||||
Yes versus no | 4.2§ (1.8, 9.9) | 2.5§ (1.5, 4.3) | 2.9 (1.0, 8.3) | 1.6 (0.8, 3.0) | 2.5 (0.8, 7.4) | 1.6 (0.8, 3.1) |
Delay in seeking and adherence to medical care score based on five questions; few indicates none or 1 issue; several indicates 2 to 5 issues.
*Model 1. Health care use = discrimination variable of interest (n = 1,408).
†Model 2. Health care use = discrimination variable, need and enabling (n = 1,210).
‡Model 3. Health care use = discrimination variable, need and enabling, and predisposing (n = 1,162).
§P < .05.
Health care use: delay in seeking and adherence to medical advice; discrimination variables: discrimination score, discrimination in getting medical care; need and enabling: income, insurance, regular doctor, medical transportation barriers, perceived health, comorbidities, and depression; and predisposing: age, race, education, and mistrust.