Racial and cultural minority experiences and perceptions of health care provision in a mid-western region

Stephane M. Shepherd, Cynthia Willis-Esqueda, Yin Paradies, Diane Sivasubramaniam, Juanita Sherwood, Teresa Brockie

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: Disparities across a number of health indicators between the general population and particular racial and cultural minority groups including African Americans, Native Americans and Latino/a Americans have been well documented. Some evidence suggests that particular groups may receive poorer standards of care due to biased beliefs or attitudes held by health professionals. Less research has been conducted in specifically non-urban areas with smaller minority populations. Methods: This study explored the self-reported health care experiences for 117 racial and cultural minority Americans residing in a Mid-Western jurisdiction. Prior health care experiences (including perceived discrimination), attitudes towards cultural competence and satisfaction with health care interactions were ascertained and compared across for four sub-groups (African-American, Native American, Latino/a American, Asian American). A series of multiple regression models then explored relationships between a concert of independent variables (cultural strength, prior experiences of discrimination, education level) and health care service preferences and outcomes. Results: Overall, racial/cultural minority groups (African Americans, Native Americans, Latino/a Americans, and Asian Americans) reported general satisfaction with current healthcare providers, low levels of both health care provider racism and poor treatment, high levels of cultural strength and good access to health care services. Native American participants however, reported more frequent episodes of poor treatment compared to other groups. Incidentally, poor treatment predicted lower levels of treatment satisfaction and racist experiences predicted being afraid of attending conventional health care services. Cultural strength predicted a preference for consulting a health care professional from the same cultural background. Conclusions: This study provided a rare insight into minority health care expectations and experiences in a region with comparatively lower proportions of racial and cultural minorities. Additionally, the study explored the impact of cultural strength on health care interactions and outcomes. While the bulk of the sample reported satisfaction with treatment, the notable minority of participants reporting poor treatment is still of some concern. Cultural strength did not appear to impact health care behaviours although it predicted a desire for cultural matching. Implications for culturally competent health care provision are discussed within.

Original languageEnglish (US)
Article number33
JournalInternational Journal for Equity in Health
Volume17
Issue number1
DOIs
StatePublished - Mar 16 2018

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Delivery of Health Care
North American Indians
Hispanic Americans
African Americans
Health Services
Minority Groups
Asian Americans
Health Personnel
Health Status
Therapeutics
Minority Health
Cultural Competency
Attitude to Health
Racism
Health Services Accessibility
Standard of Care
Population
Education
Health
Research

Keywords

  • Cultural competence
  • Cultural matching
  • Health care discrimination
  • Health disparities
  • Minority health

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

Cite this

Racial and cultural minority experiences and perceptions of health care provision in a mid-western region. / Shepherd, Stephane M.; Willis-Esqueda, Cynthia; Paradies, Yin; Sivasubramaniam, Diane; Sherwood, Juanita; Brockie, Teresa.

In: International Journal for Equity in Health, Vol. 17, No. 1, 33, 16.03.2018.

Research output: Contribution to journalArticle

Shepherd, Stephane M. ; Willis-Esqueda, Cynthia ; Paradies, Yin ; Sivasubramaniam, Diane ; Sherwood, Juanita ; Brockie, Teresa. / Racial and cultural minority experiences and perceptions of health care provision in a mid-western region. In: International Journal for Equity in Health. 2018 ; Vol. 17, No. 1.
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