• Login
    View Item 
    •   Home
    • UMass Chan Departments, Programs and Centers
    • Population and Quantitative Health Sciences
    • Population and Quantitative Health Sciences Publications
    • View Item
    •   Home
    • UMass Chan Departments, Programs and Centers
    • Population and Quantitative Health Sciences
    • Population and Quantitative Health Sciences Publications
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of eScholarship@UMassChanCommunitiesPublication DateAuthorsUMass Chan AffiliationsTitlesDocument TypesKeywordsThis CollectionPublication DateAuthorsUMass Chan AffiliationsTitlesDocument TypesKeywordsProfilesView

    My Account

    LoginRegister

    Help

    AboutSubmission GuidelinesData Deposit PolicySearchingUsage StatisticsAccessibilityTerms of UseWebsite Migration FAQ

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    The association between income, education, and experiences of discrimination in older African American and European American patients

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Authors
    Halanych, Jewell H.
    Safford, Monika M.
    Shikany, James M.
    Cuffee, Yendelela L.
    Person, Sharina D.
    Scarinci, Isabel C.
    Kiefe, Catarina I.
    Allison, Jeroan J.
    UMass Chan Affiliations
    Department of Quantitative Health Sciences
    Document Type
    Journal Article
    Publication Date
    2011-04-14
    Keywords
    *African Americans
    Aged
    Aged, 80 and over
    Cross-Sectional Studies
    *Educational Status
    *European Continental Ancestry Group
    Female
    Humans
    *Income
    *Life Change Events
    Male
    Middle Aged
    *Prejudice
    Southeastern United States
    Biostatistics
    Epidemiology
    Health Services Research
    Inequality and Stratification
    Show allShow less
    
    Metadata
    Show full item record
    Link to Full Text
    http://www.ishib.org/journal/21-2/ethn-21-02-223ab.pdf
    Abstract
    OBJECTIVE: Racial/ethnic discrimination has adverse effects on health outcomes, as does low income and education, but the relationship between discrimination, income, and education is not well characterized. In this study, we describe the associations of discrimination with income and education in elderly African Americans (AA) and European Americans (EA). DESIGN: Cross-sectional observational study involving computer-assisted telephone survey. SETTING: Southeastern United States. PARTICIPANTS: AA and EA Medicare managed care enrollees. MAIN OUTCOME MEASURES: Discrimination was measured with the Experience of Discrimination (EOD) scale (range 0-35). We used zero-inflated negative binomial models to determine the association between self-reported income and education and 1) presence of any discrimination and 2) intensity of discrimination. RESULTS: Among 1,800 participants (45% AA, 56% female, and mean age 73 years), EA reported less discrimination than AA (4% vs. 47%; P < .001). AA men reported more discrimination and more intense discrimination than AA women (EOD scores 4.35 vs. 2.50; P < .001). Both income and education were directly and linearly associated with both presence of discrimination and intensity of discrimination in AA, so that people with higher incomes and education experienced more discrimination. In adjusted models, predicted EOD scores among AA decreased with increasing age categories (3.42, 3.21, 2.99, 2.53; P < .01) and increased with increasing income (2.36, 3.44, 4.17; P < .001) and education categories (2.31, 3.09, 5.12; P < .001). CONCLUSIONS: This study suggests future research should focus less on differences between racial/ethnic groups and more on factors within minority populations that may contribute to healthcare disparities.
    Source
    Ethn Dis. 2011 Spring;21(2):223-9.
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/47888
    PubMed ID
    21749028
    Related Resources
    Link to Article in PubMed
    Collections
    Population and Quantitative Health Sciences Publications

    entitlement

    DSpace software (copyright © 2002 - 2023)  DuraSpace
    Lamar Soutter Library, UMass Chan Medical School | 55 Lake Avenue North | Worcester, MA 01655 USA
    Quick Guide | escholarship@umassmed.edu
    Works found in eScholarship@UMassChan are protected by copyright unless otherwise indicated.
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.