Work

Unconscious Biases: Racial Microaggressions in American Indian Health Care

Year: 2015

Type: article

Abstract: PURPOSE: This article reports on the prevalence and correlates of microaggressive experiences in health care settings reported by American Indian (AI) adults with type 2 diabetes mellitus (T2DM). METHODS: This community-based participatory research project includes two AI reservation communities. Data were collected via in-person article-and-pencil survey interviews with 218 AI adults diagnosed with T2DM. RESULTS: Greater than one third of the sample reported experiencing a microaggression in interactions with their health providers. Reports of microaggressions were correlated with self-reported history of heart attack, worse depressive symptoms, and prior-year hospitalization. Depressive symptom ratings seemed to account for some of the association between microaggressions and hospitalization (but not history of heart attack) in multivariate models. CONCLUSIONS: Microaggressive experiences undermine the ideals of patient-centered care and in this study were correlated with worse mental and physical health reports for AIs living with a chronic disease. Providers should be cognizant of these subtle, often unconscious forms of discrimination.

Source: The Journal of the American Board of Family Medicine

DOI: 10.3122/jabfm.2015.02.140194

Authors: M. L. Walls, J. Gonzalez, T. Gladney, E. Onello

Institutions: University of Minnesota, University of St. Thomas - Minnesota, University of Minnesota, Duluth, Bemidji State University

Language: English

Topic: Racial and Ethnic Identity Research

Subfield: Sociology and Political Science

Field: Social Sciences

Domain: Social Sciences

SDGs: Good health and well-being, Reduced inequalities

Open Access status: bronze

Funders: Australian Government, National Institutes of Health, National Institute of Mental Health