The impact of racism on subsequent healthcare use and experiences for adult New Zealanders : (Record no. 8529)

MARC details
000 -LEADER
fixed length control field 03779nab a22003497a 4500
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20250625151654.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 240201s2024 -nz|| |||| 00| 0 eng d
040 ## - CATALOGING SOURCE
Original cataloging agency AFVC
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Harris, Ricci
9 (RLIN) 12601
245 ## - TITLE STATEMENT
Title The impact of racism on subsequent healthcare use and experiences for adult New Zealanders :
Remainder of title a prospective cohort study
Statement of responsibility, etc Ricci Harris, Donna Cormack, Andrew Waa, Richard Edwards and James Stanley
260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT)
Name of publisher, distributor, etc BMC,
Date of publication, distribution, etc 2024
500 ## - GENERAL NOTE
General note BMC Public Health, 2024, 24: 136
520 ## - SUMMARY, ETC.
Summary, etc Background: Racism is an important determinant of health and driver of racial/ethnic health inequities. Experience of racism has been linked to negative healthcare use and experiences although most studies have been cross-sectional. This study examines the relationship between reported experience of racism and subsequent use and experience of health services.<br/><br/>Methods: This is a prospective cohort study design. The 2016/2017 adult New Zealand Health Survey (NZHS) provided the sampling frame and baseline data on exposures, health status and confounders. This stand-alone study invited all exposed individuals to participate when sampled based on their reported experience of racism (ever), stratified by broad ethnic groupings (Māori, Pacific, Asian, European/Other). Equal numbers of unexposed participants were selected for invitation using propensity score matching (propensity to experience racism, based on key available predictive factors). Follow-up was one to two years after NZHS interview. Outcome variables (last 12 months) were: unmet healthcare need (overall, for mental health, for a general practitioner); satisfaction with usual medical centre; and experiences with general practitioners (explaining care, involvement in decision-making, treated with respect/dignity, confidence and trust). Logistic regression models examining the association between experience of racism (at baseline) and health service use and experience (at follow-up) used doubly-robust estimation to weight for propensity scores used in the sampling with additional adjustment for confounders.<br/><br/>Results: The study had 2010 participants. Experience of racism (ever) at baseline was associated with higher overall unmet need at follow-up (adjusted OR (aOR) = 1.71, 95% CI 1.31, 2.23), with similar patterns for other unmet need measures. Experience of racism was associated with higher dissatisfaction with a usual medical centre (aOR = 1.41, 95% CI 1.10, 1.81) and with higher reporting of negative patient experiences.<br/><br/>Conclusion: In line with how racism structures oppression, exposure to racism is largely felt by non-European groups in Aotearoa New Zealand. Experiences of racism potentially lead to poorer healthcare and healthcare inequities through higher unmet need, lower satisfaction and more negative experiences of healthcare. The health system has a critical role to play in addressing racism within healthcare and supporting societal efforts to eliminate racism and ethnic inequalities. (Authors' abstract). Record #8529
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element ASIAN PEOPLES
9 (RLIN) 66
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element ETHNIC COMMUNITIES
9 (RLIN) 8712
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element HAUORA
9 (RLIN) 281
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element HEALTH
9 (RLIN) 283
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element MĀORI
9 (RLIN) 357
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element PACIFIC PEOPLES
9 (RLIN) 3408
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element PASIFIKA
9 (RLIN) 419
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element RACISM
9 (RLIN) 3087
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element WHAKAHĀWEA IWI
9 (RLIN) 7831
651 #4 - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Geographic name NEW ZEALAND
9 (RLIN) 2588
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Cormack, Donna
9 (RLIN) 10910
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Waa, Andrew
9 (RLIN) 12602
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Edwards, Richard
9 (RLIN) 12603
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Stanley, James
9 (RLIN) 4681
773 0# - HOST ITEM ENTRY
Title BMC Public Health, 2024, 24: 136
830 ## - SERIES ADDED ENTRY--UNIFORM TITLE
Uniform title BMC Public Health
9 (RLIN) 4668
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://doi.org/10.1186/s12889-023-17603-6">https://doi.org/10.1186/s12889-023-17603-6</a>
Public note DOI: 10.1186/s12889-023-17603-6 (Open access)
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme Dewey Decimal Classification
Koha item type Journal article
Classification part news125
Holdings
Withdrawn status Lost status Source of classification or shelving scheme Damaged status Not for loan Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
    Dewey Decimal Classification     Vine library Vine library 01/02/2024   Online ON24020003 01/02/2024 01/02/2024 Access online