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dc.contributor.authorBen, J
dc.contributor.authorCormack, D
dc.contributor.authorHarris, R
dc.contributor.authorParadies, Y
dc.date.accessioned2020-12-18T02:47:57Z
dc.date.available2020-12-18T02:47:57Z
dc.date.issued2017-12-18
dc.identifierpii: PONE-D-17-29456
dc.identifier.citationBen, J., Cormack, D., Harris, R. & Paradies, Y. (2017). Racism and health service utilisation: A systematic review and meta-analysis. PLOS ONE, 12 (12), https://doi.org/10.1371/journal.pone.0189900.
dc.identifier.issn1932-6203
dc.identifier.urihttp://hdl.handle.net/11343/255501
dc.description.abstractAlthough racism has been posited as driver of racial/ethnic inequities in healthcare, the relationship between racism and health service use and experience has yet to be systematically reviewed or meta-analysed. This paper presents a systematic review and meta-analysis of quantitative empirical studies that report associations between self-reported racism and various measures of healthcare service utilisation. Data were reviewed and extracted from 83 papers reporting 70 studies. Studies included 250,850 participants and were conducted predominately in the U.S. The meta-analysis included 59 papers reporting 52 studies, which were analysed using random effects models and mean weighted effect sizes. Racism was associated with more negative patient experiences of health services (HSU-E) (OR = 0.351 (95% CI [0.236,0.521], k = 19), including lower levels of healthcare-related trust, satisfaction, and communication. Racism was not associated with health service use (HSU-U) as an outcome group, and was not associated with most individual HSU-U outcomes, including having had examinations, health service visits and admissions to health professionals and services. Racism was associated with health service use outcomes such as delaying/not getting healthcare, and lack of adherence to treatment uptake, although these effects may be influenced by a small sample of studies, and publication bias, respectively. Limitations to the literature reviewed in terms of study designs, sampling methods and measurements are discussed along with suggested future directions in the field.
dc.languageEnglish
dc.publisherPUBLIC LIBRARY SCIENCE
dc.titleRacism and health service utilisation: A systematic review and meta-analysis
dc.typeJournal Article
dc.identifier.doi10.1371/journal.pone.0189900
melbourne.affiliation.departmentMelbourne School of Population and Global Health
melbourne.source.titlePLoS One
melbourne.source.volume12
melbourne.source.issue12
dc.rights.licenseCC BY
melbourne.elementsid1285716
melbourne.contributor.authorParadies, Yin
dc.identifier.eissn1932-6203
melbourne.accessrightsOpen Access


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