Public Health Seminar Series:

Effects of Perceived Discrimination and Medical Mistrust on Access to Care Among Young-Adult Latinos by Daniel López-Cevallos, PhD, MPH


CO-SPONSOR: UC Irvine Branch of the California Census Research Data Center

Friday, March 4, 2016 3:30PM - 5:00PM AIRB 1030 OCW Video Archive
Seminar Abstract

Latinos are not only the largest racial/ethnic minority in the United States, but also the youngest (with a median age of 27). The complex U.S. health care system can be particularly challenging for racial/ethnic minorities and immigrant populations. Racial/ethnic healthcare disparities arise in the context of social and economic inequalities, including racial and ethnic discrimination and mistrust. However, little research has analyzed the effects on mistrust and discrimination on health care outcomes among Latinos. In this presentation, I will present findings from two related studies that examine 1) the association between immigration status and perceived health care discrimination; and 2) the associations between medical mistrust, perceived discrimination, and satisfaction with health care. The sample included 387 young-adult Latinos (ages 18 to 25) living in Oregon. Health care discrimination was more prevalent among foreign born (45%) than US-born Latinos (32%). In multivariate analyses, foreign-born Latinos were more likely to experience health care discrimination (OR = 2.10, 95%CI: 1.16–3.82). In ordered logistic regression models, medical mistrust and perceived discrimination were independently associated with satisfaction with health care (OR=0.54, 95%CI: 0.39 – 0.76; OR=0.92, 95%CI: 0.86 – 0.99). These results suggest that young-adult Latinos experience high levels of discrimination and medical mistrust in health care settings. Future research will test the validity and reliability of a Latino health care discrimination scale, which could be used in health care monitoring systems and interventions towards reducing the negative effects of discrimination on racial/ethnic disparities in access to and quality of care.

Speaker Biography - Daniel López-Cevallos, PhD, MPH

Daniel López-Cevallos, PhD, MPH
Daniel López-Cevallos, PhD, MPH Associate Director of Research, Center for Latino/a Studies and Engagement, Oregon State University
Dr. López-Cevallos is Assistant Professor of Ethnic and Latino/a Studies, and Adjunct Professor of Global Health at Oregon State University. He earned his Ph.D. in Public Health with a concentration in International Health and Health Policy at the same institution. He earned a graduate certificate in Geographic Information Science, and a Master of Public Health at the Universidad San Francisco de Quito. His research focuses on health inequalities (disparities), access to health care, social participation in health & health care, migration and health, and healthy environments, primarily among Latino and Latin American migrant populations. He utilizes relevant theoretical and empirical tools, including: Community-Based Participatory Research/Participatory Action Research; the Social Determinants of Health framework; Multilevel Modeling; and Geographic Information Science.

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