Disparities in Healthcare Accessibility and Discrimination Faced by Black Quebecers: a Race and Language Perspective.

IF 3.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Racial and Ethnic Health Disparities Pub Date : 2024-10-01 Epub Date: 2023-07-26 DOI:10.1007/s40615-023-01724-0

Xiaoyan Fang, John Davids, Richard Koestner

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Abstract

The Black population in Canada is characterized by its long-established history and diversity. The present study aims to expand our current understanding of the relation between discrimination and disparities in healthcare by including race and language as determinants of health. We recruited 531 Black adults who are currently living in Quebec, Canada, to complete a survey measuring socio-demographic characteristics, mental and physical health, accessibility to healthcare, and experiences of discrimination. Results showed that being a racialized and linguistic minority population in Quebec, English-speaking Black participants experienced more discrimination, fewer healthcare providers, less access to COVID-19 information during the COVID-19 pandemic, and were more dissatisfied with the healthcare system than French-speaking Black participants. Furthermore, the negative impacts of healthcare access associated with being a racialized and linguistic minority population in Quebec (e.g., the English-speaking Black population) were shown to be mediated by experiences of discrimination and dissatisfaction with the healthcare system.

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魁北克黑人在获得医疗服务方面面临的差异和歧视：种族和语言视角。

加拿大黑人人口的特点是历史悠久且具有多样性。本研究旨在通过将种族和语言作为健康的决定因素，扩大我们目前对歧视与医疗保健差异之间关系的理解。我们招募了 531 名目前居住在加拿大魁北克省的黑人成年人，让他们完成一项调查，测量他们的社会人口特征、身心健康状况、医疗保健的可及性以及遭受歧视的经历。结果显示，与讲法语的黑人参与者相比，作为魁北克的种族和语言少数群体，讲英语的黑人参与者受到的歧视更多，医疗保健提供者更少，在 COVID-19 大流行期间获得 COVID-19 信息的机会更少，对医疗保健系统的不满也更多。此外，在魁北克，作为种族和语言上的少数群体（如讲英语的黑人），他们在获得医疗保健服务方面所受到的负面影响被证明是由歧视经历和对医疗保健系统的不满所调节的。

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来源期刊

Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.30

自引率

5.10%

发文量

263

期刊介绍： Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.