Tribal Epi Center (TEC) Newsletter Jan-Mar2017

TOTS Brief

The Oklahoma Toddler Survey Volume 9, Issue 1

Discriminaon in Accessing Health Care Inequies in the quality of health care paents receive are oen associated with unfair treatment felt while accessing care.

Members of racial and ethnic minority groups and paents of lower socioeconomic status are more likely to report being the subject of negave atudes and discriminatory pracces during the health care process.1

survey asked mothers about unfair treatment due to seven reasons when seeking health care. Reasons recorded as “Other” were also included.

September 2016

than high school), and married all experienced lower rates of unfair treatment.

Mothers reporng discriminaon while accessing health care had Overall, 11.8% of significantly (p<0.05) lower mothers reported some rates of medical home form of unfair access for their toddler treatment. Ability to pay compared to those was the most reported mothers who reported no reason for discriminaon discriminaon (87.5% vs (Figure 1).

71.5%).

Non-Hispanic (NH) Black This report used The mothers reported the Oklahoma Toddler highest rate of Survey (TOTS) data from discriminaon (20.1%), 2011-2013 to examine followed by unmarried self-reported unfair mothers, and mothers treatment when less than 25 years of age accessing health care (Figure 2). Conversely, and its relaonship to mothers who were NH health care access. The white, educated (greater

Nearly 93% of mothers not reporng discriminaon accessed a family doctor or pediatrician as the toddler’s personal doctor compared to 83% of mothers reporng discriminaon (Figure 3). A significantly higher percent of mothers reporng

Percent

Figure 1. Self-Reported Reasons for Unfair Treatment while Accessing Health Care - TOTS 2011-2013 7.0 6.0 5.0 4.0 3.0 2.0 1.0 0.0

In Oklahoma: • 11.8% of mothers of 2-year-olds reported some form of unfair treatment when accessing health care for their toddler.

• Ability to pay was the most reported reason for unfair treatment/ discriminaon.

• Non-Hispanic Black mothers, unmarried mothers, and mothers less than 25 years all reported higher rates of discriminaon.

• Mothers reporng discriminaon had significantly lower rates of medical home access for their toddler.

6.0 4.3

3.4 2.0

2.3

2.2 0.0

Age

Language

22 | TRIBAL EPIDEMIOLOGY CENTER NEWSLETTER

Race or Country of Ability to Ethnicity birth pay

Don’t know reason

Other An EEO Employer