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Table 5 Prevalence estimates and odds ratios for associations between discrimination experiences with health service use

From: Barrier or stressor? The role of discrimination experiences in health service use

 

Health service use (last 12 months)

Health service use for mental health (n=181)

Secondary physical health service use (n=530)

n (%)

OR(95% CI)a

OR(95% CI)b

ORb (95% CI)c

n (%)

OR(95% CI)a

OR(95% CI)b

OR(95% CI)c

Everyday discrimination

 Below median

52(12.5)

1.00

  

213(48.8)

1.00

  

 Median or above

129(19.9)

1.74(1.21-2.49)

1.28(0.85-1.93)

1.23(0.81-1.88)

317(47.6)

0.95(0.74-1.24)

0.84(0.62-1.16)

0.87(0.63-1.19)

Major discrimination

 0 domains

79(14.7)

1.00

1.00

1.00

255(44.6)

1.00

1.00

1.00

 1-2 domains

59(15.6)

1.07(0.74-1.55)

0.71(0.46-1.10)

0.68(0.43-1.06)

181(47.8)

1.14(0.87-1.49)

1.12(0.82-1.53)

1.14(0.83-1.56)

 3+ domains

43(29.4)

2.42(1.55-3.76)

0.84(0.47-1.50)

0.74(0.39-1.41)

92(59.9)

1.85(1.26-2.73)

1.38(0.87-2.18)

1.39(0.86-2.25)

Anticipated discrimination

 0 domains

106(13.6)

1.00

1.00

1.00

364(45.7)

1.00

1.00

1.00

 1 domain

49(22.9)

1.89(1.28-2.80)

1.28(0.79-2.09)

1.36(0.83-2.22)

120(52.3)

1.30(0.95-1.79)

1.28(0.89-1.85)

1.28(0.88-1.85)

 2+ domains

26(34.4)

3.34(1.92-5.82)

1.91(1.01-3.63)

1.85(0.93-3.71)

45(57.8)

1.63(0.98-2.70)

1.38(0.78-2.43)

1.29(0.72-2.31)

Indicators of intersectional social identity

 Migrant, mixed Ethnicity, low SES

  

1.38(0.68-2.81)

1.26(0.60-2.63)

  

0.54(0.32-0.93)

0.51(0.30-0.89)

 White British, low SES

  

0.83(0.38-1.80)

0.81(0.37-1.77)

  

0.98(0.58-1.66)

1.03(0.60-1.75)

 Non migrant, mixed ethnicity, student

  

1.72(0.87-3.40)

1.85(0.93-3.68)

  

1.45(0.86-2.46)

1.47(0.86-2.51)

 Non migrant, mixed ethnicity, skilled

  

1.22(0.63-2.36)

1.21(0.63-2.34)

  

1.08(0.69-1.69)

1.06(0.68-1.67)

 Mixed migration status, mixed ethnicity, economically inactive

  

2.28(1.11-4.69)

2.32(1.11-4.84)

  

1.15(0.65-2.03)

1.18(0.67-2.09)

 Migrant, mixed ethnicity, high SES

  

1.56(0.84-2.90)

1.57(0.84-2.95)

  

0.69(0.45-1.03)

0.71(0.46-1.07)

 White British, high SES (reference group)

  

1.00

1.00

  

1.00

1.00

  1. OR odds ratio, CI confidence interval
  2. aUnadjusted models
  3. bAdjusted for intersectional social status, age (continuous variable), gender, mental/physical disorder, long standing illness and discrimination experiences
  4. cAs model 2 with additional adjustments for life events