Purpose
This paper reports on the
prevalence and correlates of microaggressive experiences in healthcare settings
reported by American Indian (AI) adults with type 2 diabetes.
Methods
This community-based
participatory research project includes two AI reservation communities. Data
were collected via in-person paper-and-pencil survey interviews with 218 AI
adults diagnosed with type 2 diabetes.
Results
Over 1/3 of the sample
reported experiencing a microaggression in interactions with their health
providers. Reports of microaggressions were correlated with self-reported
history of heart attack, worse depressive symptoms, and prior year
hospitalization. Depressive symptom ratings appeared to account for some of the
association between microaggressions and hospitalization (but not history of
heart attack) in multivariate models.
Conclusions
Microaggressive experiences
undermine the ideals of patient-centered care and in this study were correlated
with worse mental and physical health reports for American Indians living with
a chronic disease. Providers should be cognizant of these subtle, often
unconscious forms of discrimination.
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By:
bAssociate Professor, Department of
Psychology, Bemidji State University. 202 Hagg-Sauer Hall, Bemidji, MN 56601
cAssistant Professor, Department of
Sociology and Criminal Justice, University of St. Thomas, Mail # 5021, 2115
Summit Ave. St. Paul, MN 55105-1096
dAssistant Professor, Department of Family
Medicine/Community Health. University of Minnesota Medical School-Duluth. 153
Smed, 1035 University Drive, Duluth, MN 55812
aCorresponding Author: Associate Professor,
Department of Biobehavioral Health and Population Sciences, University of
Minnesota Medical School-Duluth, 1035 University Drive, 235 SMed, Duluth, MN
55812. Phone: 218+726+8367. FAX: 218-726-7559. Email: ude.nmu.d@sllawlm
More at: https://twitter.com/hiv
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