Perception of discrimination against immigrants compared to Chilean-born and its relationship with access to services and health outcomes

Simple item page
dc.contributor.authorOyarte, Marcela
dc.contributor.authorCabieses, Báltica
dc.contributor.authorEspinoza, Manuel
dc.contributor.authorValenzuela, María Teresa
dc.contributor.authorDelgado, Iris
dc.date.accessioned2023-01-04T16:09:14Z
dc.date.available2023-01-04T16:09:14Z
dc.date.issued2022
dc.description.abstractOBJECTIVES: Compare self-perceived discrimination between immigrants and locals in Chile and analyze the relationship between immigration and perceived discrimination and immigration, discrimination and health outcomes, adjusting for sociodemographic characteristics and social capital. METHODS: Cross-sectional study, using population-based survey (CASEN2017). We selected 2,409 immigrants (representative of N = 291,270) and 67,857 locals (representative of N = 5,438,036) over 18 years of age surveyed. We estimated logistic regression models, considering the complex sample, with discrimination, self-rated health, medical treatment, healthcare system membership, complementary health insurance, medical consultation and problems when consulting as dependent variables, immigration and discrimination as main exposure variables, and social capital and sociodemographic variables as covariates of the models. RESULTS: Immigrants were more likely to perceive discrimination in general compared to locals (OR = 2.31; 95%CI: 1.9-2.9). However, this does not occur for all specific reasons for discrimination; skin color and physical appearance were the most frequent causes of discrimination in immigrants. The interaction between immigration and discrimination was significantly related to worse self-rated health outcomes and treatment for pathologies, disfavoring discrimination against immigrants. In both locals and immigrants, discrimination was not associated with health care access outcomes, except for problems during consultation in locals (OR = 1.61; 95%CI 1.4-1.8). CONCLUSIONS: In Chile, experiences of discrimination are intertwined with other forms of rejection and social exclusion, so it is urgent to raise awareness among the population to prevent these discriminatory practices, especially in health care and daily use places. It is essential to address discrimination in order to have an impact on intermediate variables and health outcomes. The extension of the results to the entire immigrant population could be very useful to deepen the problem and improve the estimates made
dc.description.versionVersión Publicada
dc.identifier.citationPerception of discrimination against immigrants compared to Chilean-born and its relationship with access to services and health outcomes. Marcela Oyarte; Báltica Cabieses; Manuel Espinoza; María Teresa Valenzuela; Iris Delgado. Revista de Salud Pública, 2022, v.56
dc.identifier.doihttps://doi.org/10.11606/s1518-8787.2022056004125
dc.identifier.urihttps://repositorio.udd.cl/handle/11447/6883
dc.language.isoen
dc.subjectEmigrants and Immigrants
dc.subjectRacism
dc.subjectSocial Perception
dc.subjectHealth Services Accessibility
dc.subjectContextual Effects of Health Disparities
dc.titlePerception of discrimination against immigrants compared to Chilean-born and its relationship with access to services and health outcomes
dc.typeArticle
dcterms.sourceRevista de Salud Pública

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Perception of discrimination against immigrants compared to Chilean-born and its relationship with access to services and health outcomes.pdf
Size:
278.8 KB
Format:
Adobe Portable Document Format
Description:
Texto completo
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

Artículos Medicina y Ciencias de la Salud

Implementado por OpenGeek Services