Résumé :
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[BDSP. Notice produite par INIST-CNRS uoN4vR0x. Diffusion soumise à autorisation]. Study objective : To analyse the association between perceived discrimination and refraining from seeking required medical treatment and the contribution of socioeconomic disadvantage. Design and setting : Data from the Swedish National Survey of Public Health 2004 were used for analysis. Respondents were asked whether they had refrained from seeking required medical treatment during the past 3 months. Perceived discrimination was based on whether respondents reported that they had been treated in a way that made them feel humiliated (due to ethnicity/race, religion, gender, sexual orientation, age or disability). The Socioeconomic Disadvantage Index (SDI) was developed to measure economic deprivation (social welfare beneficiary, being unemployed, financial crisis and lack of cash reserves). Participants : Swedish population-based survey of 14 736 men and 17 115 women. Main results : Both perceived discrimination and socioeconomic disadvantage were independently associated with refraining from seeking medical treatment. Experiences of frequent discrimination even without any socioeconomic disadvantage were associated with three to nine-fold increased odds for refraining from seeking medical treatment. A combination of both frequent discrimination and severe SDI was associated with a multiplicative effect on refraining from seeking medical treatment, but this effect was statistically more conclusive among women (OR=11.6,95% Cl 8.1 to 16.6 ; Synergy Index (Sl)=2.0 (95% CI 1. 2 to 3.2)) than among men (OR=12,95% Cl 7.7 to 18.7 ; SI=1.6 (95% Cl 1.3 to 2.1)). Conclusions : The goal of equitable access to healthcare services cannot be achieved without public health strategies that confront and tackle discrimination in society and specifically in the healthcare setting.
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