Everyday Discrimination and Health Care Utilization Among US Adults

What is the association between everyday discrimination and patterns of health care access and use among US adults? In this cross-sectional study of 27 384 adults, higher everyday discrimination scores were significantly associated with increased cost-related barriers to care, greater reliance on emergency services, and reduced engagement in preventive screenings and physician visits. In this study, everyday discrimination was associated with fragmented health care patterns, characterized by decreased preventive care and increased emergency service use, highlighting the need for interventions that address structural and interpersonal biases.

Corresponding Author: Jaya Aysola, MD, MPH, Departments of Medicine and Pediatrics, University of Pennsylvania Perelman School of Medicine, 1229 Blockley Hall, 423 Guardian Dr, Philadelphia, PA 19104 (jaysola@upenn.edu).

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