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Affiliation
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Women's College Research Institute, Women's College Hospital, 76 Grenville Street, 6th Floor, Toronto, ON, M5S 1B2, Canada. |
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Abstract
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BACKGROUND: Our objective was to explore whether the link between discrimination and self-rated health status differed as a function of discrimination type, including discrimination based on ethnicity/culture, race, physical appearance (other than skin colour), religion, age, and disability.
METHODS: A sample of 19,422 men and women aged 15 and older was included in this study. A multivariate logistic regression analysis was used to measure the association between perceived discrimination types and self-reported health status defined as excellent/good versus fair/poor.
RESULTS: The prevalence of experiencing any discrimination in the past five years was higher among those who rated their health as fair or poor (21.8 %) compared to those who rated their health as excellent or good (14.5 %, p < 0.0001). After controlling for all other covariates, there was a positive association between poorer self-rated health and two of the six specific discrimination variables entered into the model: perceived discrimination based on physical appearance (other than skin colour) (OR = 1.79, 95 % CI: 1.24, 2.58) and perceived discrimination based on a having a disability (OR = 1.59, 95 % CI: 1.04, 2.41).
CONCLUSIONS: Our main findings indicate that perceived discrimination based on physical appearance and disability may have an adverse impact on health. The results highlight the need for a comprehensive approach to improving health outcomes that should include policies that are targeted against specific types of discrimination.
Language: en |