title: Self-reported experience of racial discrimination and health care use in New Zealand: results from the 2006/07 New Zealand Health Survey.
abstract: OBJECTIVE
  We investigated whether reported experience of racial discrimination in health care and in other domains was associated with cancer screening and negative health care experiences.
  
  
  METHODS
  We used 2006/07 New Zealand Health Survey data (n = 12 488 adults). We used logistic regression to examine the relationship of reported experience of racial discrimination in health care (unfair treatment by a health professional) and in other domains (personal attack, unfair treatment in work and when gaining housing) to breast and cervical cancer screening and negative patient experiences adjusted for other variables.
  
  
  RESULTS
  Racial discrimination by a health professional was associated with lower odds of breast (odds ratio [OR] = 0.37; 95% confidence interval [CI] = 0.14, 0.996) and cervical cancer (OR = 0.51; 95% CI = 0.30, 0.87) screening among Maori women. Racial discrimination by a health professional (OR = 1.57; 95% CI = 1.15, 2.14) and racial discrimination more widely (OR = 1.55; 95% CI = 1.35, 1.79) were associated with negative patient experiences for all participants.
  
  
  CONCLUSIONS
  Experience of racial discrimination in both health care and other settings may influence health care use and experiences of care and is a potential pathway to poor health.
authors.affiliation: Eru Pomare Maori Health Research Centre, University of Otago, Wellington, New Zealand. ricci.harris@otago.ac.nz
authors.forename: Ricci
authors.initials: R
authors.lastname: Harris
authors.forename: Donna
authors.initials: D
authors.lastname: Cormack
authors.forename: Martin
authors.initials: M
authors.lastname: Tobias
authors.forename: Li-Chia
authors.initials: LC
authors.lastname: Yeh
authors.forename: Natalie
authors.initials: N
authors.lastname: Talamaivao
authors.forename: Joanna
authors.initials: J
authors.lastname: Minster
authors.forename: Roimata
authors.initials: R
authors.lastname: Timutimu
mesh_terms: D000328:Adult; D000368:Aged; D044466:Asian People / Q000706:statistics & numerical data; D001943:Breast Neoplasms / Q000175:diagnosis; D055088:Early Detection of Cancer / Q000706:statistics & numerical data*; D005260:Female; D006296:Health Services / Q000706:statistics & numerical data*; D006302:Health Services Research; D054625:Healthcare Disparities / Q000208:ethnology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009520:New Zealand / Q000453:epidemiology; D011287:Prejudice; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis; D044465:White People / Q000706:statistics & numerical data