Minority Health and Health Equity Archive
Permanent URI for this collectionhttp://hdl.handle.net/1903/21769
Welcome to the Minority Health and Health Equity Archive (MHHEA), an electronic archive for digital resource materials in the fields of minority health and health disparities research and policy. It is offered as a no-charge resource to the public, academic scholars and health science researchers interested in the elimination of racial and ethnic health disparities.
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Item Attitudes about Racism, Medical Mistrust, and Satisfaction with Care among African American and White Cardiac Patients(2000) LaVeist, Thomas A.; Nickerson, Kim J.; Bowie, Janice V.The authors examine determinants of satisfaction with medical care among 1,784 (781 African American and 1,003 white) cardiac patients. Patient satisfaction was modeled as a function of predisposing factors (gender, age, medical mistrust, and perception of racism) and enabling factors (medical insurance). African Americans reported less satisfaction with care. Although both black and white patients tended not to endorse the existence of racism in the medical care system, African American patients were more likely to perceive racism. African American patients were significantly more likely to report mistrust. Multivariate analysis found that the perception of racism and mistrust of the medical care system led to less satisfaction with care. When perceived racism and medical mistrust were controlled, race was no longer a significant predictor of satisfaction.Item Enacting Diverses Learning Environments: Improving the Climate for Racial/Ethnic Diversity in Higher Education(1999) Hurtado, Sylvia; Milem, Jeffery; Clayton-Pedersen, Alma; Allen, Walter; Kezar, Adrianna J.; Scott, Lynne J.; Fishel, Barbara M.This document is intended to provide the higher education community with information from recent and classic research studies that can serve as a guide to improving the climate for diversity on campus. The first section of the report examines the literature on campus climate for diversity, the experiences of various racial/ethnic groups, and the effect of campus climate educational outcomes. Following sections (1) set out the research framework; (2) examine the historical legacy of inclussion and exclussion; (3) examine the impact of structural diversity resulting from the increased complexity of diverse student enrollments and problems associated with diversifying faculty; (4) review the psycological climate and the impact of discrimination and perceptions of climate on students. (5) examine the behavioral dimensions of institutional climate, including student involvemnet and intergroup relations, classroom environment, curricular change, campus race relations and social interaction, and participation in racial/ethnic student organizations and minority support programs; (6) link institutional climate for diversity with general learning environment; (7) provide some principles for improving campus climate for diversity; (8) give some examples of current effortss at various institutions, and (9) conclude with a plan for action in which everyone has a role in improving campus climate.