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Perceptions About Discrimination in a Rural, Older, Racially and Ethnically Diverse Cohort.

Katie Abel1, Lisa Ann Kirk Wiese2, JuYoung Park3

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|September 19, 2023
PubMed
Summary
This summary is machine-generated.

Discrimination due to health literacy and rural residency affects older, retired minority farmworkers in Florida. Female gender discrimination was linked to ethnicity discrimination in this vulnerable population.

Keywords:
Ruraldiscriminationfarmworkerhealth literacyolder adultracially and ethnically diverse

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Area of Science:

  • Gerontology
  • Health Disparities Research
  • Rural Health

Background:

  • Rural Florida farmworkers face unique challenges in medically underserved areas.
  • Despite proximity to affluent regions, this population experiences significant poverty and lower educational attainment.

Purpose of the Study:

  • To investigate perceptions of discrimination among rural, older, retired minority farmworkers in Florida.
  • To identify potential sources of discrimination, including health literacy, age, sex, gender, race/ethnicity, and rural residency.

Main Methods:

  • A descriptive, correlational pilot study design was employed.
  • Data were collected through surveys measuring demographics, health literacy (REALM-SF), and self-reported discrimination.
  • Chi-square, Pearson correlation, and narrative inquiry were used for analysis.

Main Results:

  • Health literacy (44%) and rural residency (24%) were the most significant sources of discrimination.
  • A notable association was found between female gender discrimination and ethnicity discrimination (r = 0.6, p = .002).
  • The sample was 96% racially/ethnically diverse, predominantly retired female farmworkers with a 4th-6th grade reading level.

Conclusions:

  • Health literacy and rural residency are critical factors contributing to discrimination in this population.
  • Healthcare providers should assess patients' health literacy and experiences with discrimination.
  • Addressing these factors is essential for effective and equitable care delivery.