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  1. Home
  2. Intersectional Inequalities In Interpersonal Discrimination In Outpatient Care According To Sex, History Of Migration, And Income In Germany.
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  2. Intersectional Inequalities In Interpersonal Discrimination In Outpatient Care According To Sex, History Of Migration, And Income In Germany.

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Intersectional inequalities in interpersonal discrimination in outpatient care according to sex, history of

Olaf von dem Knesebeck1, Demet Dingoyan1, Anna Makowski1

  • 1Institute of Medical Sociology, University Medical Center Hamburg Eppendorf, Hamburg, Germany.

European Journal of Public Health
|September 19, 2025

View abstract on PubMed

Summary
This summary is machine-generated.

Women and low-income individuals in Germany experience more interpersonal discrimination in outpatient care. These health inequalities stem from additive effects of sex, income, and migration history, impacting healthcare engagement.

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Area of Science:

  • Public Health
  • Sociology
  • Health Disparities

Background:

  • Interpersonal discrimination in outpatient care is a frequent issue in Germany, potentially perpetuating health inequalities.
  • Understanding intersectional inequalities based on sex, migration history, and income is crucial for addressing these disparities.

Purpose of the Study:

  • To explore intersectional inequalities in interpersonal discrimination within German outpatient care.
  • To analyze the combined effects of sex, migration history, and income on discrimination experiences.

Main Methods:

  • An online survey of 3246 adults in Germany.
  • Utilized a modified Everyday Discrimination Scale to assess discrimination.
  • Employed intersectional multilevel analysis of individual heterogeneity and discriminatory accuracy (MAIHDA).

Main Results:

  • Females and individuals with low income reported significantly higher discrimination.
  • Migration history did not show a significant direct association with discrimination.
  • Inequalities resulted from additive effects of sex, income, and migration history, with sex having the largest impact.

Conclusions:

  • Significant differences in discrimination experiences exist across 18 intersectional strata.
  • Female, low-income individuals, particularly second-generation migrants, face the highest risk.
  • Discrimination in outpatient care is a critical public health issue affecting healthcare engagement and outcomes.