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Racism in Healthcare Experienced by American Indian and Alaska Native People
Journal of Health Care for the Poor and Underserved
|December 8, 2025
Summary
Racism in healthcare settings discourages American Indian and Alaska Native people from seeking future medical care. Nearly one-third of respondents reported race-based discomfort, impacting their healthcare engagement.
Area of Science:
- Health Services Research
- Health Equity
- Indigenous Health
Background:
- Healthcare disparities persist for American Indian and Alaska Native (AI/AN) populations.
- Understanding patient experiences of racism is crucial for improving healthcare engagement.
- AI/AN individuals face unique barriers within the US healthcare system.
Purpose of the Study:
- To examine racism experienced by AI/AN people in healthcare settings.
- To determine how these experiences influence future healthcare engagement.
Main Methods:
- Self-report surveys were administered in person.
- Data collected at two community powwows in Denver, Colorado (2021-2022).
Main Results:
- 29.8% of AI/AN respondents reported healthcare visits where they felt racially uncomfortable.
- Experiences included racial microaggressions and overt racism.
- 51% of those experiencing racism were less likely to seek future medical care.
Conclusions:
- AI/AN individuals encounter racism, including microaggressions and overt forms, during healthcare visits.
- Racism in healthcare negatively impacts AI/AN people's willingness to engage with the healthcare system.
- Addressing racism is essential for improving healthcare access and equity for AI/AN communities.
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