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Racial differences in illness behavior.

F D Wolinsky

    Journal of Community Health
    |January 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Racial differences in healthcare utilization disappear when considering individual factors. However, cultural traditions may influence how Black and White individuals utilize discretionary health services differently.

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    Area of Science:

    • Health Services Research
    • Sociology of Health
    • Medical Anthropology

    Background:

    • Healthcare access and utilization disparities between racial groups have been a persistent concern.
    • Understanding the determinants of illness behavior is crucial for equitable healthcare delivery.
    • Previous research often showed racial differences in health service use.

    Purpose of the Study:

    • To compare and contrast the illness behavior of Black and White respondents in a rural Southern county.
    • To examine the role of predisposing, enabling, and need characteristics in explaining racial differences in healthcare utilization.
    • To investigate potential cultural influences on healthcare access and service use.

    Main Methods:

    • Utilized data from an omnibus healthcare study conducted in 1978.

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  • Included 359 White and 126 Black respondents interviewed in their homes.
  • Employed Andersen's generic access model, comparing zero-order and multivariate analyses.

    • Main Results:

    • Initial racial differences in illness behavior (dentist, physician, hospital use) vanished after controlling for individual characteristics.
    • Multivariate analysis revealed no overall racial differences in illness behavior when controlling for enabling, need, and predisposing factors.
    • Significant differences emerged in how these characteristics affected discretionary health services utilization between Black and White individuals.

    Conclusions:

    • Predisposing, enabling, and need factors largely explain racial similarities in healthcare utilization.
    • Cultural traditions may play a significant role in differential responses to healthcare access and discretionary service use between racial groups.
    • Findings suggest a need to consider cultural context when addressing healthcare disparities.