基于性别认同,种族和种族的歧视在获得心理健康护理方面的歧视
Luca Fumarco1, Benjamin J Harrell2, Patrick Button3
1Masaryk University.
American journal of health economics
|October 27, 2025
概括
少数群体,特别是跨性别和非二进制非洲裔美国人和西班牙裔,在寻求心理健康护理预约时面临歧视. 这项研究提供了这些访问障碍的实验证据,其中有一些影响来自COVID-19.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
- 心理健康 获取 获得
背景情况:
- 少数民族群体经历了显著的心理健康差异.
- 歧视性障碍可能会阻碍这些人群获得心理健康护理.
- 有限的经验数据存在于心理健康护理获取的歧视.
研究的目的:
- 提供第一个实验证据,证明在心理健康护理预约中存在歧视.
- 评估跨性别,非二进制,非裔美国人和西班牙裔个人所面临的歧视.
- 检查COVID-19大流行对获取和歧视的潜在影响.
主要方法:
- 使用模拟患者的审计研究设计.
- 对特定的人口群体的心理健康护理预约的访问进行了调查.
- 在COVID-19大流行早期和早期收集的数据.
主要成果:
- 发现对跨性别或非二进制非洲裔美国人和西班牙裔的重大歧视.
- 没有观察到对白人跨性别者和非二进制个体的歧视.
- 确定对非裔美国女性的性别歧视,对其他性别少数群体的结果不确切.
- 在COVID-19大流行期间,注意到减少访问和增加歧视的暗示性证据.
结论:
- 实验证据证实,某些少数群体在获得心理健康护理方面存在歧视.
- 歧视模式因种族,种族,性别认同和性取向而异.
- 由于COVID-19的流行,可能加剧了现有的访问问题和歧视.
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