The role of self-efficacy in the relationship between discrimination and health care utilization among college students in the United States
Introduction: This study is an investigation of the direct and indirect effects of experiences of discrimination on health care utilization among young college students. Methods: One hundred and eighty-five students completed an online survey. Measures included experiences of discrimination, outco...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Edizioni FS
2019-11-01
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| Series: | Journal of Health and Social Sciences |
| Subjects: | |
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| Summary: | Introduction: This study is an investigation of the direct and indirect effects of experiences of discrimination on health care utilization among young college students.
Methods: One hundred and eighty-five students completed an online survey. Measures included experiences of discrimination, outcome expectations, self-efficacy, attitudes, and demographic variables. The relationships tested were informed by Andersen’s Behavioral Model of Health Services Use, which has been modified as it oversimplified the role of ethnicity as a predictor. Regression and mediation analysis were conducted.
Results: Self-efficacy to communicate with physicians was a significant direct predictor of health care utilization (t = 2.965, P = .003), although experiences of discrimination were not. The effects of discrimination on health care utilization were further found to be mediated by self-efficacy to communicate with physicians (95% CI [-.0907, -.0025]).
Conclusion: These findings provided support for the inclusion of psychosocial variables (i.e., self-efficacy) in Andersen’s model to increase its explanatory power. |
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| ISSN: | 2499-2240 2499-5886 |