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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| Format: | Article |
| Language: | English |
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Edizioni FS
2019-11-01
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| Series: | Journal of Health and Social Sciences |
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| _version_ | 1832595517601742848 |
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| author | Klaus E Cavalhieri Kathleen Chwalisz Tawanda M Greer |
| author_facet | Klaus E Cavalhieri Kathleen Chwalisz Tawanda M Greer |
| author_sort | Klaus E Cavalhieri |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-042a81c39041447e8dddb38e9c29664d |
| institution | Kabale University |
| issn | 2499-2240 2499-5886 |
| language | English |
| publishDate | 2019-11-01 |
| publisher | Edizioni FS |
| record_format | Article |
| series | Journal of Health and Social Sciences |
| spelling | doaj-art-042a81c39041447e8dddb38e9c29664d2025-01-18T18:20:29ZengEdizioni FSJournal of Health and Social Sciences2499-22402499-58862019-11-014337338810.19204/2019/thrl6The role of self-efficacy in the relationship between discrimination and health care utilization among college students in the United StatesKlaus E Cavalhieri0Kathleen Chwalisz1Tawanda M Greer2 Ph.D., College of Education and Human Development, University of North Dakota, Grand Forks, ND, USAPh.D., Department of Psychology, Southern Illinois University – Carbondale, Carbondale, IL, USAPh.D., Department of Psychology, Southern Illinois University – Carbondale, Carbondale, IL, USAIntroduction: 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.college students; discrimination; health care utilization; mediation analysis; racism; self-efficacy. |
| spellingShingle | Klaus E Cavalhieri Kathleen Chwalisz Tawanda M Greer The role of self-efficacy in the relationship between discrimination and health care utilization among college students in the United States Journal of Health and Social Sciences college students; discrimination; health care utilization; mediation analysis; racism; self-efficacy. |
| title | The role of self-efficacy in the relationship between discrimination and health care utilization among college students in the United States |
| title_full | The role of self-efficacy in the relationship between discrimination and health care utilization among college students in the United States |
| title_fullStr | The role of self-efficacy in the relationship between discrimination and health care utilization among college students in the United States |
| title_full_unstemmed | The role of self-efficacy in the relationship between discrimination and health care utilization among college students in the United States |
| title_short | The role of self-efficacy in the relationship between discrimination and health care utilization among college students in the United States |
| title_sort | role of self efficacy in the relationship between discrimination and health care utilization among college students in the united states |
| topic | college students; discrimination; health care utilization; mediation analysis; racism; self-efficacy. |
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