PMC:7444865 / 14276-18946 JSONTXT

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{"target":"https://pubannotation.org/docs/sourcedb/PMC/sourceid/7444865","sourcedb":"PMC","sourceid":"7444865","source_url":"https://www.ncbi.nlm.nih.gov/pmc/7444865","text":"Survey Results\nWe provide a brief description of the survey results by select characteristics in Table 1. As shown, non-Hispanic Whites make up just under two thirds of the sample (63.65%, n = 2793). Black/African American respondents constitute 14.2% of the sample (n = 623), while 11.62% (n = 510) are Hispanic/Latinx. SHUR respondents are disproportionately cisgender women (70.85%, n = 3109), and the majority are under the age of 65; only 8.61% (n = 378) are 65 years of age or older. While slightly more than half of the respondents worked full-time or part-time, three in ten were not in the labor force, and about one in ten were in the labor force but were unemployed and looking for work at the time of the survey.\nTable 1 Selected characteristics of SHUR respondents\nPercent Number x̅ (range)\nRace and ethnicity\n  Non-Hispanic White 63.65 2793\n  Non-Hispanic Black 14.20 623\n  Hispanic/Latinx 11.62 510\n  American Indian and Alaskan Native 1.39 61\n  Asian 3.81 167\n  Other/multiple 5.33 234\nGender identity\n  Cisgender man 24.52 1076\n  Cisgender woman 70.84 3109\n  Gender fluid 3.08 135\n  Transgender man 0.84 37\n  Transgender woman 0.73 32\nAge category\n  18–24 19.25 845\n  25–34 27.59 1211\n  35–44 20.92 918\n  45–54 13.69 601\n  55–64 9.93 436\n  65 and older 8.61 378\nWork status\n  Not in the labor force 32.71 1390\n  Unemployed, looking for work 12.31 523\n  Working for pay, part time \u003c 30 h/week 15.65 665\n  Working for pay, full time \u003e =30 h/week 39.34 1672\nUsual source of care\n  Community clinic/health center 26.59 1167\n  Doctor’s office 42.36 1859\n  Emergency room 11.37 499\n  Outpatient department such as urgent care 11.07 486\n  No usual source of care 7.97 350\n  Some other place 0.64 28\nReports unmet need for medical care 37.72 1639\n  Often feels left out\n    Strongly disagree 10.64 453\n    Disagree 18.06 769\n    Agree nor disagree 29.56 1259\n    Agree 15.45 658\n  Strongly agree 26.30 1120\nHas experienced racial discrimination 14.42 633\nConsciously acts in ways to make sure you do not live up to racial stereotypes\n  Never 34.04 1464\n  Sometimes 42.46 1826\n  Always 23.51 1011\nWorries about housing\n  Never 31.67 1362\n  Sometimes 41.90 1802\n  Always 26.44 1137\nWorries about paying medical bills\n  Never 41.32 1777\n  Sometimes 39.55 1701\n  Always 7.95 823\nWorries someone they know will become a victim of police brutality\n  Never 53.99 2322\n  Sometimes 33.04 1421\n  Always 12.97 558\nHas had a negative encounter with the police 56.86 2495\nMean medical mistrust score 4380 29.19 (12–60)\nMean overall respect rating 4318 7.03(2–10)\nIn terms of access to care and health services, most of the respondents had a usual source of care, but they were pretty spread out in terms of the specific places they regularly went to for care. For example, four in ten of the respondents received care from the doctor’s office, two in ten at a community clinic, and one in ten at the emergency room. More than a third of the respondents reported unmet need for medical care (37.72%, n = 1639). Response options on the 12-item group-based medical mistrust index ranged from strongly disagree (1) to strongly agree (5). Scores on the medical mistrust scale ranged from 12 to 60, with higher scores indicating greater mistrust of health institutions. The mean mistrust score for the sample was 29.19. Respondents rated if they felt, in general, that they were treated with a great deal of respect and dignity the last time they received healthcare. Ratings could range from 1 (no respect at all) to 10 (utmost respect). The range for our sample was 2 to 10, with a mean of 7.03, and a median of 9.\nFeeling left out is one indicator of social exclusion. About four in ten respondents agree or strongly agree that they often felt left out. Many respondents also reported experiencing salient sources of stress. For example, 14.42% of the sample (n = 633) felt hassled, inferior, or discriminated against because of race, accounting for more than half of the respondents who reported any kind of discrimination. Almost a quarter of the respondents engaged in race-related impression management—always careful to act in a way that did not consciously live up to the stereotypes of their racial and ethnic groups; 26.4% (n = 1137) were always worried about being able to pay rent/mortgage/housing costs while 19.14% (n = 823) always worried that they would not be able to pay their medical bills if they got sick or had an accident. Even though four in ten always or sometimes worried that someone they know would become a victim of police brutality, 56.86% (n = 2495) reported having experienced at least one of the ten listed negative interactions with the 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