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May 2003, Vol 93, No. 5 | American Journal of Public Health 742-748
© 2003 American Public Health Association

PUBLIC HEALTH MATTERS

Socioeconomic Status and Dissatisfaction With Health Care Among Chronically Ill African Americans

Gay Becker, PhD and Edwina Newsom

The authors are with the Institute for Health and Aging, University of California, San Francisco.

Correspondence: Requests for reprints should be sent to Gay Becker, PhD, Institute for Health and Aging, University of California, San Francisco, Box 0646, San Francisco, CA 94143-0646 (e-mail: becker{at}itsa.ucsf.edu).

Addressing differences in social class is critical to an examination of racial disparities in health care. Low socioeconomic status is an important determinant of access to health care.

Results from a qualitative, in-depth interview study of 60 African Americans who had one or more chronic illnesses found that low-income respondents expressed much greater dissatisfaction with health care than did middle-income respondents.

Low socioeconomic status has potentially deadly consequences for several reasons: its associations with other determinants of health status, its relationship to health insurance or the absence thereof, and the constraints on care at sites serving people who have low incomes.




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