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AJPH First Look, published online ahead of print Oct 15, 2008
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98/12/2272    most recent
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December 2008, Vol 98, No. 12 | American Journal of Public Health 2272-2277
© 2008 American Public Health Association
DOI: 10.2105/AJPH.2007.127829

RESEARCH AND PRACTICE

Ethnic Disparities in Access to Care in Post-Apartheid South Africa

Zeida R. Kon, MPH and Nuha Lackan, PhD

Zeida R. Kon and Nuha Lackan are with the University of North Texas Health Science Center, Fort Worth.

Correspondence: Request for reprints should be sent to Zeida R. Kon, MPH, Department of Health Management and Policy, University of North Texas Health Science Center, EAD 1-752, 3500 Camp Bowie Blvd, Fort Worth, TX 76107 (e-mail: zrojas{at}hsc.unt.edu).

Objectives. We investigated ethnic disparities in obtaining medical care among the 4 major ethnic groups (Blacks, Whites, Coloreds [i.e., those of mixed race], and Asians) in post-apartheid South Africa.

Methods. Data for the study came from the 2002 Afrobarometer: Round II Survey of South Africa. Bivariate and multivariate analyses were used to examine differences across racial and ethnic groups in how often respondents went without medical care.

Results. A total of 40.8% of Blacks and 22.9% of Coloreds reported going without medical care at some point in the past year, compared with 10.9% of Whites and 6.9% of Asians. Disparities were found not only in health but in education, income, and basic public health infrastructures. Sociodemographic characteristics and perceptions regarding democracy, markets, and civil society were similar for Blacks and Coloreds and for Whites and Asians.

Conclusions. Fourteen years after the end of apartheid, Blacks and Coloreds in South Africa are still underserved and disadvantaged compared with their White and Asian counterparts, especially regarding health care.






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