Gender identity, race, and ethnicity-based discrimination in access to mental health care : evidence from an audit correspondence field experiment
Luca Fumarco, Benjamin Harrell, Patrick Button, David Schwegman, E Dils
Racial, ethnic, and gender minorities face mental health disparities. While mental health care can help, minoritized groups could face discriminatory barriers in accessing it. Discrimination may be particularly pronounced in mental health care because providers have more discretion over accepting patients. Research documents discrimination broadly, including in access to health care, but there is limited empirical research on discrimination in access to mental health care. We provide the first experimental evidence, from a correspondence audit field experiment ("simulated patients" study), of the extent to which transgender and non-binary people, African Americans, and Hispanics face discrimination in access to mental health care appointments. We find significant discrimination against transgender or non-binary African Americans and Hispanics. We do not find evidence of discrimination against White transgender and non-binary prospective patients. We are mostly inconclusive as to if cisgender African Americans or Hispanics face discrimination, except we find evidence of discrimination against cisgender African American women.
Year of publication: |
August 2023
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Authors: | Fumarco, Luca ; Harrell, Benjamin ; Button, Patrick ; David Schwegman, David ; Dils, E. |
Publisher: |
Bonn, Germany : IZA - Institute of Labor Economics |
Subject: | mental health care | transgender | racial discrimination | audit | therapy | Psychische Krankheit | Mental disorder | Ethnische Diskriminierung | Ethnic discrimination | Arbeitsmarktdiskriminierung | Labour market discrimination | Feldforschung | Field research |
Saved in:
freely available
Extent: | 1 Online-Ressource (circa 68 Seiten) Illustrationen |
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Series: | Discussion paper series / IZA. - Bonn : IZA, ZDB-ID 2120053-1. - Vol. no. 16388 |
Type of publication: | Book / Working Paper |
Type of publication (narrower categories): | Graue Literatur ; Non-commercial literature ; Arbeitspapier ; Working Paper |
Language: | English |
Other identifiers: | hdl:10419/279086 [Handle] |
Classification: | C93 - Field Experiments ; i14 ; J16 - Economics of Gender ; I11 - Analysis of Health Care Markets ; I18 - Government Policy; Regulation; Public Health ; J15 - Economics of Minorities and Races |
Source: | ECONIS - Online Catalogue of the ZBW |
Persistent link: https://www.econbiz.de/10014334849