INTRODUCTION: This study examined how perceived racial privilege and perceived racial discrimination in health care varied with race and socioeconomic status (SES). METHODS: The sample consisted of white, black, and Native American respondents to the Behavioral Risk Factor Surveillance System (2005-2013) who had sought health care in the past 12 months. Multiple logistic regression models of perceived racial privilege and perceived discrimination were estimated. Analyses were performed in 2016. RESULTS: Perceptions of racial privilege were less common among blacks and Native Americans compared with whites, while perceptions of racial discrimination were more common among these minorities. In whites, higher income and education contributed to increased perceptions of privileged treatment and decreased perceptions of discrimination. The pattern was reversed in blacks, who reported more discrimination and less privilege at higher income and education levels. Across racial groups, respondents who reported foregone medical care due to cost had higher risk of perceived racial discrimination. Health insurance contributed to less perceived racial discrimination and more perceived privilege only among whites. CONCLUSIONS: SES is an important social determinant of perceived privilege and perceived discrimination in health care, but its role varies by indicator and racial group. Whites with low education or no health insurance, well-educated blacks, and individuals who face cost-related barriers to care are at increased risk of perceived discrimination. Policies and interventions to reduce these perceptions should target structural and systemic factors, including society-wide inequalities in income, education, and healthcare access, and should be tailored to account for racially specific healthcare experiences.

• MeSH
• Behavioral Risk Factor Surveillance System MeSH
• běloši psychologie   statistika a číselné údaje   MeSH
• černoši nebo Afroameričané psychologie   statistika a číselné údaje   MeSH
• diskriminace (psychologie) * MeSH
• disparity zdravotní péče statistika a číselné údaje   MeSH
• dospělí MeSH
• dostupnost zdravotnických služeb etika   statistika a číselné údaje   MeSH
• indiáni Severní Ameriky psychologie   statistika a číselné údaje   MeSH
• lidé středního věku MeSH
• lidé MeSH
• menšiny psychologie   statistika a číselné údaje   MeSH
• mladý dospělý MeSH
• percepce * MeSH
• průřezové studie MeSH
• rasismus psychologie   statistika a číselné údaje   MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• společenská třída * MeSH
• zdravotní stav MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladý dospělý MeSH
• mužské pohlaví MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• srovnávací studie MeSH
• Geografické názvy
• Spojené státy americké etnologie   MeSH