Experiences of discriminatory behavior in reproductive care: Preliminary study findings
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1
Students’ Scientific Club, Department of Health Policy, Faculty of Public Health in Bytom,
Medical University of Silesia, Katowice, Poland
2
Department of Health Policy, Faculty of Public Health in Bytom, Medical University of Silesia, Katowice, Poland
Corresponding author
Martyna Szymańska
Studenckie Koło Naukowe, Zakład Polityki Zdrowotnej, Wydział Zdrowia Publicznego w Bytomiu ŚUM, ul. Piekarska 18, 41-902 Bytom
Ann. Acad. Med. Siles. 2025;1(nr specj.):73-82
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Discrimination in healthcare often stems from biases related to gender, age, race, or disability. Among the vulnerable groups are women accessing reproductive care, such as prenatal testing, infertility treatment and perinatal care. These patients may experience various forms of unequal treatment, ranging from a lack of respect to the denial of medical procedures. Despite existing recommendations and legal regulations, discrimination remains a global issue. The aim of this study was to examine women’s experiences of discrimination while accessing reproductive healthcare services.
Material and methods:
The study was conducted both online and in-person using a validated proprietary questionnaire. Inclusion criteria were: female gender, age ≥ 18 years, and use of reproductive healthcare services within the past 10 years. The study group consisted of 401 women. Data collection took place from June 1, 2024, to February 1, 2025. Statistical analysis was performed using Statistica 13.3, with statistical significance set at p < 0.05.
Results:
The majority of participants rated their experiences positively, however 28% reported instances of discrimination by medical staff. The most common issues included the use of inappropriate language, ignoring questions, or facial expressions indicating reluctance or disapproval. Additionally, 20% of respondents observed discriminatory behavior toward other female patients.
Conclusions:
Despite many positive evaluations, the study revealed the presence of discrimination in reproductive healthcare. Both personal experiences and observations of such situations influence women’s perception of the healthcare system and their sensitivity to inequality.
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