Importance The perception of being treated with respect by clinicians may be a driver of disparities in individuals in racial and ethnic minoritie groups with eye diseases. Understanding these drivers may help identify potential interventions to reduce eye health disparities to prevent vision loss and blindness.

Objective To evaluate the association between racial and ethnic minority status and the perception of being treated with respect by clinicians.

Design, Setting, and Participants This cross-sectional analysis of a nationally representative cohort study using data from the National Health Interview Survey (NHIS) included participants in the 2017 survey with complete data on outcomes, associated factors, and covariates. Data analysis took place from January 2021 to February 2021. Using a population-based survey conducted in the US in 2017 by the US census bureau on behalf of the National Center for Health Statistics, NHIS study participants (age ≥18 years) who self-reported having an eye disease (macular degeneration, diabetic retinopathy [DR], glaucoma, cataracts) were included, and patients who self-reported as Black, Asian, other/multiple races, or Hispanic ethnicity were considered to be in racial and ethnic minority groups.

Main Outcomes and Measures Multivariable logistic regression models were used to evaluate the association of minority status with self-reported “always” being treated with respect by clinicians and self-reported “always” being asked about opinions/beliefs about medical care.

Results Participants in racial and ethnic minority groups had 23% lower odds of reporting being treated with respect compared with non-Hispanic White patients (adjusted odds ratio [AOR], 0.77; 95% CI, 0.61-0.97; P = .03). A minority of participants had 66% higher odds of reporting being asked about their beliefs (AOR, 1.66; 95% CI, 1.39-1.98; P < .001). For all patients, being asked about opinions/beliefs by their clinician was associated with a 5.8 times higher odds of reporting being treated with respect (AOR, 5.80; 95% CI, 4.35-7.74; P < .001).

Conclusions and Relevance In this nationally representative US population of patients with eye diseases, being a patient in a racial or ethnic minority group was associated with feeling less respected by health care professionals compared with non-Hispanic White patients. Asking about opinions and beliefs, regardless of race or ethnicity, is associated with patients feeling that they are treated with respect.

重要性 受到临床医生尊重对待的看法可能是导致患有眼病的种族和少数族裔群体中个体差异的驱动因素。了解这些驱动因素可能有助于确定潜在的干预措施，以减少眼睛健康差异，从而防止视力丧失和失明。

目的 评估种族和少数民族地位与临床医生尊重对待的看法之间的关系。

设计、设置和参与者 这项使用来自全国健康访谈调查 (NHIS) 的数据对具有全国代表性的队列研究进行的横断面分析包括 2017 年调查的参与者，以及关于结果、相关因素和协变量的完整数据。数据分析时间为 2021 年 1 月至 2021 年 2 月。使用美国人口普查局代表国家卫生统计中心于 2017 年在美国进行的一项基于人口的调查，NHIS 研究参与者（年龄≥18 岁）自自述患有眼病（黄斑变性、糖尿病性视网膜病变 [DR]、青光眼、白内障）的患者被包括在内，并且自我报告为黑人、亚裔、其他/多种族或西班牙裔的患者被认为是种族和少数民族团体。

主要成果和措施 多变量逻辑回归模型被用来评估少数民族地位与自我报告的“总是”受到临床医生的尊重以及自我报告的“总是”被询问有关医疗保健的意见/信念之间的关联。

结果 与非西班牙裔白人患者相比，种族和少数族裔群体的参与者报告受到尊重治疗的几率低 23%（调整后的优势比 [AOR]，0.77；95% CI，0.61-0.97；P  = .03）。少数参与者报告被问及他们的信仰的几率高出 66%（AOR，1.66；95% CI，1.39-1.98；P  < .001）。对于所有患者，被临床医生询问意见/信仰与报告受到尊重的几率高出 5.8 倍相关（AOR，5.80；95% CI，4.35-7.74；P  < .001）。

结论和相关性 在这个具有全国代表性的美国眼病患者人群中，与非西班牙裔白人患者相比，身为少数种族或族裔群体的患者会感觉不太受到医疗保健专业人员的尊重。询问意见和信仰，无论种族或民族如何，都会让患者感到他们受到尊重。