Serveur d'exploration sur le patient édenté

Attention, ce site est en cours de développement !
Attention, site généré par des moyens informatiques à partir de corpus bruts.
Les informations ne sont donc pas validées.

Gender and Ethnic/Racial Disparities in Health Care Utilization Among Older Adults

Identifieur interne : 008494 ( Main/Exploration ); précédent : 008493; suivant : 008495

Gender and Ethnic/Racial Disparities in Health Care Utilization Among Older Adults

Auteurs : Dorothy D. Dunlop [États-Unis] ; Larry M. Manheim [États-Unis] ; Jing Song [États-Unis] ; Rowland W. Chang [États-Unis]

Source :

RBID : ISTEX:5F96F1364FEDA941A1F9DA5D3570F1F159492519

Descripteurs français

English descriptors

Abstract

Objective. We examine the role of economic access in gender and ethnic/racial disparities in the use of health services among older adults. Methods. Data from the 1993–1995 study on the Asset of Health Dynamics Among the Oldest Old (AHEAD) were used to investigate differences in the 2-year use of health services by gender and among non-Hispanic White versus minority (Hispanic and African American) ethnic/racial groups. Analyses account for predisposing factors, health needs, and economic access. Results. African American men had fewer physician contacts; minority and non-Hispanic White women used fewer hospital or outpatient surgery services; minority men used less outpatient surgery; and Hispanic women were less likely to use nursing home care, compared with non-Hispanic White men, controlling for predisposing factors and measures of need. Although economic access was related to some medical utilization, it had little effect on gender/ethnic disparities for services covered by Medicare. However, economic access accounted for minority disparities in dental care, which is not covered by Medicare. Discussion. Medicare plays a significant role in providing older women and minorities access to medical services. Significant gender and ethnic/racial disparities in use of medical services covered by Medicare were not accounted for by economic access among older adults with similar levels of health needs. Other cultural and attitudinal factors merit investigation to explain these gender/ethnic disparities.

Url:
DOI: 10.1093/geronb/57.4.S221


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

<record>
<TEI wicri:istexFullTextTei="biblStruct">
<teiHeader>
<fileDesc>
<titleStmt>
<title xml:lang="en">Gender and Ethnic/Racial Disparities in Health Care Utilization Among Older Adults</title>
<author>
<name sortKey="Dunlop, Dorothy D" sort="Dunlop, Dorothy D" uniqKey="Dunlop D" first="Dorothy D." last="Dunlop">Dorothy D. Dunlop</name>
</author>
<author>
<name sortKey="Manheim, Larry M" sort="Manheim, Larry M" uniqKey="Manheim L" first="Larry M." last="Manheim">Larry M. Manheim</name>
</author>
<author>
<name sortKey="Song, Jing" sort="Song, Jing" uniqKey="Song J" first="Jing" last="Song">Jing Song</name>
</author>
<author>
<name sortKey="Chang, Rowland W" sort="Chang, Rowland W" uniqKey="Chang R" first="Rowland W." last="Chang">Rowland W. Chang</name>
</author>
</titleStmt>
<publicationStmt>
<idno type="wicri:source">ISTEX</idno>
<idno type="RBID">ISTEX:5F96F1364FEDA941A1F9DA5D3570F1F159492519</idno>
<date when="2002" year="2002">2002</date>
<idno type="doi">10.1093/geronb/57.4.S221</idno>
<idno type="url">https://api.istex.fr/document/5F96F1364FEDA941A1F9DA5D3570F1F159492519/fulltext/pdf</idno>
<idno type="wicri:Area/Istex/Corpus">002E92</idno>
<idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">002E92</idno>
<idno type="wicri:Area/Istex/Curation">002E92</idno>
<idno type="wicri:Area/Istex/Checkpoint">003887</idno>
<idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">003887</idno>
<idno type="wicri:doubleKey">1079-5014:2002:Dunlop D:gender:and:ethnic</idno>
<idno type="wicri:Area/Main/Merge">008771</idno>
<idno type="wicri:Area/Main/Curation">008494</idno>
<idno type="wicri:Area/Main/Exploration">008494</idno>
</publicationStmt>
<sourceDesc>
<biblStruct>
<analytic>
<title level="a" type="main" xml:lang="en">Gender and Ethnic/Racial Disparities in Health Care Utilization Among Older Adults</title>
<author>
<name sortKey="Dunlop, Dorothy D" sort="Dunlop, Dorothy D" uniqKey="Dunlop D" first="Dorothy D." last="Dunlop">Dorothy D. Dunlop</name>
<affiliation wicri:level="2">
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Illinois</region>
</placeName>
<wicri:cityArea>Institute for Health Services Research and Policy Studies, Northwestern University, Evanston</wicri:cityArea>
</affiliation>
<affiliation wicri:level="2">
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Illinois</region>
</placeName>
<wicri:cityArea>Multipurpose Arthritis and Musculoskeletal Disease Center, Northwestern University, Chicago</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Manheim, Larry M" sort="Manheim, Larry M" uniqKey="Manheim L" first="Larry M." last="Manheim">Larry M. Manheim</name>
<affiliation wicri:level="2">
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Illinois</region>
</placeName>
<wicri:cityArea>Institute for Health Services Research and Policy Studies, Northwestern University, Evanston</wicri:cityArea>
</affiliation>
<affiliation wicri:level="2">
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Illinois</region>
</placeName>
<wicri:cityArea>Multipurpose Arthritis and Musculoskeletal Disease Center, Northwestern University, Chicago</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Song, Jing" sort="Song, Jing" uniqKey="Song J" first="Jing" last="Song">Jing Song</name>
<affiliation wicri:level="2">
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Illinois</region>
</placeName>
<wicri:cityArea>Institute for Health Services Research and Policy Studies, Northwestern University, Evanston</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Chang, Rowland W" sort="Chang, Rowland W" uniqKey="Chang R" first="Rowland W." last="Chang">Rowland W. Chang</name>
<affiliation wicri:level="2">
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Illinois</region>
</placeName>
<wicri:cityArea>Institute for Health Services Research and Policy Studies, Northwestern University, Evanston</wicri:cityArea>
</affiliation>
<affiliation wicri:level="2">
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Illinois</region>
</placeName>
<wicri:cityArea>Multipurpose Arthritis and Musculoskeletal Disease Center, Northwestern University, Chicago</wicri:cityArea>
</affiliation>
<affiliation wicri:level="2">
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Illinois</region>
</placeName>
<wicri:cityArea>Division of Arthritis-Connective Tissue Diseases, Northwestern University Medical School, Chicago</wicri:cityArea>
</affiliation>
<affiliation wicri:level="2">
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Illinois</region>
</placeName>
<wicri:cityArea>Department of Preventive Medicine, Northwestern University Medical School, Chicago</wicri:cityArea>
</affiliation>
</author>
</analytic>
<monogr></monogr>
<series>
<title level="j">The Journals of Gerontology Series B: Psychological Sciences and Social Sciences</title>
<title level="j" type="abbrev">J Gerontol B Psychol Sci Soc Sci</title>
<idno type="ISSN">1079-5014</idno>
<idno type="eISSN">1758-5368</idno>
<imprint>
<publisher>Oxford University Press</publisher>
<date type="published" when="2002-07-01">2002-07-01</date>
<biblScope unit="volume">57</biblScope>
<biblScope unit="issue">4</biblScope>
<biblScope unit="page" from="S221">S221</biblScope>
<biblScope unit="page" to="S233">S233</biblScope>
</imprint>
<idno type="ISSN">1079-5014</idno>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt>
<idno type="ISSN">1079-5014</idno>
</seriesStmt>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Access education</term>
<term>Access factors</term>
<term>Adls</term>
<term>African american</term>
<term>African american women</term>
<term>African americans</term>
<term>American journal</term>
<term>Arthritis</term>
<term>Balanced budget</term>
<term>Baseline</term>
<term>Baseline characteristics</term>
<term>Behavioral model</term>
<term>Cardiovascular procedures</term>
<term>Chronic conditions</term>
<term>Chronic diseases</term>
<term>Clinical decision</term>
<term>Complete behavior model</term>
<term>Complex sampling design</term>
<term>Crystal shea</term>
<term>Dental care</term>
<term>Dental care utilization</term>
<term>Dental services</term>
<term>Differential characteristics</term>
<term>Disease control</term>
<term>Disparity</term>
<term>Dunlop</term>
<term>Economic access</term>
<term>Economic access barriers</term>
<term>Economic access factors</term>
<term>Economic access model</term>
<term>Economic access variables</term>
<term>Economic resources</term>
<term>Elderly people</term>
<term>Elderly persons</term>
<term>England journal</term>
<term>Ethnic differences</term>
<term>Ethnic disparities</term>
<term>Ethnic groups</term>
<term>Ethnicity</term>
<term>Exclusive groups</term>
<term>Factors health</term>
<term>Functional health</term>
<term>Functional limitations</term>
<term>Functional status</term>
<term>Gender</term>
<term>Gender disparities</term>
<term>General accounting</term>
<term>General population</term>
<term>Geographic barriers</term>
<term>Gerontology</term>
<term>Government printing department</term>
<term>Health behavior</term>
<term>Health care</term>
<term>Health care service</term>
<term>Health care services</term>
<term>Health care utilization</term>
<term>Health care utilization disparities</term>
<term>Health dynamics</term>
<term>Health insurance</term>
<term>Health insurance coverage</term>
<term>Health insurance medicare</term>
<term>Health need</term>
<term>Health need model</term>
<term>Health services</term>
<term>Health services research</term>
<term>Health services utilization</term>
<term>Heart condition</term>
<term>Heart disease</term>
<term>Higher level function</term>
<term>Hispanic</term>
<term>Hispanic women</term>
<term>Home health</term>
<term>Home health care</term>
<term>Home health services</term>
<term>Hospital admission</term>
<term>Hospital admissions</term>
<term>Human capital</term>
<term>Human services</term>
<term>Hurd mcgarry</term>
<term>Hypertension</term>
<term>Iadl</term>
<term>Iadl limitations</term>
<term>Indirect effect</term>
<term>Interaction terms</term>
<term>Item nonresponse</term>
<term>Kington smith</term>
<term>Less education</term>
<term>Lifetime accumulation</term>
<term>Linear contrast</term>
<term>Little effect</term>
<term>Little impact</term>
<term>Logistic</term>
<term>Logistic regression</term>
<term>Longitudinal study</term>
<term>Lower extremity limitations</term>
<term>Lower odds</term>
<term>Lung disease</term>
<term>Main effect differences</term>
<term>Main effects</term>
<term>Male african american</term>
<term>Marital status</term>
<term>Median</term>
<term>Median quantile regression</term>
<term>Median visits</term>
<term>Medicaid</term>
<term>Medicaid coverage</term>
<term>Medical care</term>
<term>Medical insurance</term>
<term>Medical procedures</term>
<term>Medical services</term>
<term>Medical utilization</term>
<term>Medicare</term>
<term>Medicare coverage</term>
<term>Medicare health insurance</term>
<term>Medicare medicaid</term>
<term>Medicare part</term>
<term>Minorities access</term>
<term>Minority disparities</term>
<term>Minority women</term>
<term>More physician visits</term>
<term>Multiple regression analyses</term>
<term>Nancial ability</term>
<term>National health interview survey</term>
<term>National institute</term>
<term>National probability sample</term>
<term>National sample</term>
<term>Ndings</term>
<term>Need factors</term>
<term>Northwestern university</term>
<term>Notable differences</term>
<term>Nursing home</term>
<term>Nursing home care</term>
<term>Nursing home placements</term>
<term>Nursing home services</term>
<term>Nursing home utilization</term>
<term>Older adults</term>
<term>Older african american</term>
<term>Older americans</term>
<term>Older hispanics</term>
<term>Older minorities</term>
<term>Older women</term>
<term>Other factors</term>
<term>Outpatient</term>
<term>Outpatient surgery</term>
<term>Outpatient surgery differences</term>
<term>Physician</term>
<term>Physician attitudes</term>
<term>Physician care</term>
<term>Physician contact</term>
<term>Physician contacts</term>
<term>Physician payment review commission</term>
<term>Physician services</term>
<term>Physician utilization</term>
<term>Physician visits</term>
<term>Policy studies</term>
<term>Potential access</term>
<term>Psychiatric disease</term>
<term>Psychiatric problems</term>
<term>Psychological sciences</term>
<term>Public health</term>
<term>Quantile</term>
<term>Quantile regression</term>
<term>Racial differences</term>
<term>Racial groups</term>
<term>Reference group</term>
<term>Referent</term>
<term>Regression</term>
<term>Regression odds ratios model</term>
<term>Rural colorado</term>
<term>Russell sage foundation</term>
<term>Same time</term>
<term>Sampling weight</term>
<term>Similar burdens</term>
<term>Similar levels</term>
<term>Social isolation</term>
<term>Social sciences</term>
<term>Statistical analysis</term>
<term>Supplement medicare coverage</term>
<term>Surgery</term>
<term>Utilization</term>
<term>Utilization data</term>
<term>Utilization differences</term>
<term>Utilization disparities</term>
<term>Vast majority</term>
<term>White adults</term>
<term>White counterparts</term>
<term>White women</term>
<term>Wolinsky</term>
<term>Wolinsky johnson</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en">
<term>Access education</term>
<term>Access factors</term>
<term>Adls</term>
<term>African american</term>
<term>African american women</term>
<term>African americans</term>
<term>American journal</term>
<term>Arthritis</term>
<term>Balanced budget</term>
<term>Baseline</term>
<term>Baseline characteristics</term>
<term>Behavioral model</term>
<term>Cardiovascular procedures</term>
<term>Chronic conditions</term>
<term>Chronic diseases</term>
<term>Clinical decision</term>
<term>Complete behavior model</term>
<term>Complex sampling design</term>
<term>Crystal shea</term>
<term>Dental care</term>
<term>Dental care utilization</term>
<term>Dental services</term>
<term>Differential characteristics</term>
<term>Disease control</term>
<term>Disparity</term>
<term>Dunlop</term>
<term>Economic access</term>
<term>Economic access barriers</term>
<term>Economic access factors</term>
<term>Economic access model</term>
<term>Economic access variables</term>
<term>Economic resources</term>
<term>Elderly people</term>
<term>Elderly persons</term>
<term>England journal</term>
<term>Ethnic differences</term>
<term>Ethnic disparities</term>
<term>Ethnic groups</term>
<term>Ethnicity</term>
<term>Exclusive groups</term>
<term>Factors health</term>
<term>Functional health</term>
<term>Functional limitations</term>
<term>Functional status</term>
<term>Gender</term>
<term>Gender disparities</term>
<term>General accounting</term>
<term>General population</term>
<term>Geographic barriers</term>
<term>Gerontology</term>
<term>Government printing department</term>
<term>Health behavior</term>
<term>Health care</term>
<term>Health care service</term>
<term>Health care services</term>
<term>Health care utilization</term>
<term>Health care utilization disparities</term>
<term>Health dynamics</term>
<term>Health insurance</term>
<term>Health insurance coverage</term>
<term>Health insurance medicare</term>
<term>Health need</term>
<term>Health need model</term>
<term>Health services</term>
<term>Health services research</term>
<term>Health services utilization</term>
<term>Heart condition</term>
<term>Heart disease</term>
<term>Higher level function</term>
<term>Hispanic</term>
<term>Hispanic women</term>
<term>Home health</term>
<term>Home health care</term>
<term>Home health services</term>
<term>Hospital admission</term>
<term>Hospital admissions</term>
<term>Human capital</term>
<term>Human services</term>
<term>Hurd mcgarry</term>
<term>Hypertension</term>
<term>Iadl</term>
<term>Iadl limitations</term>
<term>Indirect effect</term>
<term>Interaction terms</term>
<term>Item nonresponse</term>
<term>Kington smith</term>
<term>Less education</term>
<term>Lifetime accumulation</term>
<term>Linear contrast</term>
<term>Little effect</term>
<term>Little impact</term>
<term>Logistic</term>
<term>Logistic regression</term>
<term>Longitudinal study</term>
<term>Lower extremity limitations</term>
<term>Lower odds</term>
<term>Lung disease</term>
<term>Main effect differences</term>
<term>Main effects</term>
<term>Male african american</term>
<term>Marital status</term>
<term>Median</term>
<term>Median quantile regression</term>
<term>Median visits</term>
<term>Medicaid</term>
<term>Medicaid coverage</term>
<term>Medical care</term>
<term>Medical insurance</term>
<term>Medical procedures</term>
<term>Medical services</term>
<term>Medical utilization</term>
<term>Medicare</term>
<term>Medicare coverage</term>
<term>Medicare health insurance</term>
<term>Medicare medicaid</term>
<term>Medicare part</term>
<term>Minorities access</term>
<term>Minority disparities</term>
<term>Minority women</term>
<term>More physician visits</term>
<term>Multiple regression analyses</term>
<term>Nancial ability</term>
<term>National health interview survey</term>
<term>National institute</term>
<term>National probability sample</term>
<term>National sample</term>
<term>Ndings</term>
<term>Need factors</term>
<term>Northwestern university</term>
<term>Notable differences</term>
<term>Nursing home</term>
<term>Nursing home care</term>
<term>Nursing home placements</term>
<term>Nursing home services</term>
<term>Nursing home utilization</term>
<term>Older adults</term>
<term>Older african american</term>
<term>Older americans</term>
<term>Older hispanics</term>
<term>Older minorities</term>
<term>Older women</term>
<term>Other factors</term>
<term>Outpatient</term>
<term>Outpatient surgery</term>
<term>Outpatient surgery differences</term>
<term>Physician</term>
<term>Physician attitudes</term>
<term>Physician care</term>
<term>Physician contact</term>
<term>Physician contacts</term>
<term>Physician payment review commission</term>
<term>Physician services</term>
<term>Physician utilization</term>
<term>Physician visits</term>
<term>Policy studies</term>
<term>Potential access</term>
<term>Psychiatric disease</term>
<term>Psychiatric problems</term>
<term>Psychological sciences</term>
<term>Public health</term>
<term>Quantile</term>
<term>Quantile regression</term>
<term>Racial differences</term>
<term>Racial groups</term>
<term>Reference group</term>
<term>Referent</term>
<term>Regression</term>
<term>Regression odds ratios model</term>
<term>Rural colorado</term>
<term>Russell sage foundation</term>
<term>Same time</term>
<term>Sampling weight</term>
<term>Similar burdens</term>
<term>Similar levels</term>
<term>Social isolation</term>
<term>Social sciences</term>
<term>Statistical analysis</term>
<term>Supplement medicare coverage</term>
<term>Surgery</term>
<term>Utilization</term>
<term>Utilization data</term>
<term>Utilization differences</term>
<term>Utilization disparities</term>
<term>Vast majority</term>
<term>White adults</term>
<term>White counterparts</term>
<term>White women</term>
<term>Wolinsky</term>
<term>Wolinsky johnson</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Ressource économique</term>
<term>Gérontologie</term>
<term>Soins de santé</term>
<term>Assurance maladie</term>
<term>Situation de famille</term>
<term>Santé publique</term>
<term>Sciences sociales</term>
<term>Chirurgie</term>
</keywords>
</textClass>
<langUsage>
<language ident="en">en</language>
</langUsage>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">Objective. We examine the role of economic access in gender and ethnic/racial disparities in the use of health services among older adults. Methods. Data from the 1993–1995 study on the Asset of Health Dynamics Among the Oldest Old (AHEAD) were used to investigate differences in the 2-year use of health services by gender and among non-Hispanic White versus minority (Hispanic and African American) ethnic/racial groups. Analyses account for predisposing factors, health needs, and economic access. Results. African American men had fewer physician contacts; minority and non-Hispanic White women used fewer hospital or outpatient surgery services; minority men used less outpatient surgery; and Hispanic women were less likely to use nursing home care, compared with non-Hispanic White men, controlling for predisposing factors and measures of need. Although economic access was related to some medical utilization, it had little effect on gender/ethnic disparities for services covered by Medicare. However, economic access accounted for minority disparities in dental care, which is not covered by Medicare. Discussion. Medicare plays a significant role in providing older women and minorities access to medical services. Significant gender and ethnic/racial disparities in use of medical services covered by Medicare were not accounted for by economic access among older adults with similar levels of health needs. Other cultural and attitudinal factors merit investigation to explain these gender/ethnic disparities.</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>États-Unis</li>
</country>
<region>
<li>Illinois</li>
</region>
</list>
<tree>
<country name="États-Unis">
<region name="Illinois">
<name sortKey="Dunlop, Dorothy D" sort="Dunlop, Dorothy D" uniqKey="Dunlop D" first="Dorothy D." last="Dunlop">Dorothy D. Dunlop</name>
</region>
<name sortKey="Chang, Rowland W" sort="Chang, Rowland W" uniqKey="Chang R" first="Rowland W." last="Chang">Rowland W. Chang</name>
<name sortKey="Chang, Rowland W" sort="Chang, Rowland W" uniqKey="Chang R" first="Rowland W." last="Chang">Rowland W. Chang</name>
<name sortKey="Chang, Rowland W" sort="Chang, Rowland W" uniqKey="Chang R" first="Rowland W." last="Chang">Rowland W. Chang</name>
<name sortKey="Chang, Rowland W" sort="Chang, Rowland W" uniqKey="Chang R" first="Rowland W." last="Chang">Rowland W. Chang</name>
<name sortKey="Dunlop, Dorothy D" sort="Dunlop, Dorothy D" uniqKey="Dunlop D" first="Dorothy D." last="Dunlop">Dorothy D. Dunlop</name>
<name sortKey="Manheim, Larry M" sort="Manheim, Larry M" uniqKey="Manheim L" first="Larry M." last="Manheim">Larry M. Manheim</name>
<name sortKey="Manheim, Larry M" sort="Manheim, Larry M" uniqKey="Manheim L" first="Larry M." last="Manheim">Larry M. Manheim</name>
<name sortKey="Song, Jing" sort="Song, Jing" uniqKey="Song J" first="Jing" last="Song">Jing Song</name>
</country>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/EdenteV2/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 008494 | SxmlIndent | more

Ou

HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 008494 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Wicri/Santé
   |area=    EdenteV2
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     ISTEX:5F96F1364FEDA941A1F9DA5D3570F1F159492519
   |texte=   Gender and Ethnic/Racial Disparities in Health Care Utilization Among Older Adults
}}

Wicri

This area was generated with Dilib version V0.6.32.
Data generation: Thu Nov 30 15:26:48 2017. Site generation: Tue Mar 8 16:36:20 2022