Format

Send to:

Choose Destination
See comment in PubMed Commons below
J Gen Intern Med. 2002 Jun;17(6):458-64.

Influence of usual source of care on differences by race/ethnicity in receipt of preventive services.

Author information

  • 1Departments of Social Medicine and Internal Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7240, USA. gcorbie@med.unc.edu

Abstract

OBJECTIVE:

We examined the relation between race/ethnicity and receipt of preventive services and the effect of having a usual source of care (USOC) on receipt of preventive services in different racial and ethnic groups.

DESIGN/PARTICIPANTS:

We analyzed data from adults, aged 18 to 64 years in the Household Component of the 1996 Medical Expenditure Panel Survey, a nationally representative survey of health care use for the United States.

MEASUREMENTS:

The proportion of adults who received age-appropriate preventive services.

RESULTS:

Compared to white respondents, Hispanics were less likely to receive breast exams and blood pressure and cholesterol screening than were white respondents, and blacks were more likely to report receiving a Pap smear. Despite being less likely to report having a USOC, black and Hispanic women were as likely or more likely to report receiving breast and cervical cancer screening, after controlling for having a USOC and other factors. Hispanics reported receiving blood pressure screening less often, and blacks reported receiving more cholesterol screening. For each race/ethnicity group, having a USOC was associated with receiving preventive services. However, controlling for USOC and other confounders attenuated, but did not eliminate, differences by race/ethnicity.

CONCLUSION:

The differences by race in receipt of preventive services suggest the need for different starting points for devising strategies to address racial differences in disease outcomes. While having a USOC will be important in narrowing the differences by race in receipt of preventive services, attending to other factors that contribute to disparities in health will also be essential.

PMID:
12133161
[PubMed - indexed for MEDLINE]
PMCID:
PMC1495054
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for PubMed Central
    Loading ...
    Write to the Help Desk