Relation between race and ethnicity, a usual source of care and receipt of preventive services
Tuesday, November 5, 2013
: 4:42 p.m. - 4:54 p.m.
Objective: Previous research and demonstrated a strong association between a usual source of care and health care use among middle-aged and older adults with disabilities. Race and ethnicity may moderate this relation. Methods: We pool Medical Expenditure Panel Survey (MEPS) data for 2001-2007 to examine the relation between race, ethnicity and reporting a usual source of care (i.e., none, a place, and provider) among middle-aged and older adults. We then examine the relation between a usual source of care and receipt of preventive services, and the extent to which race and ethnicity moderate this relation. Findings: We found both Black and Hispanic adults to have a significantly higher relative risk of reporting a place as a usual source of care. The relative risk was significantly higher for older relative to middle-aged Blacks with disabilities. We found a consistent effect of a usual source of care on receipt of preventive services for both middle-aged and older adults. The effect of a usual source of care was stronger for older adults and there was some evidence of moderating effects of race and ethnicity for certain preventive services. Implications: Enhancing access to a provider as a usual source of care will likely have important health benefits for minority middle-aged and older adults.
Diversity and culture
Public health or related public policy
Public health or related research
Analyze the relation of race and ethnicity and reporting a usual source of care.
Compare the moderating effects of race and ethnicity on the effect of a usual source of care on receipt of preventive services.
Keyword(s): Aging, Disability
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: I am the study Co-PI and took the lead role in study analyses.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.