Influence of usual source of care on differences by race/ethnicity in receipt of preventive services
Influence of usual source of care on differences by race/ethnicity in receipt of preventive services
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DOI：
10.1046/j.1525-1497.2002.10733.x
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发表时间：
2002-06-01
影响因子：
5.7
通讯作者：
O'Brien, MA
中科院分区：
文献类型：
--
作者：
Corbie-Smith, G;Flagg, EW;O'Brien, MA
目的：我们研究了种族/民族和接受预防服务之间的关系，以及在不同种族和民族群体中，拥有常规护理来源（USOC）对接受预防服务的影响。设计/参与者：我们分析了1996年医疗支出调查家庭部分中18至64岁成年人的数据，一项关于美国医疗保健使用的全国代表性调查。测量：接受适龄预防服务的成年人的比例。结果：与白色受访者相比，西班牙裔接受乳房检查、血压和胆固醇筛查的可能性低于白色受访者，而黑人更有可能报告接受了巴氏涂片检查。尽管报告有USOC的可能性较小，但在控制了USOC和其他因素后，黑人和西班牙裔妇女有可能或更有可能报告接受乳腺癌和宫颈癌筛查。西班牙裔报告接受血压筛查的频率较低，黑人报告接受胆固醇筛查的频率较高。对于每个种族/民族组，具有USOC与接受预防服务相关。然而，控制USOC和其他混杂因素衰减，但没有消除，种族/ethnication.CONCLUSION的差异：种族在接受预防服务的差异表明，需要不同的出发点，制定战略，以解决种族差异的疾病结果。虽然有一个USOC将是重要的，缩小种族之间的差异，在接受预防服务，注意到其他因素，造成差异的健康也将是至关重要的。
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.