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Gender and ethnic/racial disparities in health care utilization among older adults
Author(s)Dorothy D Dunlop, Larry M Manheim, Jin Song
Journal titleJournals of Gerontology: Series B, Psychological Sciences and Social Sciences, vol 57B, no 4, July 2002
Pagespp S221-S233
KeywordsEthnic groups ; Older men ; Older women ; Health services ; Usage [services] ; Longitudinal surveys ; United States of America.
AnnotationIn the US, Medicare plays a significant role in providing older women and ethnic minorities access to medical services. The authors use data from the 1993-1995 study on the Asset of Health Dynamics among the Oldest Old (AHEAD), to examine differences in health service use by gender and ethnicity (non-Hispanic White versus Hispanic and African American) over a 2-year period. Compared with non-Hispanic White men and controlling for predisposing factors and measures of need, African American men had fewer physical 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. Although economic access was related to some medical service use, it had little effect on gender or ethnic disparities for services covered by Medicare. Significant gender and ethnic or racial disparities in use of medical services covered by Medicare were not accounted for by economic access among older people with similar levels of health needs. Other cultural and attitudinal factors merit investigation to explain these gender/ethnic disparities. (RH).
Accession NumberCPA-020904206 A
ClassmarkTK: BC: BD: L: QLD: 3J: 7T

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