Access to health care for older persons in the United States: personal, structural, and neighborhood characteristics.

Abstract:

OBJECTIVE:To determine the contributions of personal, structural, and neighborhood characteristics to differential access to health care for older persons in the United States. METHODS:This study used the 1994 National Health Interview Survey, ages 65 and older (n = 12,341), 1990 census block group data, and data on health professional shortage areas. Logistic regression was used to model the probability of problems accessing care. RESULTS:The likelihood of access problems increased sharply with decreasing gradients of family income and for those lacking private health care insurance. Rural areas and poor areas were at a disadvantage in accessing care, whereas residents of neighborhoods that were homogeneous in ancestral heritage appeared better able to access care. DISCUSSION:Considering the high association between neighborhood and personal characteristics, it is notable that any neighborhood effects remained after combining them with personal effects.

journal_name

J Aging Health

authors

Auchincloss AH,Van Nostrand JF,Ronsaville D

doi

10.1177/089826430101300302

subject

Has Abstract

pub_date

2001-08-01 00:00:00

pages

329-54

issue

3

eissn

0898-2643

issn

1552-6887

journal_volume

13

pub_type

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