Presented in part at the 23rd annual national meeting of the Society of General Internal Medicine, May 2000, Boston, Mass.
Influence of Usual Source of Care on Differences by Race/Ethnicity in Receipt of Preventive Services
Article first published online: 24 JUL 2002
Journal of General Internal Medicine
Volume 17, Issue 6, pages 458–464, June 2002
How to Cite
Corbie-Smith, G., Flagg, E. W., Doyle, J. P. and O'Brien, M. A. (2002), Influence of Usual Source of Care on Differences by Race/Ethnicity in Receipt of Preventive Services. Journal of General Internal Medicine, 17: 458–464. doi: 10.1046/j.1525-1497.2002.10733.x
- Issue published online: 24 JUL 2002
- Article first published online: 24 JUL 2002
- preventive services;
- usual source of care;
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.