American Journal of Public Health · 1997 · 150 citations · 31 references
The study investigated racial and ethnic disparities in cardiovascular procedure use across insurance types among African American, Latino, Asian, and White patients. The authors analyzed 104,952 Los Angeles County hospital discharge records of patients with suspected coronary artery disease. After adjustment, African American and Latino patients had lower odds of receiving cardiovascular procedures across most insurance types, while Asian and Pacific Islander patients had similar odds to Whites, and no disparities were seen among privately insured patients.
OBJECTIVES: This study examined whether disparities in the use of cardiovascular procedures exist among African Americans, Latinos, and Asians relative to White patients, within health insurance categories. METHODS: Hospital discharge records (n = 104,952) of Los Angeles Country, California, residents with possible coronary artery disease were analyzed. RESULTS: After adjustment for confounders, lower odds of procedure use were found for African American and Latino patients for most types of insurance. Asians and Pacific Islanders had odds of procedure use similar to those of White patients. Disparities were absent among the privately insured. CONCLUSIONS: Racial and ethnic disparities in procedure rates were evident in all types of insurance except private insurance.
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Impact Of Socioeconomic Status On Hospital Use In New York City
John Billings, Lisa Zeitel, Joanne Lukomnik et al. · Health Affairs · 1993 · 962 citations
Health Care Disparity, New York City, Health Disparities +19