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    Differences in Problems Paying Medical Bills between African Americans and Whites from 2007 and 2009: the Underlying Role of Health Status

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    Authors
    Wiltshire, Jacqueline C.
    Elder, Keith
    Allison, Jeroan J.
    UMass Chan Affiliations
    Department of Quantitative Health Sciences
    Document Type
    Journal Article
    Publication Date
    2016-06-01
    Keywords
    Great recession
    Health status
    Medical bill problems
    Race/ethnicity
    Health Services Administration
    Health Services Research
    
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    Link to Full Text
    http://dx.doi.org/10.1007/s40615-015-0197-5
    Abstract
    OBJECTIVES: Although the proportion of people reporting problems paying medical bills has declined in the aftermath of the Great Recession, it is unclear if this decline has been caused by self-rationing of care, particularly among disadvantaged groups. We examined African American-White differences in problems paying medical bills prevalence along with factors which may account for observed differences. DESIGN: We used cross-sectional data from 2007 (N = 13,064) and 2010 (N = 11,873) waves of the nationally representative, Health Tracking Household Survey. Logistic regression analyses, accounting for complex survey design and weights, were performed to compute population-based estimates. RESULTS: Overall, the prevalence of problems paying medical bills was 18.3 % in 2007 and 19.8 % in 2010. African Americans more frequently reported having problems paying medical bills than Whites. Among African Americans, problems paying medical bills decreased from 30 % in 2007 to 25 % in 2010, which was largely explained by fewer problems reported by those in poor/fair health. Problems paying medical bills significantly declined from 44 % in 2007 to 33 % in 2010 for African Americans in poor/fair health, but remained almost constant for those in good health and very good/excellent health. CONCLUSION: Our findings suggest that African Americans in poor health may be rationing or forgoing necessary care as a result of the recession, which could increase existing health disparities and future health spending. Efforts to reduce racial/ethnic disparities may depend on the extent to which the lingering effects of the Great Recession are mitigated.
    Source
    J Racial Ethn Health Disparities. 2016 Jun;3(2):381-8. doi: 10.1007/s40615-015-0197-5. Epub 2015 Dec 31. Link to article on publisher's site
    DOI
    10.1007/s40615-015-0197-5
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/28862
    PubMed ID
    26721765
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1007/s40615-015-0197-5
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