Am
J Public Health 1997 Feb;87(2):263-7
Racial and ethnic disparities in the use of cardiovascular procedures:
associations with type of healthinsurance.
Carlisle DM, Leake BD, Shapiro MF.
Division of General Internal Medicine and Health Services Research, UCLA
School of Medicine 90095-1736, USA.
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.
PMID: 9103107 [PubMed - indexed for MEDLINE]
