Abstract
Objective To examine differences in access to health care and receipt of clinical preventive services by type of disability among working-age adults with disabilities.
Data Source Secondary analysis of Medical Expenditure Panel Survey (MEPS) data from 2002 to 2008.
Study Design We conducted cross-sectional logistic regression analyses comparing people with different types of disabilities on health insurance status and type; presence of a usual source of health care; delayed or forgone care; and receipt of dental checkups and cancer screening.
Data Collection We pooled annualized MEPS data files across years. Our analytic sample consisted of adults (18-64 years) with physical, sensory, or cognitive disabilities and nonmissing data for all variables of interest.
Principal Findings Individuals with hearing impairment had better health care access and receipt than people with other disability types. People with multiple types of limitations were especially likely to have health care access problems and unmet health care needs.
Conclusions There are differences in health care access and receipt of preventive care depending on what type of disability people have. More in-depth research is needed to identify specific causes of these disparities and assess interventions to address health care barriers for particular disability groups.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1980-1999 |
| Number of pages | 20 |
| Journal | Health Services Research |
| Volume | 49 |
| Issue number | 6 |
| DOIs | |
| State | Published - Dec 1 2014 |
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Keywords
- adult
- health care disparities
- insurance coverage
- People with disabilities
- population surveillance
ASJC Scopus subject areas
- Health Policy
- Medicine(all)
Cite this
Disparities in health care access and receipt of preventive services by disability type : Analysis of the medical expenditure panel survey. / Horner-Johnson, Willi; Dobbertin, Konrad; Lee, Jae Chul; Andresen, Elena.
In: Health Services Research, Vol. 49, No. 6, 01.12.2014, p. 1980-1999.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Disparities in health care access and receipt of preventive services by disability type
T2 - Analysis of the medical expenditure panel survey
AU - Horner-Johnson, Willi
AU - Dobbertin, Konrad
AU - Lee, Jae Chul
AU - Andresen, Elena
PY - 2014/12/1
Y1 - 2014/12/1
N2 - Objective To examine differences in access to health care and receipt of clinical preventive services by type of disability among working-age adults with disabilities.Data Source Secondary analysis of Medical Expenditure Panel Survey (MEPS) data from 2002 to 2008.Study Design We conducted cross-sectional logistic regression analyses comparing people with different types of disabilities on health insurance status and type; presence of a usual source of health care; delayed or forgone care; and receipt of dental checkups and cancer screening.Data Collection We pooled annualized MEPS data files across years. Our analytic sample consisted of adults (18-64 years) with physical, sensory, or cognitive disabilities and nonmissing data for all variables of interest.Principal Findings Individuals with hearing impairment had better health care access and receipt than people with other disability types. People with multiple types of limitations were especially likely to have health care access problems and unmet health care needs.Conclusions There are differences in health care access and receipt of preventive care depending on what type of disability people have. More in-depth research is needed to identify specific causes of these disparities and assess interventions to address health care barriers for particular disability groups.
AB - Objective To examine differences in access to health care and receipt of clinical preventive services by type of disability among working-age adults with disabilities.Data Source Secondary analysis of Medical Expenditure Panel Survey (MEPS) data from 2002 to 2008.Study Design We conducted cross-sectional logistic regression analyses comparing people with different types of disabilities on health insurance status and type; presence of a usual source of health care; delayed or forgone care; and receipt of dental checkups and cancer screening.Data Collection We pooled annualized MEPS data files across years. Our analytic sample consisted of adults (18-64 years) with physical, sensory, or cognitive disabilities and nonmissing data for all variables of interest.Principal Findings Individuals with hearing impairment had better health care access and receipt than people with other disability types. People with multiple types of limitations were especially likely to have health care access problems and unmet health care needs.Conclusions There are differences in health care access and receipt of preventive care depending on what type of disability people have. More in-depth research is needed to identify specific causes of these disparities and assess interventions to address health care barriers for particular disability groups.
KW - adult
KW - health care disparities
KW - insurance coverage
KW - People with disabilities
KW - population surveillance
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U2 - 10.1111/1475-6773.12195
DO - 10.1111/1475-6773.12195
M3 - Article
VL - 49
SP - 1980
EP - 1999
JO - Health Services Research
JF - Health Services Research
SN - 0017-9124
IS - 6
ER -