Disparities in health care access and receipt of preventive services by disability type

Analysis of the medical expenditure panel survey

Willi Horner-Johnson, Konrad Dobbertin, Jae Chul Lee, Elena Andresen

Research output: Contribution to journalArticle

30 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)1980-1999
Number of pages20
JournalHealth Services Research
Volume49
Issue number6
DOIs
StatePublished - Dec 1 2014

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Healthcare Disparities
Health Expenditures
Delivery of Health Care
Health Services Accessibility
Information Storage and Retrieval
Disabled Persons
Preventive Medicine
Insurance Coverage
Health Insurance
Early Detection of Cancer
Hearing Loss
Health Status
Tooth
Logistic Models
Regression Analysis
Surveys and Questionnaires
Research

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 journalArticle

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