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Determinants of usual source of care disparities among African American and Caribbean Black men: findings from the National Survey of American Life.

Publication ,  Journal Article
Hammond, WP; Mohottige, D; Chantala, K; Hastings, JF; Neighbors, HW; Snowden, L
Published in: J Health Care Poor Underserved
February 2011

PURPOSE: The Aday-Andersen model was used as a framework for investigating the contribution of immigration status (i.e., nativity and acculturation), socioeconomic factors, health care access, health status, and health insurance to usual source of health care (USOC) in a nationally representative sample of African American (n=551) and Caribbean Black men (n=1,217). METHODS: We used the 2001-2003 National Survey of American Life, a nationally representative household survey of non-institutionalized U.S. Blacks to conduct descriptive and logistic regression analyses. RESULTS: Older age, more health conditions, neighborhood medical clinic access, and health insurance were associated with higher odds of reporting a USOC. Odds were lower for men with lower-middle incomes and poorer mental health status. Having health insurance was associated with higher odds of reporting a USOC for African American men but lower odds among Caribbean Black men. Odds were higher in the presence of more health conditions for African American men than for Caribbean Black men. CONCLUSIONS: Health care reform policies aimed solely at increasing health insurance may not uniformly eliminate USOC disparities disfavoring U.S. and foreign-born non-Hispanic Black men.

Duke Scholars

Published In

J Health Care Poor Underserved

DOI

EISSN

1548-6869

Publication Date

February 2011

Volume

22

Issue

1

Start / End Page

157 / 175

Location

United States

Related Subject Headings

  • Young Adult
  • United States
  • Socioeconomic Factors
  • Public Health
  • Minority Health
  • Middle Aged
  • Male
  • Insurance, Health
  • Humans
  • Healthcare Disparities
 

Citation

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Hammond, W. P., Mohottige, D., Chantala, K., Hastings, J. F., Neighbors, H. W., & Snowden, L. (2011). Determinants of usual source of care disparities among African American and Caribbean Black men: findings from the National Survey of American Life. J Health Care Poor Underserved, 22(1), 157–175. https://doi.org/10.1353/hpu.2011.0016
Hammond, Wizdom Powell, Dinushika Mohottige, Kim Chantala, Julia F. Hastings, Harold W. Neighbors, and Lonnie Snowden. “Determinants of usual source of care disparities among African American and Caribbean Black men: findings from the National Survey of American Life.J Health Care Poor Underserved 22, no. 1 (February 2011): 157–75. https://doi.org/10.1353/hpu.2011.0016.
Hammond WP, Mohottige D, Chantala K, Hastings JF, Neighbors HW, Snowden L. Determinants of usual source of care disparities among African American and Caribbean Black men: findings from the National Survey of American Life. J Health Care Poor Underserved. 2011 Feb;22(1):157–75.
Hammond, Wizdom Powell, et al. “Determinants of usual source of care disparities among African American and Caribbean Black men: findings from the National Survey of American Life.J Health Care Poor Underserved, vol. 22, no. 1, Feb. 2011, pp. 157–75. Pubmed, doi:10.1353/hpu.2011.0016.
Hammond WP, Mohottige D, Chantala K, Hastings JF, Neighbors HW, Snowden L. Determinants of usual source of care disparities among African American and Caribbean Black men: findings from the National Survey of American Life. J Health Care Poor Underserved. 2011 Feb;22(1):157–175.
Journal cover image

Published In

J Health Care Poor Underserved

DOI

EISSN

1548-6869

Publication Date

February 2011

Volume

22

Issue

1

Start / End Page

157 / 175

Location

United States

Related Subject Headings

  • Young Adult
  • United States
  • Socioeconomic Factors
  • Public Health
  • Minority Health
  • Middle Aged
  • Male
  • Insurance, Health
  • Humans
  • Healthcare Disparities