Update: Health Insurance and Utilization of Care among Rural Adolescents

Autor/inn/en	Probst, Janice C.; Moore, Charity G.; Baxley, Elizabeth G.
Titel	Update: Health Insurance and Utilization of Care among Rural Adolescents
Quelle	In: Journal of Rural Health, 21 (2005) 4, S.279-287 (9 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0890-765X
DOI	10.1111/j.1748-0361.2005.tb00096.x
Schlagwörter	Urban Youth; Multivariate Analysis; Living Standards; Health Insurance; Adolescents; Access to Health Care; Rural Youth; Disadvantaged Youth; Hispanic Americans; African Americans; Minority Groups; Medical Services; Whites; Case Studies; Racial Differences; Individual Differences; Socioeconomic Influences; National Health Interview Survey + Suchen Sie Ihr Suchwort? Urban area; Urban areas; Youth; Stadtregion; Stadt; Jugend; Multivariate Analyse; Lebensstandard; Krankenversicherung; Adolescent; Adolescence; Adoleszenz; Jugendalter; Jugendlicher; Rural area; Rural areas; Ländlicher Raum; Benachteiligter Jugendlicher; Hispanic; Hispanoamerikaner; Afroamerikaner; Ethnische Minderheit; Arzt; White; Weißer; Case study; Fallstudie; Case Study; Rassenunterschied; Individueller Unterschied; Sozioökonomischer Faktor
Abstract	Context: Adolescence is critical for the development of adult health habits. Disparities between rural and urban adolescents and between minority and white youth can have life-long consequences. Purpose: To compare health insurance coverage and ambulatory care contacts between rural minority adolescents and white and urban adolescents. Methods: Cross-sectional design using data from the 1999-2000 National Health Interview Survey, a nationally representative sample of US households. Analysis was restricted to white, black, and Hispanic children aged 12 through 17 (8,503 observations). Outcome measures included health insurance, ambulatory visit within past year, usual source of care (USOC), and well visit within past year. Independent variables included race, residence, demographics, facilitating/enabling characteristics, and need. Results: Across races, rural adolescents were as likely to have insurance (86.8% vs 87.7%) but less likely to report a preventive visit (60.1% vs 65.5%) than urban children; residence did not affect the likelihood of a visit or a USOC. Minority rural adolescents were less likely than whites to be insured, report a visit, or have a USOC. Most race-based differences were not significant in multivariate analysis holding constant living situation, caretaker education, income, and insurance. Low caretaker English fluency, limited almost exclusively to Hispanics, was an impediment to all outcomes. Conclusions: Most barriers to care among rural and minority youth are attributable to factors originating outside the health care system, such as language, living situation, caretaker education, and income. A combination of outreach activities and programs to enhance rural schools and economic opportunities will be needed to improve coverage and utilization among adolescents. (Author).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10