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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Inequities in Access to Care and Health Care Spending for Asian Americans With Cancer
Medical care, v 59(6), pp 528-536
01 Jun 2021
PMID: 33782249
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background:
Asian Americans have lower cancer screening rates than non-Latino "Whites," suggesting inequities in cancer prevention among Asian Americans. Little is known about inequities in cancer treatment between Whites and Asian Americans with cancer.
Methods:
Using the 2002-2017 Medical Expenditure Panel Survey, we examined inequities in access to care and health care spending between Whites and Asian Americans with and without cancer. Our outcomes included 3 measures of access to care and 3 measures of health care spending. We used multivariable regressions while adjusting for predisposing, enabling, and need factors and estimated the mean adjusted values of the outcomes for each group. We then examined the differences in these adjusted mean outcomes among Asian Americans relative to Whites.
Results:
We observed evidence of inequities that Asian Americans without cancer experienced limited access to care due to a lack of a usual source of care. The likelihood of having a usual source of care was lower among Asian Americans without cancer than Whites without cancer. Inequities were not observed among Asian Americans with cancer. Compared with Whites with cancer, Asian Americans with cancer had similar or better levels of access to care. No or marginal differences in health care spending were detected between Whites and Asian Americans with cancer. These findings were consistent in both nonelderly and elderly groups.
Conclusion:
While Asian Americans without cancer have unmet medical needs due to limited access to care, access to care and spending are relatively equitable between Whites and Asian Americans with cancer.
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Details
- Title
- Inequities in Access to Care and Health Care Spending for Asian Americans With Cancer
- Creators
- Sungchul Park - Drexel UniversityJie Chen - University of MaryGrace X. Ma - Center for Environmental HealthAlexander N. Ortega - Drexel University
- Publication Details
- Medical care, v 59(6), pp 528-536
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 9
- Grant note
- U54 CA221704 (5) / National Cancer Institute; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI) R56AG062315 / National Institute of Aging; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA) R01MD011523 / National Institute on Minority Health and Health Disparities; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Minority Health & Health Disparities (NIMHD) TUFCCC/HC Regional Comprehensive Cancer Health Disparity Partnership
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:000656198200009
- Scopus ID
- 2-s2.0-85106540499
- Other Identifier
- 991019167581804721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Care Sciences & Services
- Health Policy & Services
- Public, Environmental & Occupational Health