Journals of Gerontology Series B: Psychological Sciences and Social Sciences
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Articles by White-Means, S. I.
The Journals of Gerontology Series B: Psychological Sciences and Social Sciences 55:S76-S89 (2000)
© 2000 The Gerontological Society of America


RESEARCH ARTICLE

Racial Patterns in Disabled Elderly Persons' Use of Medical Services

Shelley I. White-Meansa

a Department of Economics, Fogelman College of Business and Economics, University of Memphis, Tennessee

Shelley I. White-Means, Fogelman College of Business and Economics, The University of Memphis, Memphis, Tennessee 38152 E-mail: swhitmns{at}cc.memphis.edu.

Objective. This study examines the extent that older persons experience patterns of health service use that vary by race.

Methods. Using the 1989 NLTCS database, researchers estimate ten binomial logistic regressions of community medical service use by disabled White and Black older persons. Chow tests and Oaxaca decomposition analysis inform why racial differences continue to exist, although most elderly persons have Medicare.

Results. With similar medical conditions, Blacks are less likely to use services, particularly prescription medications and physician services. Use of some medical services is more likely for elderly Black persons who live in rural areas, small cities, and Western states, or who have more IADLs, joint and breathing problems, and broken parts. An Oaxaca decomposition indicates that differences in personal characteristics (e.g., income and health) do not fully explain racial differences in use of prescriptions and physician services.

Discussion. For reasons that are unrelated to financial assets, blacks remain vulnerable in their ability to access services commonly used by older persons. To remedy racial disparities in medical utilization, public policy must expand its focuses beyond health finance issues and consider differences in availability, accessibility, and acceptability.




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J Gerontol B Psychol Sci Soc SciHome page
B. A. Shaw and N. Krause
Exploring Race Variations in Aging and Personal Control
J. Gerontol. B. Psychol. Sci. Soc. Sci., March 1, 2001; 56(2): 119S - 124.
[Abstract] [Full Text]




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