Health coverage, utilization, and expenditures among Latino men

Russell Homan, Patricia A. Homan, Olveen Carrasquillo

Research output: Chapter in Book/Report/Conference proceedingChapter

2 Scopus citations

Abstract

The Agency for Health Care Research and Quality (AHRQ) publishes the annual National Health Disparities Report (NHDR), which provides a comprehensive review of data obtained from many distinct sources regarding healthcare disparities among members of racial and ethnic minorities versus non-Hispanic whites (NHWs). The 2006 NHDR found that Hispanics had worse access to care than non-Hispanic whites in 83 percent of core measures examined (AHRQ 2006b). In addition, while disparities have been steadily improving for blacks and Asians, most of the disparities in access to care were getting worse for Hispanics. Perhaps no measure of access to care is as important as that of health insurance, which is continually cited as the key health disparity issue facing the Latino community in the United States (Hargraves and Hadley 2003; Harrell and Carrasquillo 2003; Kirby, Taliaferro, and Zuvekas 2006). Indeed, in 2006, nearly one-third of Latinos in the United States lacked health coverage versus 11 percent of NHWs (DeNavas-Walt, Proctor, and Lee 2006). Further, the number of Latinos without coverage has nearly doubled during the past twelve years (Shah and Carrasquillo 2006). This crisis in the Latino community has been extensively described (American College of Physicians 2000; Doty and Holmgren 2006). Studies have examined coverage among ethnic subgroups (Carrasquillo and Barbot 2000) analysis among females (Rodriguez and Carrasquillo 2003), longitudinal trends in coverage (Shah and Carrasquillo 2006), role of immigration status (Carrasquillo, Carrasquillo, and Shea 2000), language barriers (Doty 2003), reasons for these gaps in coverage (Flores, Abreu, and Tomany-Korman 2006), and potential interventions. To date, however, detailed data on insurance coverage for Latino men has not been published. In addition, few studies have examined other aspects of access among Latino males, such as having a usual source of care, visits to providers, health expenditures, and health screenings. This chapter addresses these gaps in the literature by employing a health services approach to describe disparities in access faced by Latino men. Our findings are framed within the analytic framework of the book, which examines the role of social and structural factors as key to understanding the health of Latino males.

Original languageEnglish (US)
Title of host publicationHealth Issues in Latino Males
Subtitle of host publicationA Social and Structural Approach
PublisherRutgers University Press
Pages229-248
Number of pages20
ISBN (Print)9780813546032
StatePublished - 2010

ASJC Scopus subject areas

  • Social Sciences(all)

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