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Health Service Access, Use, and Insurance Coverage among American Indians/Alaska Natives and Whites: What Role Does the Indian Health Service Play?

Author

Listed:
  • Zuckerman, S.
  • Haley, J.
  • Roubideaux, Y.
  • Lillie-Blanton, M.

Abstract

Objectives. We compared access and utilization of health services among American Indians/Alaska Natives (AIANs) with that among non-Hispanic Whites. Methods. We used data from the 1997 and 1999 National Survey of America's Families to estimate odds ratios for several measures of access and utilization and the effects of Indian Health Service (IHS) coverage. Results. AIANs had less insurance coverage and worse access and utilization than Whites. Over half of low-income uninsured AIANs did not have access to the IHS. However, among the low-income population, AIANs with only IHS access fared better than uninsured AIANs and as well as insured Whites for key measures but received less preventive care. Conclusions. The IHS partially offsets lack of insurance for some uninsured AIANs, but important needs were potentially unmet.

Suggested Citation

  • Zuckerman, S. & Haley, J. & Roubideaux, Y. & Lillie-Blanton, M., 2004. "Health Service Access, Use, and Insurance Coverage among American Indians/Alaska Natives and Whites: What Role Does the Indian Health Service Play?," American Journal of Public Health, American Public Health Association, vol. 94(1), pages 53-59.
    • Handle: RePEc:aph:ajpbhl:2004:94:1:53-59_9
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    Cited by:

    1. Held, Suzanne & Hallett, John & Schure, Mark & Knows His Gun McCormick, Alma & Allen, Sarah & Milne-Price, Shauna & Trottier, Coleen & Bull Shows, Brianna & Other Medicine, Lucille & Inouye, Jillian, 2019. "Improving chronic illness self-management with the Apsáalooke Nation: Development of the Báa nnilah program," Social Science & Medicine, Elsevier, vol. 242(C).
    2. Renuka Bhaskar & Rachel M. Shattuck & James Noon, 2018. "Reporting of Indian Health Service Coverage in the American Community Survey," CARRA Working Papers 2018-04, Center for Economic Studies, U.S. Census Bureau.
    3. Burns, Ailish & DeAtley, Teresa & Short, Susan E., 2023. "The maternal health of American Indian and Alaska Native people: A scoping review," Social Science & Medicine, Elsevier, vol. 317(C).
    4. Yachen Zhu & Yuxi Shi & Scott M. Bartell & Maria M. Corrada & Spero M. Manson & Joan O’Connell & Luohua Jiang, 2024. "Potential Effects of Long-Term Exposure to Air Pollution on Dementia: A Longitudinal Analysis in American Indians Aged 55 Years and Older," IJERPH, MDPI, vol. 21(2), pages 1-13, January.
    5. Carol M. Seanez & Tomas Nuño & Francine C. Gachupin & Robin B. Harris, 2023. "Mammography Compliance for Arizona and New Mexico Hispanic and American Indian Women 2016–2018," IJERPH, MDPI, vol. 21(1), pages 1-14, December.
    6. Ken Batai & Priscilla R. Sanderson & Lori Joshweseoma & Linda Burhansstipanov & Dana Russell & Lloyd Joshweseoma & Chiu-Hsieh Hsu, 2022. "Formative Assessment to Improve Cancer Screenings in American Indian Men: Native Patient Navigator and mHealth Texting," IJERPH, MDPI, vol. 19(11), pages 1-15, May.
    7. Claradina Soto & Amy E. West & Guadalupe G. Ramos & Jennifer B. Unger, 2022. "Substance and Behavioral Addictions among American Indian and Alaska Native Populations," IJERPH, MDPI, vol. 19(5), pages 1-15, March.
    8. Tetsuji Yamada & Chia-Ching Chen & Chiyoe Murata & Hiroshi Hirai & Toshiyuki Ojima & Katsunori Kondo & Joseph R. Harris III, 2015. "Access Disparity and Health Inequality of the Elderly: Unmet Needs and Delayed Healthcare," IJERPH, MDPI, vol. 12(2), pages 1-28, February.

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