IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0189676.html
   My bibliography  Save this article

The Great American Recession and forgone healthcare: Do widened disparities between African-Americans and Whites remain?

Author

Listed:
  • Jasmine L Travers
  • Catherine C Cohen
  • Andrew W Dick
  • Patricia W Stone

Abstract

Objective: During the Great Recession in America, African-Americans opted to forgo healthcare more than other racial/ethnic groups. It is not understood whether disparities in forgone care returned to pre-recession levels. Understanding healthcare utilization patterns is important for informing subsequent efforts to decrease healthcare disparities. Therefore, we examined changes in racial disparities in forgone care before, during, and after the Great Recession. Design: Data were pooled from the 2006–2013 National Health Interview Survey. Forgone medical, mental, and prescription care due to affordability were assessed among African-Americans and Whites. Time periods were classified as: pre-recession (May 2006-November 2007), early recession (December 2007-November 2008), late recession (December 2008-May 2010) and post-recession (June 2010-December 2013). Multivariable logistic regressions of race, interacted with time periods, were used to identify disparities in forgone care controlling for other demographics, health insurance coverage, and having a usual place for medical care across time periods. Adjusted Wald tests were performed to identify significant changes in disparities across time periods. Results: The sample consisted of 110,746 adults. African-Americans were more likely to forgo medical care during the post- recession compared to Whites (OR = 1.16, CI = 1.06, 1.26); changes in foregone medical care disparities were significant in that they increased in the post-recession period compared to the pre-recession (OR = 1.17, CI = 1.08, 1.28 and OR = 0.89, CI = 0.77, 1.04, respectively, adjusted Wald Test p-value

Suggested Citation

  • Jasmine L Travers & Catherine C Cohen & Andrew W Dick & Patricia W Stone, 2017. "The Great American Recession and forgone healthcare: Do widened disparities between African-Americans and Whites remain?," PLOS ONE, Public Library of Science, vol. 12(12), pages 1-9, December.
    • Handle: RePEc:plo:pone00:0189676
    DOI: 10.1371/journal.pone.0189676
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0189676
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0189676&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0189676?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Nelson, D.E. & Powell-Griner, E. & Town, M. & Kovar, M.G., 2003. "A Comparison of National Estimates from the National Health Interview Survey and the Behavioral Risk Factor Surveillance System," American Journal of Public Health, American Public Health Association, vol. 93(8), pages 1335-1341.
    2. Burgard, S.A. & Hawkins, J.M., 2014. "Race/ethnicity, educational attainment, and foregone health care in the United States in the 2007-2009 recession," American Journal of Public Health, American Public Health Association, vol. 104(2), pages 134-140.
    3. Natalia A. Kolesnikova & Yang Liu, 2011. "Jobless recoveries: causes and consequences," The Regional Economist, Federal Reserve Bank of St. Louis, issue Apr, pages 18-19.
    4. Allin, S. & Masseria, C. & Mossialos, E., 2009. "Measuring socioeconomic differences in use of health care services by wealth versus by income," American Journal of Public Health, American Public Health Association, vol. 99(10), pages 1849-1855.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Audrey L. Jones & Susan D. Cochran & Jane Rafferty & Robert Joseph Taylor & Vickie M. Mays, 2020. "Lifetime and Twelve-Month Prevalence, Persistence, and Unmet Treatment Needs of Mood, Anxiety, and Substance Use Disorders in African American and U.S. versus Foreign-Born Caribbean Women," IJERPH, MDPI, vol. 17(19), pages 1-22, September.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Tatjana Miljkovic & Saleem Shaik & Dragan Miljkovic, 2017. "Redefining standards for body mass index of the US population based on BRFSS data using mixtures," Journal of Applied Statistics, Taylor & Francis Journals, vol. 44(2), pages 197-211, January.
    2. Fabio C. Bagliano & Claudio Morana, 2017. "It ain’t over till it’s over: A global perspective on the Great Moderation-Great Recession interconnection," Applied Economics, Taylor & Francis Journals, vol. 49(49), pages 4946-4969, October.
    3. Qiuping (Pearl) Zhou & Kyeung Mi Oh, 2012. "Comparison of lifestyle behaviors and related factors between Asian American and white adults with prediabetes," Nursing & Health Sciences, John Wiley & Sons, vol. 14(1), pages 58-66, March.
    4. Pawinee Iamtrakul & Sararad Chayphong & Adrian Yat Wai Lo, 2022. "Exploring the Contribution of Social and Economic Status Factors (SES) to the Development of Learning Cities (LC)," Sustainability, MDPI, vol. 14(19), pages 1-20, October.
    5. Kjellsson, Gustav & Clarke, Philip & Gerdtham, Ulf-G., 2014. "Forgetting to remember or remembering to forget: A study of the recall period length in health care survey questions," Journal of Health Economics, Elsevier, vol. 35(C), pages 34-46.
    6. Ricardo Rodrigues & Stefania Ilinca & Andrea E. Schmidt, 2018. "Income‐rich and wealth‐poor? The impact of measures of socio‐economic status in the analysis of the distribution of long‐term care use among older people," Health Economics, John Wiley & Sons, Ltd., vol. 27(3), pages 637-646, March.
    7. Shaoqing Gong & Liang Wang & Zhongliang Zhou & Kesheng Wang & Arsham Alamian, 2022. "Income Disparities in Obesity Trends among U.S. Adults: An Analysis of the 2011–2014 California Health Interview Survey," IJERPH, MDPI, vol. 19(12), pages 1-9, June.
    8. Silvana Miceli & Laura Maniscalco & Domenica Matranga, 2019. "Social networks and social activities promote cognitive functioning in both concurrent and prospective time: evidence from the SHARE survey," European Journal of Ageing, Springer, vol. 16(2), pages 145-154, June.
    9. De Giorgi, Giacomo & Gambetti, Luca & Naguib, Costanza, 2020. "Life-Cycle Inequality: Blacks And Whites Differentials In Life Expectancy, Savings, Income, And Consumption," CEPR Discussion Papers 15182, C.E.P.R. Discussion Papers.
    10. Sözmen, Kaan & Ünal, Belgin, 2016. "Explaining inequalities in Health Care Utilization among Turkish adults: Findings from Health Survey 2008," Health Policy, Elsevier, vol. 120(1), pages 100-110.
    11. Zhihui Jia & Xiaotong Wen & Feiyu Chen & Hui Zhu & Can Li & Yixiang Lin & Xiaoxu Xie & Zhaokang Yuan, 2020. "Cumulative Exposure to Adverse Childhood Experience: Depressive Symptoms, Suicide Intensions and Suicide Plans among Senior High School Students in Nanchang City of China," IJERPH, MDPI, vol. 17(13), pages 1-13, June.
    12. Todd Gabe & Richard Florida & Charlotta Mellander, 2012. "The Creative Class and the crisis," Cambridge Journal of Regions, Economy and Society, Cambridge Political Economy Society, vol. 6(1), pages 37-53.
    13. Alec Rhodes & Stephanie Moulton & Cäzilia Loibl & Donald Haurin & Joshua Joseph, 2024. "Mortgage Borrowing and Chronic Disease Outcomes in Older Age: Evidence From Biomarker Data in the Health and Retirement Study," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 79(7), pages 1849-1855.
    14. Alessio Moro & Omar Rachedi, 2022. "The Changing Structure Of Government Consumption Spending," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 63(3), pages 1293-1323, August.
    15. Janko Janković & Sladjana Šiljak & Miloš Erić & Jelena Marinković & Slavenka Janković, 2018. "Inequalities in the utilization of health care services in a transition European country: results from the national population health survey," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(2), pages 261-272, March.
    16. Peter Toth & Katarina Valkova, 2015. "Wage Rigidities and Jobless Recovery in Slovakia: New Survey Evidence," Working and Discussion Papers OP 3/2015, Research Department, National Bank of Slovakia.
    17. repec:hum:wpaper:sfb649dp2016-002 is not listed on IDEAS
    18. Towne, Samuel D. & Probst, Janice C. & Hardin, James W. & Bell, Bethany A. & Glover, Saundra, 2017. "Health & access to care among working-age lower income adults in the Great Recession: Disparities across race and ethnicity and geospatial factors," Social Science & Medicine, Elsevier, vol. 182(C), pages 30-44.
    19. Šime Smolić & Ivan Čipin & Petra Međimurec, 2022. "Access to healthcare for people aged 50+ in Europe during the COVID-19 outbreak," European Journal of Ageing, Springer, vol. 19(4), pages 793-809, December.
    20. Johannes G. Jaspersen, 2022. "When full insurance may not be optimal: The case of restricted substitution," Health Economics, John Wiley & Sons, Ltd., vol. 31(6), pages 1249-1257, June.
    21. Christine L Gray & Lynne C Messer & Kristen M Rappazzo & Jyotsna S Jagai & Shannon C Grabich & Danelle T Lobdell, 2018. "The association between physical inactivity and obesity is modified by five domains of environmental quality in U.S. adults: A cross-sectional study," PLOS ONE, Public Library of Science, vol. 13(8), pages 1-14, August.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0189676. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.