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

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  • 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
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    References listed on IDEAS

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    1. 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.
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    3. 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.
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