Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Nguyen, Quynh C.; Needham Waddell, Elizabeth; Kerker, Bonnie D.; Gwynn, R. Charon; Thomas, James C.; ... More +
Nguyen, Quynh C.; Needham Waddell, Elizabeth; Kerker, Bonnie D.; Gwynn, R. Charon; Thomas, James C.; Huston, Sara L.; Less -
Description:
Introduction Health care access and sociodemographic characteristics may influence chronic disease management even among adults who have health insurance. The objective of this study was to examine awareness, treatment, and control of hypertension and hypercholesterolemia, by health care access and sociodemographic characteristics, among insured adults in New York City. Methods Using data from the 2004 New York City Health and Nutrition Examination Survey, we investigated inequalities in the diagnosis and management of hypertension and hypercholesterolemia among insured adults aged 20 to 64 years (n = 1,334). We assessed differences in insurance type (public, private) and routine place of care (yes, no), by sociodemographic characteristics. Results One in 10 participants with hypertension and 3 in 10 with hypercholesterolemia were unaware and untreated. Having a routine place of care was associated with treatment and control of hypertension and with awareness, treatment, and control of hypercholesterolemia, after adjusting for insurance type, age, sex, race/ethnicity, foreign birth, income, and education. Differences in systolic blood pressure and total cholesterol between people with versus without a routine place of care were 2 to 3 times the difference found between people with public versus private insurance. Few differences were associated with sociodemographic characteristics after adjusting for routine place of care and insurance type; however, male sex, younger age, Asian race, and foreign birth with short-term US residence reduced the odds of having a routine place of care. Neither income nor education predicted having a routine place of care. Conclusion Sociodemographic characteristics may influence chronic disease management among the insured through health care access factors such as having a routine place of care.
Subject:
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Adult
Aging
Antihypertensive Agents
Female
Health Knowledge, Attitudes, Practice
Humans
Hypercholesterolemia
Hypertension
Hypolipidemic Agents
Insurance, Health
Male
Middle Aged
Odds Ratio
Risk Factors
Socioeconomic Factors
Young Adult

Source:
Prev Chronic Dis. 2011; 8(5).;
Document Type:
Journal Article;
Place as Subject:
New York City, NY;
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:0e39d86659ca185f7ed7aea74ded0c21af15b26c2c0c498556944b9a736c4ca4
File Type:

Supporting Files

• 	license.txt	txt
  	PCD85A109.nxml	txt

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