Rural-Urban Health Care Cost Differences Among Latinx Adults With and Without Dementia in the United States.

IF 2.2 3区医学 Q2 GERONTOLOGY Journal of Aging and Health Pub Date : 2024-10-01 Epub Date: 2023-10-29 DOI:10.1177/08982643231207517

Ángela Gutiérrez, Mónika López-Anuarbe, Noah J Webster, Elham Mahmoudi

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Abstract

Objectives: To compare rural-urban health care costs among Latinx adults ages 51+ and examine variations by dementia status.

Methods: Data are from the Health and Retirement Study (2006-2018 waves; n = 15,567). We inflation-adjusted all health care costs using the 2021 consumer price index. Geographic context and dementia status were the main exposure variables. We applied multivariate two-part generalized linear models and adjusted for sociodemographic and health characteristics.

Results: Rural residents had higher total health care costs, regardless of dementia status. Total health care costs were $850 higher in rural ($2,640) compared to urban ($1,789) areas (p < .001). Out-of-pocket costs were $870 higher in rural ($2,677) compared to urban ($1,806) areas (p < .001). Dementia status was not an effect modifier.

Discussion: Health care costs are disproportionately higher among Latinx rural, relative to urban, residents. Addressing health care costs among Latinx rural residents is a public health priority.

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美国患有和不患有痴呆症的拉丁裔成年人的城乡医疗保健成本差异。

目的：比较51岁以上拉丁裔成年人的城乡医疗保健费用，并检查痴呆状态的变化。方法：数据来自健康与退休研究（2006-2018波；n=15567）。我们使用2021年消费者价格指数对所有医疗保健成本进行了通胀调整。地理环境和痴呆状态是主要的暴露变量。我们应用了多变量两部分广义线性模型，并根据社会人口和健康特征进行了调整。结果：无论是否患有痴呆症，农村居民的总医疗费用都较高。农村地区（2640美元）的医疗保健总费用比城市地区（1789美元）高850美元（p＜0.001）。农村地区（2677美元）的自付费用比城市（1806美元）高870美元（p＞0.001）。痴呆症状态不是影响因素。讨论：相对于城市居民，拉丁裔农村居民的医疗保健费用高得不成比例。解决拉丁裔农村居民的医疗保健费用是公共卫生的优先事项。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Aging and Health Multiple-

CiteScore

5.60

自引率

3.60%

发文量

113

期刊介绍： The Journal of Aging and Health is an interdisciplinary forum for the presentation of research findings and scholarly exchange in the area of aging and health. Manuscripts are sought that deal with social and behavioral factors related to health and aging. Disciplines represented include the behavioral and social sciences, public health, epidemiology, demography, health services research, nursing, social work, medicine, and related disciplines. Although preference is given to manuscripts presenting the findings of original research, review and methodological pieces will also be considered.