{"title":"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。","authors":"Ángela Gutiérrez, Mónika López-Anuarbe, Noah J Webster, Elham Mahmoudi","doi":"10.1177/08982643231207517","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To compare rural-urban health care costs among Latinx adults ages 51+ and examine variations by dementia status.</p><p><strong>Methods: </strong>Data are from the Health and Retirement Study (2006-2018 waves; <i>n</i> = 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.</p><p><strong>Results: </strong>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 (<i>p</i> < .001). Out-of-pocket costs were $870 higher in rural ($2,677) compared to urban ($1,806) areas (<i>p</i> < .001). Dementia status was not an effect modifier.</p><p><strong>Discussion: </strong>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.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"559-569"},"PeriodicalIF":2.2000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Rural-Urban Health Care Cost Differences Among Latinx Adults With and Without Dementia in the United States.\",\"authors\":\"Ángela Gutiérrez, Mónika López-Anuarbe, Noah J Webster, Elham Mahmoudi\",\"doi\":\"10.1177/08982643231207517\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>To compare rural-urban health care costs among Latinx adults ages 51+ and examine variations by dementia status.</p><p><strong>Methods: </strong>Data are from the Health and Retirement Study (2006-2018 waves; <i>n</i> = 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.</p><p><strong>Results: </strong>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 (<i>p</i> < .001). Out-of-pocket costs were $870 higher in rural ($2,677) compared to urban ($1,806) areas (<i>p</i> < .001). Dementia status was not an effect modifier.</p><p><strong>Discussion: </strong>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.</p>\",\"PeriodicalId\":51385,\"journal\":{\"name\":\"Journal of Aging and Health\",\"volume\":\" \",\"pages\":\"559-569\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2024-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Aging and Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/08982643231207517\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/10/29 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Aging and Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/08982643231207517","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/10/29 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"GERONTOLOGY","Score":null,"Total":0}
Rural-Urban Health Care Cost Differences Among Latinx Adults With and Without Dementia in the United States.
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.
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.
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