|
 |
|
|||||||
|
|||||||||
© 2004 American Public Health Association
RESEARCH AND PRACTICE |
Stephen Zuckerman and Jennifer Haley are with the Urban Institute, Health Policy Center, Washington, DC. Yvette Roubideaux is with the College of Public Health, University of Arizona, Tuscon. Marsha Lillie-Blanton is with the Henry J. Kaiser Family Foundation, Washington, DC.
Correspondence: Requests for reprints should be sent to Stephen Zuckerman, Health Policy Center, Urban Institute, 2100 M St, NW, Washington, DC 20037 (e-mail: szuckerm{at}ui.urban.org).
Objectives. We compared access and utilization of health services among American Indians/Alaska Natives (AIANs) with that among non-Hispanic Whites.
Methods. We used data from the 1997 and 1999 National Survey of America’s Families to estimate odds ratios for several measures of access and utilization and the effects of Indian Health Service (IHS) coverage.
Results. AIANs had less insurance coverage and worse access and utilization than Whites. Over half of low-income uninsured AIANs did not have access to the IHS. However, among the low-income population, AIANs with only IHS access fared better than uninsured AIANs and as well as insured Whites for key measures but received less preventive care.
Conclusions. The IHS partially offsets lack of insurance for some uninsured AIANs, but important needs were potentially unmet.
This article has been cited by other articles:
|
|
 |
|
  T. Bryant-Davis, H. Chung, and S. Tillman From the Margins to the Center: Ethnic Minority Women and the Mental Health Effects of Sexual Assault Trauma Violence Abuse, October 1, 2009; 10(4): 330 - 357. [Abstract] [PDF]
|
|
|
|
 |
|
 A. V. Groom, C. Jim, M. LaRoque, C. Mason, J. McLaughlin, L. Neel, T. Powell, T. Weiser, and R. T. Bryan Pandemic Influenza Preparedness and Vulnerable Populations in Tribal Communities Am J Public Health, October 1, 2009; 99(S2): S271 - S278. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. J. Kalbfleisch Effective Health Communication in Native Populations in North America Journal of Language and Social Psychology, June 1, 2009; 28(2): 158 - 173. [Abstract] [PDF]
|
|
|
|
|
|
R. T. Bryan, R. M. Schaefer, L. DeBruyn, and D. D. Stier Public Health Legal Preparedness in Indian Country Am J Public Health, April 1, 2009; 99(4): 607 - 614. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. Peiris MBBS MIPH, A. Brown BMed MPH, and A. Cass MBBS PhD Addressing inequities in access to quality health care for indigenous people Can. Med. Assoc. J., November 4, 2008; 179(10): 985 - 986. [Full Text] [PDF]
|
|
|
|
 |
|
 J. C. Ruthig and A. Allery Native American Elders' Health Congruence: The Role of Gender and Corresponding Functional Well-being, Hospital Admissions, and Social Engagement J Health Psychol, November 1, 2008; 13(8): 1072 - 1081. [Abstract] [PDF]
|
|
|
|
 |
|
 J. B. Unger, C. Soto, and N. Thomas Translation of Health Programs for American Indians in the United States Eval Health Prof, June 1, 2008; 31(2): 124 - 144. [Abstract] [PDF]
|
|
|
|
|
|
M. C. Lindley, A. V. Groom, P. M. Wortley, and G. L. Euler Status of Influenza and Pneumococcal Vaccination Among Older American Indians and Alaska Natives Am J Public Health, May 1, 2008; 98(5): 932 - 938. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. D. Sequist, T. Cullen, H. Hays, M. M. Taualii, S. R. Simon, and D. W. Bates Implementation and Use of an Electronic Health Record within the Indian Health Service J. Am. Med. Inform. Assoc., March 1, 2007; 14(2): 191 - 197. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Freedenthal and A. R. Stiffman "They Might Think I Was Crazy": Young American Indians' Reasons for Not Seeking Help When Suicidal Journal of Adolescent Research, January 1, 2007; 22(1): 58 - 77. [Abstract] [PDF]
|
|
|
|
|
|
M. L. Castor, M. S. Smyser, M. M. Taualii, A. N. Park, S. A. Lawson, and R. A. Forquera A Nationwide Population-Based Study Identifying Health Disparities Between American Indians/Alaska Natives and the General Populations Living in Select Urban Counties Am J Public Health, August 1, 2006; 96(8): 1478 - 1484. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. H. McFarland, R. M. Gabriel, D. A. Bigelow, and R. D. Walker Organization and Financing of Alcohol and Substance Abuse Programs for American Indians and Alaska Natives Am J Public Health, August 1, 2006; 96(8): 1469 - 1477. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Traeger, A. Thompson, E. Dickson, and A. Provencio Bridging Disparity: A Multidisciplinary Approach for Influenza Vaccination in an American Indian Community Am J Public Health, May 1, 2006; 96(5): 921 - 925. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. M. Westmoreland and K. R. Watson Redeeming Hollow Promises: The Case for Mandatory Spending on Health Care for American Indians and Alaska Natives Am J Public Health, April 1, 2006; 96(4): 600 - 605. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. M. Olson and S. Wahab American Indians and Suicide: A Neglected Area of Research Trauma Violence Abuse, January 1, 2006; 7(1): 19 - 33. [Abstract] [PDF]
|
|
|
|
|
|
T. D. Sequist, T. Cullen, and J. Z. Ayanian Information Technology as a Tool to Improve the Quality of American Indian Health Care Am J Public Health, December 1, 2005; 95(12): 2173 - 2179. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. D. Sequist Paving the way--providing opportunities for Native American students. N. Engl. J. Med., November 3, 2005; 353(18): 1884 - 1886. [Full Text] [PDF]
|
|
|
|
|
|
A. J. Caban, D. J. Lee, O. Gomez-Marin, B. L. Lam, and D. D. Zheng Prevalence of Concurrent Hearing and Visual Impairment in US Adults: The National Health Interview Survey, 1997-2002 Am J Public Health, November 1, 2005; 95(11): 1940 - 1942. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. J. Blumberg, K. S. O'Connor, and G. Kenney Unworried Parents of Well Children: A Look at Uninsured Children Who Reportedly Do Not Need Health Insurance Pediatrics, August 1, 2005; 116(2): 345 - 351. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. G. Haviland, L. S. Morales, T. H. Dial, and H. A. Pincus Race/Ethnicity, Socioeconomic Status, and Satisfaction With Health Care American Journal of Medical Quality, July 1, 2005; 20(4): 195 - 203. [Abstract] [PDF]
|
|
|
|
|
|
D. Bramley, P. Hebert, L. Tuzzio, and M. Chassin Disparities in Indigenous Health: A Cross-Country Comparison Between New Zealand and the United States Am J Public Health, May 1, 2005; 95(5): 844 - 850. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Wahab and L. Olson Intimate Partner Violence and Sexual Assault in Native American Communities Trauma Violence Abuse, October 1, 2004; 5(4): 353 - 366. [Abstract] [PDF]
|
|
|
|
|
|
R. J. Katz Addressing the Health Care Needs of American Indians and Alaska Natives Am J Public Health, January 1, 2004; 94(1): 13 - 14. [Full Text]
|
|
|
|
|
|
M. Lillie-Blanton and Y. Roubideaux Understanding and Addressing the Health Care Needs of American Indians and Alaska Natives Am J Public Health, May 1, 2005; 95(5): 759 - 761. [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |