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Journal of Community Health
Erschienen in: Journal of Community Health 1/2023

23.10.2022 | Original Paper

An Intersectional Approach to Understanding Barriers to Healthcare for Women

verfasst von: Shetal Vohra-Gupta, Liana Petruzzi, Casey Jones, Catherine Cubbin

Erschienen in: Journal of Community Health | Ausgabe 1/2023

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Abstract

Access to health care depends on multiple sociodemographic factors such as race/ethnicity, marital status, education, income, and insurance status. However, a paucity of research has examined access to healthcare disparities as they uniquely affect women, specifically women of color. National data were analyzed from the Medical Expenditure Panel Survey (MEPS) utilizing an 11-year sample (2005–2015) of women ages 18–74 (N = 128,355). More recent data were not included due to changes in how sampling was conducted after 2015. Predictor variables included race/ethnicity cross-classified with marital status, education, income, or insurance status, controlling for age. A dichotomous outcome variable called “any barriers to healthcare” was created based on usual source of care, delayed medical care, delayed dental care and delayed prescription care. Multivariate logistic regression models were used to identify associations with barriers to care. The foundation of this methodology is intersectionality and how it impacts access to care for women across social identities. Hispanic women (OR 1.08, 95% CI 1.02–1.14) had higher odds of having a barrier to care compared to White women. However, Black women (OR 0.92, 95% CI 0.87–0.97) had lower odds of having a barrier to care compared to White women. Race/ethnicity also significantly moderated the relationship between socioeconomic variables (marital status, income, education and insurance status) and having a barrier to care. To achieve a healthy community, addressing these racial/ethnic and socioeconomic inequalities helps to support the people who live and work within these communities.
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Metadaten
Titel
An Intersectional Approach to Understanding Barriers to Healthcare for Women
verfasst von
Shetal Vohra-Gupta
Liana Petruzzi
Casey Jones
Catherine Cubbin
Publikationsdatum
23.10.2022
Verlag
Springer US
Erschienen in
Journal of Community Health / Ausgabe 1/2023
Print ISSN: 0094-5145
Elektronische ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-022-01147-8

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