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Rural-Urban Health Care Cost Differences Among Latinx Adults With and Without Dementia in the United States.
Gutiérrez, Ángela; López-Anuarbe, Mónika; Webster, Noah J; Mahmoudi, Elham.
Afiliación
  • Gutiérrez Á; Department of Social Medicine, Heritage College of Osteopathic Medicine, Ohio University, Athens, OH, USA.
  • López-Anuarbe M; Department of Economics, Connecticut College, New London, CT, USA.
  • Webster NJ; Institute for Social Research, University of Michigan, Ann Arbor, MI, USA.
  • Mahmoudi E; Department of Family Medicine, University of Michigan, Ann Arbor, MI, USA.
J Aging Health ; : 8982643231207517, 2023 Oct 29.
Article en En | MEDLINE | ID: mdl-37899581
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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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Aging Health Asunto de la revista: GERIATRIA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Aging Health Asunto de la revista: GERIATRIA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos