The Association of Race/Ethnicity With the Receipt of Traditional and Alternative Arthritis-Specific Health Care
- 1 November 2003
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Medical Care
- Vol. 41 (11), 1233-1239
- https://doi.org/10.1097/01.mlr.0000093422.67436.e5
Abstract
The role of race/ethnicity in the receipt of arthritis-specific health care has not been well defined. To examine the association of race/ethnicity with the utilization of arthritis health care among community-dwelling older adults. We used a computer-assisted telephone interview. A population-based random sample was drawn from 6 preselected Alabama counties. Eligible respondents had self-reported arthritis and were over 50 years of age; 1424 people responded to the survey. Logistic regression was used to examine the association of race/ethnicity with the use of conventional (including use of a rheumatologist, primary care physician, and prescription arthritis medicines) and complementary and alternative medicines (CAM), including the use of chiropractic care, glucosamine and/or chondroitin, and herbals. Reflecting stratified sampling, respondents were white (n = 852, 60%) or black (n = 528, 37%), female (72%), and had a mean age of 65 years. After multivariable adjustment, race/ethnicity was not a significant determinant of receiving rheumatology care or prescription arthritis medicines. However, whites were more likely than blacks to have seen a primary care physician for arthritis care (adjusted odds ratio [OR], 1.49; 95% confidence interval [CI], 1.12–1.98) or to have used CAM (OR, 1.47; 95% CI, 1.13–1.91) and twice as likely to have used glucosamine and/or chondroitin (OR, 1.99; 95% CI, 1.30–3.05). In this population of community-dwelling older adults, white race was significantly associated with CAM use and visits to primary care physicians for arthritis care. In contrast, the use of specialists and prescription arthritis medications was better explained by factors other than race/ethnicity, which included female gender, urban residence, higher educational level, and other arthritis-specific variables.Keywords
This publication has 15 references indexed in Scilit:
- Disparity in Total Hip Replacement Affecting Hispanic Medicare BeneficiariesMedical Care, 2002
- Use of complementary and alternative medicine by older patients with arthritis: a population-based studyArthritis & Rheumatism, 2001
- Self-reported Arthritis-Related Disruptions in Sleep and Daily Life and the Use of Medical, Complementary, and Self-care Strategies for Arthritis: The National Survey of Self-care and AgingArchives of Family Medicine, 2000
- Utilization of rheumatology physician services by the elderlyAmerican Journal Of Medicine, 1998
- Arthritis health service utilization among the elderly: The role of urban‐rural residence and other utilization factorsArthritis & Rheumatism, 1998
- Gender and ethnic differences in alternative and conventional arthritis remedy use among community-dwelling rural adults with arthritisArthritis & Rheumatism, 1996
- Total hip arthroplasty: use and select complications in the US Medicare population.American Journal of Public Health, 1996
- Access to medical care among persons with musculoskeletal conditionsArthritis & Rheumatism, 1995
- Care Seeking for Musculoskeletal and Respiratory Episodes in a Medicare PopulationMedical Care, 1991
- Exploring the IcebergMedical Care, 1987