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February 1, 1997American Journal of Public HealthOpen Access

Racial and ethnic disparities in the use of cardiovascular procedures: associations with type of health insurance.

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Key result

African American and Latino patients had lower odds of cardiovascular procedure use compared to White patients across most insurance types, except among the privately insured.

Why the study?

Do racial and ethnic disparities exist in the use of cardiovascular procedures within health insurance categories among patients with possible coronary artery disease?

Population

104,952 hospital discharge records of Los Angeles County, California, residents with possible coronary…

Comparison

African American, Latino, and Asian race/ethnicity vs White patients

Design

Cross-sectional

Authors

DCD CarlisleUniversity of LiverpoolBLBarbara LeakeBoston UniversityMSMartin F. ShapiroCornell University

Discussion

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Implication

Racial disparities in procedure use vary by insurance; cross-sectional data leaves open mechanisms and prospective confirmation.

Study Design

Type

Observational (n=104,952)

Structured PICO

Do racial and ethnic disparities exist in the use of cardiovascular procedures within health insurance categories among patients with possible coronary artery disease?

P
Population
104,952 hospital discharge records of Los Angeles County, California, residents with possible coronary artery disease
I
Intervention
African American, Latino, and Asian race/ethnicity (exposure)
C
Comparator
White patients
O
Outcome
Use of cardiovascular procedures

Racial and ethnic disparities in cardiovascular procedure utilization exist across most insurance types, but are notably absent among privately insured patients.

Cite This Study

Carlisle et al. (1997) conducted an observational in possible coronary artery disease (n=104,952). African American, Latino, and Asian race/ethnicity vs. White patients was evaluated on use of cardiovascular procedures. African American and Latino patients had lower odds of cardiovascular procedure use compared to White patients across most insurance types, except among the privately insured.

synapsesocial.com/papers/6a0b13f89b4eb2f7ce2e48d9https://doi.org/10.2105/ajph.87.2.263

Topics

Women and heart disease
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cardiovascular risk factors among Asian Americans living in northern California.1991 · 139 citations
  2. 2RISK FACTORS FOR CARDIOVASCULAR MORTALITY IN MEXICAN AMERICANS AND NON-HISPANIC WHITES1990 · 205 citations
  3. 3Do the Poor Cost More? A Multihospital Study of Patients' Socioeconomic Status and Use of Hospital Resources1990 · 228 citations
  4. 4Social class differences in utilization of pediatric services in a prepaid direct service medical care program.1967 · 29 citations
  5. 5The association of payer with utilization of cardiac procedures in Massachusetts1990 · 39 citations