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.
Observational (n=104,952)
Do racial and ethnic disparities exist in the use of cardiovascular procedures within health insurance categories among patients with possible coronary artery disease?
Racial and ethnic disparities in cardiovascular procedure utilization exist across most insurance types, but are notably absent among privately insured patients.
OBJECTIVES: This study examined whether disparities in the use of cardiovascular procedures exist among African Americans, Latinos, and Asians relative to White patients, within health insurance categories. METHODS: Hospital discharge records (n = 104,952) of Los Angeles Country, California, residents with possible coronary artery disease were analyzed. RESULTS: After adjustment for confounders, lower odds of procedure use were found for African American and Latino patients for most types of insurance. Asians and Pacific Islanders had odds of procedure use similar to those of White patients. Disparities were absent among the privately insured. CONCLUSIONS: Racial and ethnic disparities in procedure rates were evident in all types of insurance except private insurance.
Carlisle et al. (Sat,) conducted a 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.