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The association of race/ethnicity with the receipt of traditional and alternative arthritis-specific health care.
Med Care. 2003 Nov; 41(11):1233-9.MC

Abstract

BACKGROUND

The role of race/ethnicity in the receipt of arthritis-specific health care has not been well defined.

OBJECTIVE

To examine the association of race/ethnicity with the utilization of arthritis health care among community-dwelling older adults.

RESEARCH DESIGN

We used a computer-assisted telephone interview.

SUBJECTS

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.

MEASURES

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.

RESULTS

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).

CONCLUSION

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.

Authors+Show Affiliations

Department of Medicine, Section of Rheumatology and Immunology, University of Nebraska Medical Center and the Omaha VA Medical Center, Omaha, Nebraska, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

14583686

Citation

Mikuls, Ted R., et al. "The Association of Race/ethnicity With the Receipt of Traditional and Alternative Arthritis-specific Health Care." Medical Care, vol. 41, no. 11, 2003, pp. 1233-9.
Mikuls TR, Mudano AS, Pulley L, et al. The association of race/ethnicity with the receipt of traditional and alternative arthritis-specific health care. Med Care. 2003;41(11):1233-9.
Mikuls, T. R., Mudano, A. S., Pulley, L., & Saag, K. G. (2003). The association of race/ethnicity with the receipt of traditional and alternative arthritis-specific health care. Medical Care, 41(11), 1233-9.
Mikuls TR, et al. The Association of Race/ethnicity With the Receipt of Traditional and Alternative Arthritis-specific Health Care. Med Care. 2003;41(11):1233-9. PubMed PMID: 14583686.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The association of race/ethnicity with the receipt of traditional and alternative arthritis-specific health care. AU - Mikuls,Ted R, AU - Mudano,Amy S, AU - Pulley,LeaVonne, AU - Saag,Kenneth G, PY - 2003/10/30/pubmed PY - 2003/12/3/medline PY - 2003/10/30/entrez SP - 1233 EP - 9 JF - Medical care JO - Med Care VL - 41 IS - 11 N2 - BACKGROUND: The role of race/ethnicity in the receipt of arthritis-specific health care has not been well defined. OBJECTIVE: To examine the association of race/ethnicity with the utilization of arthritis health care among community-dwelling older adults. RESEARCH DESIGN: We used a computer-assisted telephone interview. SUBJECTS: 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. MEASURES: 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. RESULTS: 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). CONCLUSION: 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. SN - 0025-7079 UR - https://www.unboundmedicine.com/medline/citation/14583686/The_association_of_race/ethnicity_with_the_receipt_of_traditional_and_alternative_arthritis_specific_health_care_ L2 - https://doi.org/10.1097/01.MLR.0000093422.67436.E5 DB - PRIME DP - Unbound Medicine ER -