Rural–Urban Health Care Cost Differences Among Latinx Adults With and Without Dementia in the United States.

Autor:	Gutiérrez, Ángela, López-Anuarbe, Mónika, Webster, Noah J., Mahmoudi, Elham
Předmět:	HEALTH status indicators RESEARCH funding COST analysis HISPANIC Americans POPULATION geography MULTIVARIATE analysis DESCRIPTIVE statistics RURAL conditions METROPOLITAN areas DEMENTIA SOCIODEMOGRAPHIC factors MEDICAL care costs DEMENTIA patients
Zdroj:	Journal of Aging & Health; Oct2024, Vol. 36 Issue 9, p559-569, 11p
Abstrakt:	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. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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