The Road Home: Predictors of Health Care Utilization Among Older Returning African American Men

Q1 Social Sciences

Review of Black Political Economy Pub Date : 2020-10-28 DOI:10.1177/0034644620967002

M. Chandler, Laurens G. Van Sluytman, M. T. Tirmazi, Minli Liao

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引用次数: 1

Abstract

Black or African American men face disproportionate rates of incarceration and poor health outcomes. Recent changes in sentencing policy have allowed individuals to return to communities after substantial periods of incarceration. Returning citizens often reenter with numerous challenges: housing, employment, medical assistance, and transportation. Analyses were conducted using multivariable logistic regression to examine the relationship between health care utilization for returning men and need (chronic health conditions), predisposing (age, race, marital status, education, and housing situation), enabling (income, health coverage, employment status, and education) factors. Findings indicated that men 50 and above years (odds ratio [OR] = 1.83, 95% confidence interval [CI] = [1.04, 3.24]), Black or African American men (OR = 4.66, 95% CI = [2.35, 9.22]), those with college education (OR = 1.97, CI [1.07, 3.63]) and those having health coverage (OR = 3.34, CI [2.18, 5.11]) were more likely to utilize health care. These findings suggest the need for a greater need to establish linkages to community-based care during reentry planning. This is particularly relevant for reentering citizens who are not eligible for Medicare due to age or whose linkage to employer bases insurance is limited due to work history, employment discrimination, or education.

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回家的路:归来的非裔美国老年男性医疗保健利用的预测因素

黑人或非裔美国人面临着不成比例的监禁率和糟糕的健康状况。最近量刑政策的变化允许个人在经过长时间监禁后返回社区。返回的公民往往面临着许多挑战:住房、就业、医疗援助和交通。采用多变量logistic回归分析归国男性医疗保健利用与需求(慢性健康状况)、易感因素(年龄、种族、婚姻状况、教育程度和住房状况)、使能因素(收入、健康覆盖、就业状况和教育程度)之间的关系。结果显示，50岁及以上男性(优势比[OR] = 1.83, 95%可信区间[CI] =[1.04, 3.24])、黑人或非裔美国男性(OR = 4.66, 95% CI =[2.35, 9.22])、受过大学教育的男性(OR = 1.97, CI[1.07, 3.63])和有医疗保险的男性(OR = 3.34, CI[2.18, 5.11])更有可能利用医疗保健服务。这些发现表明，在重返社会规划期间，更需要建立与社区护理的联系。这对于因年龄原因不符合医疗保险资格或因工作经历、就业歧视或教育而与雇主基础保险联系有限的重新进入的公民尤其重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Review of Black Political Economy Social Sciences-Cultural Studies

CiteScore

2.80

自引率

0.00%

发文量

期刊介绍： The Review of Black Political Economy examines issues related to the economic status of African-American and Third World peoples. It identifies and analyzes policy prescriptions designed to reduce racial economic inequality. The journal is devoted to appraising public and private policies for their ability to advance economic opportunities without regard to their theoretical or ideological origins. A publication of the National Economic Association and the Southern Center for Studies in Public Policy of Clark College.