Disparities in perceptions of healthcare access in a community sample.

摘要: Disparities in health status persist for many sociodemographic groups the United States. An understanding of barriers to healthcare access and utilization can assist community-based initiatives developing strategies improve minority low-income populations. Using self-reported information from 3014 community residents, a factor analysis was conducted that defined by 4 dimensions: (1) time competing priorities, (2) convenience availability, (3) utilization, (4) affordability. Differential effects demographics were observed on all factors. Racial disparities found where African Americans experienced more problems based availability services (P < .02) than did whites, after controlling income, education, age, marital status. In addition, gender differences showed women greater difficulty with priorities men .001); however, fewer related .001). Of covariates, income significant .01) 3 indicators. This study points need develop interventions address unique challenges faced different population ensure timely healthcare. reduction economic should be considered as an important strategy public health.