The association of race/ethnicity with the receipt of traditional and alternative arthritis-specific health care

Ted R Mikuls, Amy S. Mudano, LeaVonne Pulley, Kenneth G. Saag

Research output: Contribution to journalArticle

27 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)1233-1239
Number of pages7
JournalMedical Care
Volume41
Issue number11
DOIs
StatePublished - Nov 1 2003

Fingerprint

Arthritis
ethnicity
health care
Complementary Therapies
Delivery of Health Care
alternative medicine
medication
Primary Care Physicians
confidence
Chondroitin
physician
Prescriptions
Independent Living
Glucosamine
Odds Ratio
Confidence Intervals
computer-assisted telephone interview
medicine
Patient Acceptance of Health Care
Chiropractic

Keywords

  • Arthritis
  • Complementary and alternative medicine (CAM)
  • Ethnicity
  • Healthcare utilization
  • Race

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

The association of race/ethnicity with the receipt of traditional and alternative arthritis-specific health care. / Mikuls, Ted R; Mudano, Amy S.; Pulley, LeaVonne; Saag, Kenneth G.

In: Medical Care, Vol. 41, No. 11, 01.11.2003, p. 1233-1239.

Research output: Contribution to journalArticle

Mikuls, Ted R ; Mudano, Amy S. ; Pulley, LeaVonne ; Saag, Kenneth G. / The association of race/ethnicity with the receipt of traditional and alternative arthritis-specific health care. In: Medical Care. 2003 ; Vol. 41, No. 11. pp. 1233-1239.
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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.",
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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.

AB - 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.

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