title: Hispanic ethnicity, rural residence, and regular source of care.
abstract: This study assessed whether Hispanic ethnicity and rural residence were related to usual source-of-care. We studied 3,689 persons over age 65 who lived in their own homes in a 108-county area in West Texas. A telephone interview in two waves was used to collect information. Usual source-of-care was measured in two ways: by asking if the subject had a usual place to go and by asking if the subject had a personal physician or nurse. In a logistic regression analysis, Hispanic ethnicity was independently associated with both having a usual place of care (OR = .511, CI = .32-.82) and a usual provider (OR = .629, CI = .45-.88). Rural residence was not associated with either measure. Efforts to promote usual source-of-care should be targeted at Hispanic seniors in this region of the southwestern United States.
authors.affiliation: Department of Health Services Research and Management, Texas Tech University Health Sciences Center, 3601 4th Street, STOP 8161, Lubbock, TX 79430, USA. JRohrer@ama.ttuhsc.edu
authors.forename: James E
authors.initials: JE
authors.lastname: Rohrer
authors.forename: Gina
authors.initials: G
authors.lastname: Kruse
authors.forename: Yun
authors.initials: Y
authors.lastname: Zhang
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003266:Continuity of Patient Care / Q000706:statistics & numerical data*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D006305:Health Status Indicators; D006630:Hispanic or Latino / Q000523:psychology / Q000706:statistics & numerical data*; D006801:Humans; D007348:Insurance, Health; D007407:Interviews as Topic; D016015:Logistic Models; D008297:Male; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D011320:Primary Health Care / Q000706:statistics & numerical data*; D012111:Residence Characteristics; D019035:Rural Health Services / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors; D013781:Texas