title: Determinants of usual source of care disparities among African American and Caribbean Black men: findings from the National Survey of American Life.
abstract: OBJECTIVE
  The Aday-Andersen model was used as a framework for investigating the contribution of immigration status (i.e., nativity and acculturation), socioeconomic factors, health care access, health status, and health insurance to usual source of health care (USOC) in a nationally representative sample of African American (n=551) and Caribbean Black men (n=1,217).
  
  
  METHODS
  We used the 2001-2003 National Survey of American Life, a nationally representative household survey of non-institutionalized U.S. Blacks to conduct descriptive and logistic regression analyses.
  
  
  RESULTS
  Older age, more health conditions, neighborhood medical clinic access, and health insurance were associated with higher odds of reporting a USOC. Odds were lower for men with lower-middle incomes and poorer mental health status. Having health insurance was associated with higher odds of reporting a USOC for African American men but lower odds among Caribbean Black men. Odds were higher in the presence of more health conditions for African American men than for Caribbean Black men.
  
  
  CONCLUSIONS
  Health care reform policies aimed solely at increasing health insurance may not uniformly eliminate USOC disparities disfavoring U.S. and foreign-born non-Hispanic Black men.
authors.affiliation: Department of Health Behavior and Health Education, University of North Carolina at Chapel Hill Gillings School of Global Public Health, Chapel Hill, NC 27599-7440, USA. wizdon.powell@unc.edu
authors.forename: Wizdom Powell
authors.initials: WP
authors.lastname: Hammond
authors.forename: Dinushika
authors.initials: D
authors.lastname: Mohottige
authors.forename: Kim
authors.initials: K
authors.lastname: Chantala
authors.forename: Julia F
authors.initials: JF
authors.lastname: Hastings
authors.forename: Harold W
authors.initials: HW
authors.lastname: Neighbors
authors.forename: Lonnie
authors.initials: L
authors.lastname: Snowden
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D044383:Black People / Q000706:statistics & numerical data*; D017691:Caribbean Region / Q000208:ethnology; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D004641:Emigration and Immigration / Q000706:statistics & numerical data; D054624:Health Status Disparities; D054625:Healthcare Disparities / Q000208:ethnology*; D006801:Humans; D007348:Insurance, Health / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D054525:Minority Health; D012959:Socioeconomic Factors; D014481:United States; D055815:Young Adult