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Title: Health Care Access and Use by Urban American Indians and Alaska Natives: Findings from the National Health Interview Survey (2006-09). Author: Rutman S, Phillips L, Sparck A. Journal: J Health Care Poor Underserved; 2016; 27(3):1521-36. PubMed ID: 27524782. Abstract: BACKGROUND: Health disparities between American Indians and Alaska Natives (AI/ANs) and non-Hispanic Whites (NHWs) may be partially explained in terms of health care access and utilization. METHODS: We examined access to and utilization of health care for urban AI/ANs and NHWs in National Health Interview Survey data (2006-09). RESULTS: Significant disparities exist for urban AI/ANs compared with urban NHWs. More AI/ANs are uninsured than NHWs, and more cited cost as the reason. More AI/ANs cannot afford needed medical care and more AI/ANs had not talked with a health care professional in the past year plus. CONCLUSIONS: Urban AI/ANs have decreased health care utilization and greater barriers to access compared with NHWs. Study data on the magnitude of disparity between urban AI/ANs and NHWs provides needed information to improve health care access and use in this population and can serve as a baseline for understanding the impact of health care reform.[Abstract] [Full Text] [Related] [New Search]