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Journal of Aging and Health
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Racial Disparities in Health Care Access and Cardiovascular Disease Indicators in Black and White Older Adults in the Health ABC Study

Ronica N. Rooks, PhD

University of Colorado Denver, ronica.rooks{at}cudenver.edu

Eleanor M. Simonsick, PhD

National Institute on Aging

Lisa M. Klesges, PhD

St. Jude Children's Research Hospital, Memphis, Tennessee

Anne B. Newman, MD

University of Pittsburgh

Hilsa N. Ayonayon, PhD

University of California, San Francisco

Tamara B. Harris, MD

National Institute on Aging

Objective: Black adults consistently exhibit higher rates of and poorer health outcomes due to cardiovascular disease (CVD) than other racial groups, independent of differences in socioeconomic status (SES). Whether factors related to health care access can further explain racial disparities in CVD has not been thoroughly examined. Method: Using logistic regression, the authors examined racial and health care (i.e., health insurance and access to care) associations with CVD indicators (i.e., hypertension, low ankle—arm index, and left ventricular hypertrophy) in the Health, Aging, and Body Composition Study, a longitudinal study of well-functioning older adults. Results: Older Black versus White adults had significantly worse health care. Overall, health care reduced the significant association between being Black and CVD only slightly, while race remained strongly associated with CVD after adjusting for demographics, SES, body mass index, and comorbidity. Discussion: Research on health care quality may contribute to our understanding of these disparities.

Key Words: racial disparities • health insurance • access to care • socioeconomic status • cardiovascular disease

This version was published on September 1, 2008

Journal of Aging and Health, Vol. 20, No. 6, 599-614 (2008)
DOI: 10.1177/0898264308321023
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