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Race differences in access to health care and disparities in incident chronic kidney disease in the US.

TitleRace differences in access to health care and disparities in incident chronic kidney disease in the US.
Publication TypeJournal Article
Year of Publication2011
AuthorsEvans K, Coresh J, Bash LD, Gary-Webb T, Köttgen A, Carson K, Boulware EL
JournalNephrol Dial Transplant
Volume26
Issue3
Pagination899-908
Date Published2011 Mar
ISSN1460-2385
KeywordsAfrican Continental Ancestry Group, Cohort Studies, Diabetes Mellitus, European Continental Ancestry Group, Female, Health Services Accessibility, Healthcare Disparities, Humans, Hypertension, Incidence, Insurance, Health, Kidney Failure, Chronic, Male, Middle Aged, Prospective Studies, Socioeconomic Factors, United States
Abstract

BACKGROUND: The contribution of race differences in access to health care to disparities in chronic kidney disease (CKD) incidence in the United States is unknown.

METHODS: We examined race differences in usual source of health care, health insurance and CKD incidence among 3883 Whites and 1607 Blacks with hypertension or diabetes enrolled in the Atherosclerosis Risk in Communities Study. In multivariable analyses, we explored the incremental contribution of access to health care in explaining Blacks' excess CKD incidence above and beyond other socioeconomic, lifestyle and clinical factors.

RESULTS: Compared with Whites, Blacks had poorer access to health care (3 vs 0.3% with no usual source of health care or health insurance, P

DOI10.1093/ndt/gfq473
Alternate JournalNephrol Dial Transplant
PubMed ID20688771
PubMed Central IDPMC3108345
Grant ListN01HC55020 / HL / NHLBI NIH HHS / United States
N01HC55018 / HL / NHLBI NIH HHS / United States
N01-HC-55022 / HC / NHLBI NIH HHS / United States
N01-HC-55016 / HC / NHLBI NIH HHS / United States
01-HC-55021 / HC / NHLBI NIH HHS / United States
N01HC55022 / HL / NHLBI NIH HHS / United States
N01HC55015 / HL / NHLBI NIH HHS / United States
N01-HC-55019 / HC / NHLBI NIH HHS / United States
K23DK070757 / DK / NIDDK NIH HHS / United States
K23 DK070757 / DK / NIDDK NIH HHS / United States
N01-HC-55015 / HC / NHLBI NIH HHS / United States
N01-HC-55020 / HC / NHLBI NIH HHS / United States
N01HC55016 / HL / NHLBI NIH HHS / United States
N01HC55019 / HL / NHLBI NIH HHS / United States
N01-HC-55018 / HC / NHLBI NIH HHS / United States
N01HC55021 / HL / NHLBI NIH HHS / United States