Okoro Catherine A, Young Stacy L, Strine Tara W, Balluz Lina S, Mokdad Ali H
National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
J Health Care Poor Underserved. 2005 Aug;16(3):453-63. doi: 10.1353/hpu.2005.0058.
Some U.S. adults aged 65 years and older lack health care coverage. As a result, they may have unmet health needs and be vulnerable to excess morbidity and mortality. Due to their small numbers, little data on them exist. We used data from the 1996-2000 Behavioral Risk Factor Surveillance System, an ongoing telephone survey operated by the state health departments with assistance from the Centers for Disease Control and Prevention, to examine a representative sample of adults 65 years old and older. We found that blacks and Hispanics were disproportionately represented among uninsured older adults. Compared with their insured counterparts, the uninsured elderly experienced cost barriers to needed care, lacked receipt of an annual checkup, and did not receive preventive health screenings. Given the projected growth of the elderly population, particularly among blacks and Hispanics, it is crucial to ensure all older adults have access to preventive health services.
一些65岁及以上的美国成年人没有医保覆盖。因此，他们可能有未得到满足的健康需求，并且易患更多疾病和面临更高的死亡风险。由于他们人数较少，关于他们的数据也很少。我们使用了1996 - 2000年行为风险因素监测系统的数据，这是一项由州卫生部门在疾病控制和预防中心协助下进行的持续电话调查，以研究65岁及以上成年人的代表性样本。我们发现，在未参保的老年人中，黑人和西班牙裔所占比例过高。与参保的同龄人相比，未参保的老年人在获得所需护理方面面临成本障碍，缺乏年度体检，也没有接受预防性健康筛查。鉴于老年人口预计会增长，尤其是黑人和西班牙裔中的老年人口，确保所有老年人都能获得预防性健康服务至关重要。
