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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Margaret A. Nosek, PhD, Center for Research on Women with Disabilities, Baylor College of Medicine, 3440 Richmond Ave., Suite B, Houston, TX 77025, (713) 960-0505, mnosek@bcm.tmc.edu, Frances M. Chevarley, PhD, Center for Cost and Financing Studies, Agency for Healthcare Research and Quality, 2101 East Jefferson St. Suite 500, Rockville, MD 20852, Carol J. Gill, PhD, Department of Disability and Human Development, University of Illinois at Chicago, M/C 626, 1640 W. Roosevelt Road, Chicago, IL 60608, and JoAnn Thierry, MS, MSW, Centers for Disease Control and Prevention, 4770 Buford Highway NE (F-35), Atlanta, GA 30341.
Women with disabilities face substantial barriers that limit their access to health care services. Data from the 1994-1995 National Health Interview Survey Disability Supplement (NHIS-D) were used to examine differences between women with Functional Limitations (Fls) and women without Fls on a number of variables addressing access to care and health care coverage. Results indicated that women with Functional Limitations (Fls) were as likely or more likely than women without Fls to report a usual source of medical care. Women with Fls were less likely to have their usual source of care in the offices of family or general practitioners or in the offices of OB/GYNs and more likely to receive their usual health care from other types of specialists. Although the place of usual care for all women was most often a doctor’s office, a small but significantly higher percentage of women aged 18-44 with one or two Fls used emergency departments as their usual source of care. Women with Fls were more likely to report difficulty obtaining health care, mental health services, dental care, prescription medications, and eyeglasses. Women with Fls more often reported delaying care due to cost. Women with Fls, aged 45-64, were more likely than women without Fls in the same age group to be uninsured. Implications for health policy and practice (e.g., access barriers, quality of care, insurance coverage) will be discussed.
Learning Objectives: At the conclusion of this session, participants will be able to
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.