Abstract
Addressing disparities in health services utilization remains critical for improving minority health; however, most studies do not report on the health service use of multiracial young adults (age 22–34). This study compares past year health service use of self-identified multiracial (two or more races) young adults with monoracial White young adults. Weighted survey data from Add Health (N = 7296) and multivariate logistic regression analyses were used. Compared to monoracial White young adults, Black-White multiracial [OR 0.40, 95 % CI (0.17–0.90)] and Black-Native American multiracial [OR 0.23, 95 % CI (0.09–0.63)] young adults are less likely to report primary care service use in the past year. Multiracial young adults have different health care service utilization than their White monoracial peers with Black-Native American young adults appearing to be particularly vulnerable to under-utilization of primary care services. It is important to examine multiracial subgroups when studying patterns of health services utilization.
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Acknowledgments
The authors would like to thank the faculty at the University of Washington, School of Social Work for reading earlier drafts of this manuscript and providing thoughtful feedback and suggestions and Center for Studies in Demography and Ecology for providing statistical consultation.
Funding/Support
Magnuson Health Scholars Award, Bank of America Endowed Minority Fellowship, the NIH R24 HD042828 awarded to the University of Washington Center for Studies in Demography and Ecology. Dr. Huang was supported by NIMH T32 MH20021-14 and the Fulbright Scientific Mobility Scholars Program.
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Tabb, K.M., Larrison, C.R., Choi, S. et al. Disparities in Health Services Use Among Multiracial American Young Adults. J Immigrant Minority Health 18, 1462–1469 (2016). https://doi.org/10.1007/s10903-015-0289-7
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DOI: https://doi.org/10.1007/s10903-015-0289-7