Health Service Access, Use, and Insurance Coverage among American Indians/Alaska Natives and Whites: What Role Does the Indian Health Service Play?
Open accessAbstract
Objectives We compared access and utilization of health services among American Indians/Alaska Natives (AIANs) with that among non-Hispanic Whites. Methods We used data from the 1997 and 1999 National Survey of America's Families to estimate odds ratios for several measures of access and utilization and the effects of Indian Health Service (IHS) coverage. Results AIANs had less insurance coverage and worse access and utilization than Whites. Over half of low-income uninsured AIANs did not have access to the IHS. However, among the low-income population, AIANs with only IHS access fared better than uninsured AIANs and as well as insured Whites for key measures but received less preventive care. Conclusions The IHS partially offsets lack of insurance for some uninsured AIANs, but important needs were potentially unmet.
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IHS services are not always readily available outside of reservations, thwarting timely and comprehensive care.
“IHS services not always being readily available outside of reservations [63] thwart timely and comprehensive care.”
From Substance and Behavioral Addictions among American Indian and Alaska Native Populations (2022) · cites this paper as [63]
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“Detrimental parenting skills can contribute to further difficulties, as individuals may be subject to harsh or neglectful parenting practices when parents are using or are mentally ill [63].”
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- Authors
- Zuckerman, S., Haley, J., Roubideaux, Y., & Lillie-Blanton, M.
- Affiliations
- Kaiser Family Foundation (US)
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2004-01
- Volume
- 94
- Issue
- 1
- Pages
- 53-59
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC1449826
- OpenAlex
- W2148144832
- Cited by
- 251
- References
- 0
- Citations by year
- 2026: 8 · 2025: 7 · 2024: 9 · 2023: 14 · 2022: 17 · 2021: 8 · 2020: 12 · 2019: 9 · 2018: 12 · 2017: 8 · 2016: 9 · 2015: 13 · 2014: 13 · 2013: 7 · 2012: 12
- FWCI
- 13.15
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Health › Indigenous Health, Education, and Rights
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Health Sciences › Health Professions › General Health Professions › Indigenous Health and Education
- Keywords
- American Indians and Alaska Natives, Indian Health Service, health care access, health care utilization, health insurance coverage, uninsured population, low-income populations, preventive medicine, racial disparities, non-Hispanic whites, National Survey of America's Families
- MeSH terms
- Adolescent, Adult, Alaska, Child, Child, Preschool, Inuit, Health Services, Health Services Accessibility, Health Services Needs and Demand, Humans, Indians, North American, Infant, Infant, Newborn, Middle Aged, Patient Acceptance of Health Care, Public Health Administration, Socioeconomic Factors, United States, United States Indian Health Service, Health Care Surveys, Vulnerable Populations, White People
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