1. Lack of Lipid Screening Disparities in Obese Latino Adults at Health Centers.
- Author
-
Heintzman, John D., Bailey, Steffani R., Muench, John, Killerby, Marie, Cowburn, Stuart, and Marino, Miguel
- Subjects
- *
HEALTH of Hispanic Americans , *HEALTH of adults , *LIPID analysis , *HYPERLIPIDEMIA , *CORONARY heart disease risk factors , *PUBLIC health , *DISEASE risk factors , *STATISTICS on Hispanic Americans , *CHOLESTEROL , *COMMUNITY health services , *ETHNIC groups , *HEALTH services accessibility , *HEALTH status indicators , *MEDICAL screening , *OBESITY , *POVERTY , *WHITE people , *RETROSPECTIVE studies - Abstract
Introduction: In cross-sectional survey studies, obese Latinos are less likely to be screened for elevated serum cholesterol, despite their higher risk for hyperlipidemia and coronary artery disease. This study evaluated insurance and racial/ethnic disparities in lipid screening receipt between obese Latino and non-Hispanic white patients in Oregon community health centers (CHCs) over 5 years, using electronic health record data.Methods: This retrospective cohort study evaluated obese (BMI ≥30), low-income, adult patients (aged 21-79 years) with at least one visit at an Oregon CHC during 2009-2013 (n=11,095). Odds of lipid screening in the study period (clinical data collected in 2009-2013) were measured, adjusting for age, sex, primary clinic, and comorbidities, stratified by utilization in the study period. Analysis was done in 2016.Results: Sixty percent of the study population received at least one lipid screening in 2009-2013. There were no significant differences in screening between insured Latinos and insured non-Hispanic whites, except those with more than five visits over 5 years (OR=0.75, 95% CI=0.60, 0.94). Uninsured Latinos had higher odds of screening versus insured non-Hispanic whites among the low visit strata (OR=1.65, 95% CI=1.18, 2.30). Among Latinos, Spanish preference resulted in higher screening odds versus English preference in the two- to five-visit stratum (OR=1.63, 95% CI=1.12, 2.35).Conclusions: Obese, low-income patients at CHCs underutilize cholesterol screening. However, screening differences by race/ethnicity and preferred language are minimal. Further research is necessary to understand how care delivered by CHCs may mitigate previously reported disparities in lipid screening. [ABSTRACT FROM AUTHOR]- Published
- 2017
- Full Text
- View/download PDF