TY - JOUR
AU - L. J. Cabassa
AU - J. Humensky
AU - B. Druss
AU - R. Lewis-Fernandez
AU - A. P. Gomes
AU - S. Wang
AU - C. Blanco
A1 - 
AB - BACKGROUND: : The proportion of people in the United States with multiple chronic medical conditions (MCMC) is increasing. Yet, little is known about the relationship that race, ethnicity, and psychiatric disorders have on the prevalence of MCMCs in the general population. METHODS: : This study used data from wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (N=33,107). Multinomial logistic regression models adjusting for sociodemographic variables, body mass index, and quality of life were used to examine differences in the 12-month prevalence of MCMC by race/ethnicity, psychiatric diagnosis, and the interactions between race/ethnicity and psychiatric diagnosis. RESULTS: : Compared to non-Hispanic Whites, Hispanics reported lower odds of MCMC and African Americans reported higher odds of MCMC after adjusting for covariates. People with psychiatric disorders reported higher odds of MCMC compared with people without psychiatric disorders. There were significant interactions between race and psychiatric diagnosis associated with rates of MCMC. In the presence of certain psychiatric disorders, the odds of MCMC were higher among African Americans with psychiatric disorders compared to non-Hispanic Whites with similar psychiatric disorders. CONCLUSIONS: : Our study results indicate that race, ethnicity, and psychiatric disorders are associated with the prevalence of MCMC. As the rates of MCMC rise, it is critical to identify which populations are at increased risk and how to best direct services to address their health care needs.
BT - Medical care
C5 - Healthcare Disparities
CP - 6
CY - United States
DO - 10.1097/MLR.0b013e31828dbb19
IS - 6
JF - Medical care
N2 - BACKGROUND: : The proportion of people in the United States with multiple chronic medical conditions (MCMC) is increasing. Yet, little is known about the relationship that race, ethnicity, and psychiatric disorders have on the prevalence of MCMCs in the general population. METHODS: : This study used data from wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (N=33,107). Multinomial logistic regression models adjusting for sociodemographic variables, body mass index, and quality of life were used to examine differences in the 12-month prevalence of MCMC by race/ethnicity, psychiatric diagnosis, and the interactions between race/ethnicity and psychiatric diagnosis. RESULTS: : Compared to non-Hispanic Whites, Hispanics reported lower odds of MCMC and African Americans reported higher odds of MCMC after adjusting for covariates. People with psychiatric disorders reported higher odds of MCMC compared with people without psychiatric disorders. There were significant interactions between race and psychiatric diagnosis associated with rates of MCMC. In the presence of certain psychiatric disorders, the odds of MCMC were higher among African Americans with psychiatric disorders compared to non-Hispanic Whites with similar psychiatric disorders. CONCLUSIONS: : Our study results indicate that race, ethnicity, and psychiatric disorders are associated with the prevalence of MCMC. As the rates of MCMC rise, it is critical to identify which populations are at increased risk and how to best direct services to address their health care needs.
PP - United States
PY - 2013
SN - 1537-1948; 0025-7079
SP - 540
EP - 547
EP - 
T1 - Do race, ethnicity, and psychiatric diagnoses matter in the prevalence of multiple chronic medical conditions?
T2 - Medical care
TI - Do race, ethnicity, and psychiatric diagnoses matter in the prevalence of multiple chronic medical conditions?
U1 - Healthcare Disparities
U2 - 23552429
U3 - 10.1097/MLR.0b013e31828dbb19
VL - 51
VO - 1537-1948; 0025-7079
Y1 - 2013
ER -