Is disability exclusion associated with experiencing an unmet need for health care?
AuthorTemple, JB; Stiles, JA; Utomo, A; Kelaher, M; Williams, R
Source TitleAustralasian Journal on Ageing
University of Melbourne Author/sTemple, Jeromey; Stiles, Jay; Utomo, Ariane; Kelaher, Margaret; Williams, Ruth
AffiliationMelbourne School of Population and Global Health
School of Geography
Document TypeJournal Article
CitationsTemple, J. B., Stiles, J. A., Utomo, A., Kelaher, M. & Williams, R. (2020). Is disability exclusion associated with experiencing an unmet need for health care?. Australasian Journal on Ageing, 39 (2), pp.112-121. https://doi.org/10.1111/ajag.12746.
Access StatusThis item is embargoed and will be available on 2021-06-01
Objective To examine the association between disability exclusion and experiencing an unmet need for health care. Methods The 2015 Survey of Disability Ageing and Carers was used to measure the prevalence of unmet needs for health care stratified by measures of exclusion. Log‐Poisson models were fitted to examine the association between discrimination, avoidance and unmet needs for health care. Results Approximately 10% of respondents reported an unmet need to attend a GP, specialist or hospital and 25% reported an unmet need to obtain dental treatment. For those reporting an instance of discrimination in the last 12 months, the rates of experiencing unmet needs for health care were significantly higher (GP 29%, specialist 26%, dental 46%, hospital 18%). With controls included, discrimination or avoidance significantly increased the probability of reporting an unmet need for health care regardless of the context of previous experiences of exclusion. Conclusion Disability discrimination or avoidance is strongly associated with experiencing an unmet need for health care among older people with disabilities.
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