Racial Disparities in Hospital Utilization Among Patients with Multimorbidity

J Health Care Poor Underserved. 2024;35(4):1089-1112. doi: 10.1353/hpu.2024.a943979.

Abstract

Background: It is reported that racial differences exist among patients with multimorbidity. However, there are no studies that have investigated racial disparities within multimorbidity-related hospitalization encounters among patients with multimorbidity in rural states such as Arkansas.

Methods: Binomial logistic regression identified associations between race and hospitalization utilization. Insurance type was assessed as a potential effect modifier of the association.

Results: Non-Hispanic Black, non-Hispanic Other and Hispanic patients collectively represented more than 50% of 18-34-year-old patients with multimorbidity. Compared with patients who were non-Hispanic White, Other patients were more likely to have a high length of stay. In the insurance-type stratified analysis, uninsured Hispanic patients demonstrated greater hospital length of stay during the study period.

Conclusion: Results of the current study suggest that multimorbidity-related conditions differentially affect racially and ethnically minoritized, young patients. These findings highlight the need for future studies to understand the contributory factors involved in this disparity.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Arkansas
  • Black or African American / statistics & numerical data
  • Female
  • Healthcare Disparities* / ethnology
  • Healthcare Disparities* / statistics & numerical data
  • Hispanic or Latino / statistics & numerical data
  • Hospitalization* / statistics & numerical data
  • Humans
  • Length of Stay / statistics & numerical data
  • Male
  • Middle Aged
  • Multimorbidity*
  • White / statistics & numerical data
  • Young Adult