TABLE 3—

Health Care Access and Utilization of Low-Income Whites and American Indians/Alaska Natives, by Health Insurance Status, Adjusted Percentages^a: National Survey of America’s Families, 1997 and 1999

	Insured		Uninsured/IHS
	Non-Hispanic Whites, %	American Indians/Alaska Natives, %	Non-Hispanic Whites, %	American Indians/Alaska Natives, %
				Uninsured	IHS Onlyb
Access/perceptions of care
Has usual source of care	90	89	73	74	89c
Any unmet need last year	20	19	34	19	20
Unmet medical care need last year	7	6	18	9	6
Unmet drug need last year	6	6	10	4	3d
Unmet dental need last year	14	13	24	12	18
Not confident of access to care	9	10	25	19	17
Not satisfied with quality of medical care	12	17	20	19	15
Doctor sometimes/never listened and explained (1999 only)	20	24	27	25	26
Utilization
Any health professional or doctor visit last year	82	80	61	54	78e
Any emergency room visit last year	29	36	26	18	35e
Had Pap test last year (women only)	56	62	42	40	41f
Had breast physical exam last year (women only)	54	57	35	43	33
Any dental visit last year (excluding 0- to 2-year-olds)	68	63	48	51	71e,f
Any well-child care last year (children only)	64	66	42	43	60

Note. IHS = Indian Health Service; AIANs = American Indians/Alaska Natives. Boldface numbers indicate significant difference from insured non-Hispanic Whites (P < .05). Boldface italic numbers indicate significant difference from insured non-Hispanic Whites (P < .10).

^aRegression-adjusted means after control for differences in socioeconomic and demographic characteristics, including age, education level, poverty level, gender, health status, disability status, and community type.

^b“IHS only” includes AIANs who are uninsured but indicated that the IHS was their only source of coverage.

^cIndicates significant difference from uninsured AIANs (P < .10).

^dIndicates significant difference from insured AIANs (P < .05).

^eIndicates significant difference from uninsured AIANs (P < .05).

^fIndicates significant difference from insured AIANs (P < .10).