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. 2021 Aug 13;2(8):e212007. doi: 10.1001/jamahealthforum.2021.2007

Table 4. Rates of Financial and Nonfinancial Barriers to Care in 2020.

Outcome Full sample (n = 1804)a Comparison by race and ethnicity
Black and Latinx (n = 914) White (n = 746) P value
Unadjusted difference Adjusted differenceb
Delay in care because of cost, % (95% CI) 31.2 (27.6-34.8) 30.1 (25.1-35.1) 33.2 (27.6-38.8) .42 .03
Delay in care for reasons other than cost, % (95% CI)c 15.1 (12.5-17.7) 12.8 (9.5-16.0) 17.9 (13.5-22.2) .06 .33
Fear of contracting COVID-19, % (95% CI) 8.1 (6.2-10.0) 7.2 (4.8-9.5) 9.0 (5.9-12.2) .35 .67
Physician’s office closed, % (95% CI) 4.2 (2.8-5.6) 3.1 (1.6-4.5) 5.6 (2.9-8.2) .08 .45
No access to telehealth, % (95% CI) 3.1 (1.9-4.3) 2.9 (1.4-4.4) 3.0 (1.0-5.0) .95 .55
Did not want to use public transportation, % (95% CI) 2.8 (1.8-3.9) 3.8 (1.8-5.7) 1.7 (0.8-2.6) .03 .01
Too busy with work/family, % (95% CI) 5.2 (3.5-6.8) 5.4 (3.1-7.7) 5.3 (2.6-8.0) .95 .73
Used telehealth in 2020, % (95% CI) 29.0 (25.6-32.3) 26.3 (21.7-30.9) 32.4 (27.2-37.6) .09 .39
a

Full sample includes 143 respondents who were not White, Black, or Latinx. Given sample size limitations, we do not present race-stratified results for those observations, but we did include them in the full sample estimates.

b

Adjusted P values from survey-weighted logistic regression models adjusting for sex, age, race and ethnicity, marital status, education, urban vs rural residence, presence of a chronic condition (hypertension, heart attack/coronary artery disease, stroke, asthma/chronic obstructive pulmonary disease, diabetes, depression or anxiety, cancer, or substance use disorder), state, and cumulative county-level COVID-19 rates during 2020.

c

Respondents were allowed to specify 1 or more reasons for not obtaining care in 2020.