Description
CHALLENGING?ISSUE:?DISPARITIES?IN?HEALTH?CARE???RACE?AND?GENDER
You?are?an?assistant?to?Senator?Pat?Ralson?from?Utopian?State.?Senator?Ralson?is?committed?to?increasing?access
to?health?care?for?all?people?in?the?country.?At?this?time,?Senator?Ralson?is?anxious?to?have?more?information
about?factors?that?correlate?with?limited?access?to?health?care.?She?believes?it?is?much?easier?to??fix??a?problem?if
one?knows?what?causes?the?problem.?Several?weeks?ago,?Senator?Ralson?asked?you?to?do?some?preliminary
research.
In?beginning?this?work,?you?have?come?across?a?study?involving?more?than?1,000?pregnant?women?that?examined
which?women?were?more?or?less?likely?to?receive?epidurals?for?pain?management?during?labor?and?delivery.5
The?study?reported?that?race?(defined?as??white?versus?nonwhite?)?was??not?a?significant?risk?factor?for
nonreceipt?of?epidural?procedures?during?childbirth.??However,?the?study?found?that?ethnicity?was?correlated
with?nonuse?of?epidurals?during?normal?deliveries.?In?particular,?the?study?reported?that?the?chance?of?a?Hispanic
woman?not?receiving?an?epidural?was?two?times?that?of?a?white?woman.?The?study?also?found?that?women?with
private?health?insurance?were?more?likely?to?receive?epidurals?than?other?women;?this?latter?finding?did?not
surprise?you?as?much?as?the?finding?about?the?comparatively?low?rate?of?epidurals?received?by?Hispanic?women
having?babies.?You?are?concerned?about?the?report?and?would?like?to?understand?it.?Senator?Ralson?has?told?you
that?she?has?some?funds?for?research?on?issues?related?to?health?care?access.?You?would?like?to?propose?a?study
aimed?at?explaining?the?results?of?the?report?about?nonreceipt?of?epidurals?on?the?basis?of?ethnicity.?What?factors
would?you?want?to?investigate?that?might?explain?the?correlation?between?nonreceipt?of?epidurals?and?Hispanic
ethnicity?
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