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Research Letters |

The Great Recession and Racial and Ethnic Disparities in Health Services Use

Karoline Mortensen, PhD; Jie Chen, PhD
JAMA Intern Med. 2013;173(4):315-317. doi:10.1001/jamainternmed.2013.1414.
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The “Great Recession” of 2007 to 2009 affected Americans of all backgrounds, across education, age, race/ethnicity, and household type, but took a far greater toll on African Americans and Hispanics than on whites.12 In 2009, unemployment rates of African Americans (14.8%) and Hispanics (12.1%) were significantly higher than the rate for whites (8.7%).3 Median wealth fell 66% among Hispanic households, 53% among African American households, and 16% among white households.2 Rates of employment-based health insurance declined more steeply for minorities than for whites, as 25% of African Americans and Hispanics lost their job during the recession compared with 15% of whites, and minorities were more likely to become uninsured.4

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