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Racial and ethnic residential segregation and access to health care in rural areas
  • Published Date:
    Dec 22 2016
  • Source:
    Health Place. 43:104-112.


Public Access Version Available on: January 01, 2018 information icon
Please check back on the date listed above.
Details:
  • Pubmed ID:
    28012312
  • Pubmed Central ID:
    PMC5285374
  • Funding:
    U58 DP005812/DP/NCCDPHP CDC HHS/United States
    T32 HS000078/HS/AHRQ HHS/United States
    R36 HS022811/HS/AHRQ HHS/United States
    R24 HD041022/HD/NICHD NIH HHS/United States
    P30 AG021684/AG/NIA NIH HHS/United States
    R21 HD074446/HD/NICHD NIH HHS/United States
  • Document Type:
  • Collection(s):
  • Description:
    This study examined the relationship between racial/ethnic residential segregation and access to health care in rural areas. Data from the Medical Expenditure Panel Survey were merged with the American Community Survey and the Area Health Resources Files. Segregation was operationalized using the isolation index separately for African Americans and Hispanics. Multi-level logistic regression with random intercepts estimated four outcomes. In rural areas, segregation contributed to worse access to a usual source of health care but higher reports of health care needs being met among African Americans (Adjusted Odds Ratio [AOR]: 1.42, CI: 0.96-2.10) and Hispanics (AOR: 1.25, CI: 1.05-1.49). By broadening the spatial scale of segregation beyond urban areas, findings showed the complex interaction between social and spatial factors in rural areas.

  • Supporting Files:
    No Additional Files