Racial and ethnic residential segregation and access to health care in rural areas

Details

• Alternative Title:
  Health Place
• Personal Author:
  Caldwell, Julia T. ; Ford, Chandra L. ; Wallace, Steven P. ; Wang, May C. ; Takahashi, Lois M.
• 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.
• Keywords:
  Access To Health Care Adult Black Or African American Ethnicity Female Health Services Accessibility Hispanic Or Latino Humans Male Race/Ethnicity Residence Characteristics Residential Segregation Rural Rural Health Services Social Segregation Socioeconomic Factors Surveys And Questionnaires Urban Urban Population

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• Source:
  Health Place. 43:104-112
• Pubmed ID:
  28012312
• Pubmed Central ID:
  PMC5285374
• Document Type:
  Journal Article
• Funding:
  U58 DP005812/DP/NCCDPHP CDC HHSUnited States/ ; T32 HS000078/HS/AHRQ HHSUnited States/ ; R36 HS022811/HS/AHRQ HHSUnited States/ ; R24 HD041022/HD/NICHD NIH HHSUnited States/ ; P30 AI028697/AI/NIAID NIH HHSUnited States/ ; P30 AG021684/AG/NIA NIH HHSUnited States/ ; R25 HD045810/HD/NICHD NIH HHSUnited States/ ; R21 HD074446/HD/NICHD NIH HHSUnited States/ ; L60 MD001896/MD/NIMHD NIH HHSUnited States/ ; R01 NR014789/NR/NINR NIH HHSUnited States/ ; P2C HD041022/HD/NICHD NIH HHSUnited States/
• Volume:
  43
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:ee47c55632a7817763873dc97931d16f20a1e413e29cef3f672b4dc6ee567f73
• Download URL:
  https://stacks.cdc.gov/view/cdc/44048/cdc_44048_DS1.pdf
• File Type:
  [PDF - 144.69 KB ]