Residential segregation and disparities in health care services utilization.
Residential segregation and disparities in health care services utilization.
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DOI：
10.1177/1077558711420263
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发表时间：
2012-04
期刊：
影响因子：
--
通讯作者：
McCleary R
中科院分区：
文献类型：
--
作者：
Gaskin DJ;Dinwiddie GY;Chan KS;McCleary R
使用2006年医疗支出小组调查和2000年人口普查的数据，我们探索了医疗保健使用中的种族/民族差异是否与居住隔离有关。我们使用了五种医疗保健使用的衡量标准：基于办公室的医生就诊、门诊部医生就诊、护士和医生助理的就诊、其他健康专业人员的就诊以及通常的护理来源(南加州大学)。对于每个人，我们控制了年龄、性别、婚姻状况、保险状况、收入、教育程度、就业状况、地区和健康状况。我们使用邮政编码的种族-民族构成来控制居住隔离。我们的发现表明，医疗保健利用的差异与个人的种族和民族认同及其社区的种族和民族构成有关。因此，改善非洲裔美国人和拉美裔美国人获得保健服务的机会和消除保健差距的努力不仅应侧重于个人层面的因素，还应包括社区层面的因素。
Using data from the 2006 Medical Expenditure Panel Survey and the 2000 Census, we explored whether race/ethnic disparities in healthcare use were associated with residential segregation. We used five measures of healthcare use: office based physician visits, outpatient department physician visits, visits to nurses and physician’s assistants, visits to other health professionals, and having a usual source of care (USC). For each individual, we controlled for age, gender, marital status, insurance status, income, educational attainment, employment status, region, and health status. We used the racial-ethnic composition of the zip code to control for residential segregation. Our findings suggest that disparities in healthcare utilization are related to both individuals’ racial and ethnic identity and the racial and ethnic composition of their communities. Therefore, efforts to improve access to health care services and to eliminate healthcare disparities for African Americans and Hispanics should not only focus on individual-level factors but also include community-level factors.
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影响因子：
3
作者：
ANDERSEN, R;ADAY, LA
通讯作者：
ADAY, LA
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DOI：
10.1111/j.1745-7599.2009.00406.x
发表时间：
2009-05-01
影响因子：
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作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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