Residential Segregation, Neighborhood Health Care Organizations, and Children's Health Care Utilization in the Phoenix Urbanized Area
Residential Segregation, Neighborhood Health Care Organizations, and Children's Health Care Utilization in the Phoenix Urbanized Area
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DOI：
10.1111/cico.12475
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发表时间：
2020-01-08
期刊：
影响因子：
2.5
通讯作者：
Anderson, Kathryn Freeman
中科院分区：
文献类型：
--
作者：
Anderson, Kathryn Freeman
研究证明了种族/族裔居住隔离对保健的影响。在这里，我测试了一种可能的机制——社区卫生保健组织和服务提供者在城市社区中的分布。利用2013年凤凰城城市化地区儿童医疗保健利用调查数据，结合2013年医疗机构普查数据，我估计了一系列统计模型来检验这种关系。我发现拉丁裔和印第安人的种族隔离与低密度的医疗机构有关。此外，这些资源的缺乏增加了家庭使用诊所的几率，而不是医生办公室，后者是更理想的护理来源。最后，较高的种族/民族群集率也与诊所的较高利用率有关，而不是医生办公室，并且这种关联部分地被卫生保健组织的分布所缓解。
Research has demonstrated health care consequences of racial/ethnic residential segregation. Here, I test one possible mechanism-the distribution of community health care organizations and service providers across urban communities. Using data from a 2013 survey on children's health care utilization in the Phoenix urbanized area combined with data on a 2013 census of health care organizations, I estimate a series of statistical models in order to test this relationship. I find that Latino and Native American segregation is related to a lower density of health care organizations. Furthermore, the lack of these resources increases the odds of a family using a clinic, versus a physician's office, which is a more ideal source of care. Finally, a higher rate of racial/ethnic clustering is also related to greater utilization of a clinic, as opposed to a physician's office, and this association is partially mitigated by distribution of health care organizations.