Effects of residence and race on burden of travel for care: cross sectional analysis of the 2001 US National Household Travel Survey.
Effects of residence and race on burden of travel for care: cross sectional analysis of the 2001 US National Household Travel Survey.
复制标题
DOI：
10.1186/1472-6963-7-40
复制
发表时间：
2007-03-09
影响因子：
2.8
通讯作者：
Johnson AO
中科院分区：
文献类型：
--
作者：
Probst JC;Laditka SB;Wang JY;Johnson AO
旅行负担是使获得保健的地理可及性概念化的一个关键因素。先前的研究表明，农村人口和少数民族人口都承担着不成比例的旅行负担。然而，许多研究仅限于特定类型的患者或特定地点。我们研究的目的是使用代表性的国家数据量化基于地理和种族的医疗/牙科护理旅行距离和时间差异。数据来自2001年全国家庭旅行调查（NHTS），这是美国交通部进行的一项具有全国代表性的跨部门家庭调查。参与者在指定的一天记录了所有的旅行;总体响应率为41%。分析仅限于报告至少有一次医疗和/或牙科保健旅行的家庭; 2 432个家庭进行了3 914次旅行。分析中的因变量是行驶的道路英里数，行驶的分钟数和高旅行负担，定义为每次旅行超过30英里或30分钟。感兴趣的自变量是农村居住和种族。在多变量分析中控制了个人、旅行和社区的特征。2001年，美国的平均医疗旅行需要10.2英里（16.4公里）和22.0分钟的旅行。在未经调整的分析中，农村居民比城市居民旅行得更远（17.5英里对8.3英里; 28.2公里对13.4公里）。农村旅行比城市旅行长31.4%（27.2对20.7分钟）。行走的距离并不因种族而异。非裔美国人花在旅行上的时间比白人多（29.1比20.6分钟）;其他少数民族没有差异。在调整后的分析中，农村居民（比值比，OR，2.67，95%置信区间，CI 1.39 - 5.1.5）与30英里或以上的旅行相关;农村居民（OR，1.80，CI 1.09 - 2.99）和非洲裔美国人种族/民族（OR 3.04）与30英里或以上的旅行相关。95% CI 2.0 - 4.62）与持续30分钟或更长时间的旅行相关。农村居民和非裔美国人在寻求医疗/牙科护理时，旅行负担比城市居民或白人更重。
Travel burden is a key element in conceptualizing geographic access to health care. Prior research has shown that both rural and minority populations bear disproportionate travel burdens. However, many studies are limited to specific types of patient or specific locales. The purpose of our study was to quantify geographic and race-based differences in distance traveled and time spent in travel for medical/dental care using representative national data. Data were drawn from 2001 National Household Travel Survey (NHTS), a nationally representative, cross-sectional household survey conducted by the US Department of Transportation. Participants recorded all travel on a designated day; the overall response rate was 41%. Analyses were restricted to households reporting at least one trip for medical and/or dental care; 3,914 trips made by 2,432 households. Dependent variables in the analysis were road miles traveled, minutes spent traveling, and high travel burden, defined as more than 30 miles or 30 minutes per trip. Independent variables of interest were rural residence and race. Characteristics of the individual, the trip, and the community were controlled in multivariate analyses. The average trip for care in the US in 2001 entailed 10.2 road miles (16.4 kilometers) and 22.0 minutes of travel. Rural residents traveled further than urban residents in unadjusted analysis (17.5 versus 8.3 miles; 28.2 versus 13.4 km). Rural trips took 31.4% longer than urban trips (27.2 versus 20.7 minutes). Distance traveled did not vary by race. African Americans spent more time in travel than whites (29.1 versus 20.6 minutes); other minorities did not differ. In adjusted analyses, rural residence (odds ratio, OR, 2.67, 95% confidence interval, CI 1.39 5.1.5) was associated with a trip of 30 road miles or more; rural residence (OR, 1.80, CI 1.09 2.99) and African American race/ethnicity (OR 3.04. 95% CI 2.0 4.62) were associated with a trip lasting 30 minutes or longer. Rural residents and African Americans experience higher travel burdens than urban residents or whites when seeking medical/dental care.
登录
查看更多内容
DOI：
10.1111/j.1748-0361.1991.tb00715.x
发表时间：
1991-01-01
期刊：
The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
影响因子：
--
作者：
Adams, E K;Wright, G E
通讯作者：
Wright, G E
影响因子：
3.4
作者：
Goodman, DC;Mick, SS;Carretta, HJ
通讯作者：
Carretta, HJ
影响因子：
10.3
作者：
Lamont, EB;Hayreh, D;Vokes, EE
通讯作者：
Vokes, EE
影响因子：
8
作者：
Berman, S;Dolins, J;Yudkowsky, B
通讯作者：
Yudkowsky, B
影响因子：
4.1
作者：
Collia, DV;Sharp, J;Giesbrecht, L
通讯作者：
Giesbrecht, L