Primary care, race, and mortality in US states
Primary care, race, and mortality in US states
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DOI：
10.1016/j.socscimed.2004.11.056
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发表时间：
2005-07-01
影响因子：
5.4
通讯作者：
Xu, JH
中科院分区：
文献类型：
--
作者：
Shi, LY;Macinko, J;Xu, JH
本研究使用1985年至1995年的美国州级数据来检验初级保健资源和收入不平等与全因死亡率在整个人口中以及黑人和白人人口中的关系。该研究是一项综合生态设计，使用I - I年的国家级数据（n = 549）进行重复测量。分析控制了社会经济和人口特征。对同期和滞后协变量进行建模，所有分析均按种族/民族分层。在所有模型中，初级保健与较低的死亡率相关。每10万人中增加一名初级保健医生，每10万人中死亡人数就减少14.4人。初级保健系数的大小黑人死亡率高于白人死亡率。在控制了州一级的社会人口协变量后，收入不平等与死亡率无关。该研究提供的证据表明，初级保健资源与人口健康有关，并有助于减少健康方面的社会经济差距。(c) 2005 Elsevier Ltd版权所有。
This study used US state-level data from 1985 to 1995 to examine the relationship of primary care resources and income inequality with all-cause mortality within the entire population, and in black and white populations. The study is a pooled ecological design with repeated measures using I I years of state-level data (n = 549). Analyses controlled for socioeconomic and demographic characteristics. Contemporaneous and time-lagged covariates were modeled, and all analyses were stratified by race/ethnicity. In all models, primary care was associated with lower mortality. An increase of one primary care doctor per 10,000 population was associated with a reduction of 14.4 deaths per 100,000. The magnitude of primary care coefficients was higher for black mortality than for white mortality. Income inequality was not associated with mortality after controlling for state-level sociodemographic covariates. The study provides evidence that primary care resources are associated with population health and could aid in reducing socioeconomic disparities in health. (c) 2005 Elsevier Ltd. All rights reserved.