Public Housing Relocations and Relationships of Changes in Neighborhood Disadvantage and Transportation Access to Unmet Need for Medical Care.
J Health Care Poor Underserved
; 28(1): 315-328, 2017.
Article
en En
| MEDLINE
| ID: mdl-28239005
ABSTRACT
INTRODUCTION:
Cross-sectional research suggests that neighborhood characteristics and transportation access shape unmet need for medical care. This longitudinal analysis explores relationships of changes in neighborhood socioeconomic disadvantage and trans- portation access to unmet need for medical care.METHODS:
We analyzed seven waves of data from African American adults (N = 172) relocating from severely distressed public housing complexes in Atlanta, Georgia. Surveys yielded individual-level data and admin- istrative data characterized census tracts. We used hierarchical generalized linear models to explore relationships.RESULTS:
Unmet need declined from 25% pre-relocation to 12% at Wave 7. Post-relocation reductions in neighborhood disadvantage were inversely associated with reductions in unmet need over time (OR = 0.71, 95% CI = 0.51-0.99). More frequent transportation barriers predicted unmet need (OR = 1.16, 95% CI = 1.02-1.31).CONCLUSION:
These longitudinal findings support the importance of neighborhood environments and transportation access in shaping unmet need and suggest that improvements in these exposures reduce unmet need for medical care in this vulnerable population.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
10_ODS3_salud_sexual_reprodutiva
/
11_ODS3_cobertura_universal
/
1_ASSA2030
/
2_ODS3
Problema de salud:
10_sexual_health_reproductive_rights
/
11_delivery_arrangements
/
11_multisectoral_coordination
/
1_desigualdade_iniquidade
/
2_cobertura_universal
/
2_quimicos_contaminacion
/
2_sustancias_psicoativas
Asunto principal:
Vivienda Popular
/
Transportes
/
Negro o Afroamericano
/
Características de la Residencia
/
Accesibilidad a los Servicios de Salud
Tipo de estudio:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
/
Equity_inequality
Límite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
America do norte
Idioma:
En
Revista:
J Health Care Poor Underserved
Asunto de la revista:
SERVICOS DE SAUDE
Año:
2017
Tipo del documento:
Article