Segregation and Disparities in Health Services Use

被引：70

作者：

Gaskin, Darrell J. ^{[1
,2
]}

Price, Adrian ^{[3
]}

Brandon, Dwayne T. ^{[4
]}

LaVeist, Thomas A. ^{[2
]}

机构：

[1] Univ Maryland, Coll Behav & Social Sci, African Amer Studies Dept, College Pk, MD 20742 USA

[2] Johns Hopkins Bloomberg Sch Publ Hlth, Baltimore, MD USA

[3] Xavier Univ Louisiana, New Orleans, LA USA

[4] N Carolina Cent Univ, Durham, NC USA

来源：

MEDICAL CARE RESEARCH AND REVIEW | 2009年 / 66卷 / 05期

基金：

美国国家卫生研究院;

关键词：

health care disparities; segregation; minority health; REDUCING RACIAL/ETHNIC DISPARITIES; RACIAL RESIDENTIAL SEGREGATION; PHYSICIAN PARTICIPATION; INTEGRATED COMMUNITIES; INSURANCE-COVERAGE; ETHNIC-DIFFERENCES; INFANT-MORTALITY; CARE; MEDICAID; ACCESS;

D O I：

10.1177/1077558709336445

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

We compared race disparities in health services use in a national sample of adults from the 2002 Medical Expenditure Panel Survey and data from the Exploring Health Disparities in Integrated Communities Project, a 2003 survey of adult residents from a low-income integrated urban community in Maryland. In the Medical Expenditure Panel Survey data, African Americans were less likely to have a health care visit compared with Whites. However, in the Exploring Health Disparities in Integrated Communities Project, the integrated community, African Americans were more likely to have a health care visit than Whites. The race disparities in the incidence rate of health care use among persons who had at least one visit were similar in both samples. Our findings suggest that disparities in health care utilization may differ across communities and that residential segregation may be a confounding factor.

引用

页码：578 / 589

页数：12

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