Oral health and health care for older adults: A spatial approach for addressing disparities and planning services

被引：23

作者：

Borrell, Luisa ^{[1
]}

Northridge, Mary ^{[2
]}

Miller, Douglas ^{[3
]}

Golembeski, Cynthia ^{[4
]}

Spielman, Seth ^{[6
,7
]}

Sclar, Elliott ^{[5
,8
]}

Lamster, Ira ^{[9
]}

机构：

[1] Columbia Univ, Mailman Sch Publ Hlth, Dept Epidemiol, New York, NY 10027 USA

[2] Columbia Univ, Mailman Sch Publ Hlth, Dept Sociomed Sci, Clin Sociomed Sci, New York, NY 10027 USA

[3] Columbia Univ, Inst Social & Econ Res & Policy, New York, NY 10027 USA

[4] Columbia Univ, Mailman Sch Publ Hlth, Dept Sociomed Sci, New York, NY 10027 USA

[5] Columbia Univ, Grad Sch Architecture Planning & Preservat, New York, NY 10027 USA

[6] Univ Buffalo, Natl Ctr Geog Informat & Anal, Natl Sci Fdn Integrat Grad Educ, Buffalo, NY USA

[7] Univ Buffalo, Natl Ctr Geog Informat & Anal, Res Traineeship Fellow Geog Informat Sci, Buffalo, NY USA

[8] Columbia Univ, Sch Int & Publ Affairs, New York, NY 10027 USA

[9] Columbia Univ, Coll Dent Med, New York, NY 10027 USA

来源：

SPECIAL CARE IN DENTISTRY | 2006年 / 26卷 / 06期

关键词：

oral health care; older adults; public health; urban planning; geographic information systems (GIS); spatial analysis;

D O I：

10.1111/j.1754-4505.2006.tb01663.x

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

The purpose of this paper was to examine the geographic distribution of New York City adults aged 65 and older by race/ethnicity and poverty status. Also analyzed was seniors' access to dental care as defined by the location of dental providers and their proximity to the subway system lines in Manhattan and the Bronx. ArcGIS software was used to create a geographic information system (GIS) incorporating relevant data from a variety of sources. Individual and overlay maps were then produced to examine the aims of this analysis. Data showed that Black race, Hispanic ethnicity, and poverty status tend to co-occur spatially among seniors in Northern Manhattan and the South Bronx. Further, a spatial/transportation barrier may inhibit access to dental care for seniors who reside in these areas. By presenting multiple layers of local information juxtaposed, GIS can help provide directions for planning oral health service delivery for seniors.

引用

页码：252 / 256

页数：5

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