Why Does Place Matter? - The association between residential segregation and racial disparities in health is well documented. Our prior research at the HCHDS extended the research literature by finding an association between residential segregation and healthcare utilization. Using data from the 2006 Medical Expenditure Panel Survey, we found that persons living in minority communities had less access to physician care, and used fewer physician, non-physician, mental health, cardiac and diabetes services compared to persons living in majority white communities. However, beyond the racial and ethnic composition of communities little is known about the mechanisms that govern these associations. This project seeks to describe the relationship between

Public Health Relevance

Previous research has found that residential segregation is associated with healthcare use, i.e., place does matter. Our previous study showed that persons living in minority communities had lower access to physician care, and used fewer physician, non-physician, and mental health services compared to persons living in majority white communities. Now we would like to extend this research by understanding why place matters for health and healthcare utilization.

National Institute of Health (NIH)
National Institute on Minority Health and Health Disparities (NIMHD)
Comprehensive Center (P60)
Project #
Application #
Study Section
Special Emphasis Panel (ZMD1-RN (02))
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
Johns Hopkins University
United States
Zip Code
Bowie, Janice V; Bell, Caryn N; Ewing, Altovise et al. (2017) Religious Coping and Types and Sources of Information Used in Making Prostate Cancer Treatment Decisions. Am J Mens Health 11:1237-1246
Parker, Lauren J; Benjamin, Troyana; Archibald, Paul et al. (2017) The Association Between Marijuana Usage and Discrimination Among Adult Black Men. Am J Mens Health 11:435-442
Bruce, Marino A; Beech, Bettina M; Thorpe Jr, Roland J et al. (2017) Racial and gender disparities in sugar consumption change efficacy among first-year college students. Appetite 109:33-39
Sohn, Elizabeth Kelley; Porch, Tichelle; Hill, Sarah et al. (2017) Geography, Race/Ethnicity, and Physical Activity Among Men in the United States. Am J Mens Health 11:1019-1027
Archibald, Paul C; Parker, Lauren; Thorpe Jr, Roland (2017) Criminal Justice Contact, Stressors, and Obesity-Related Health Problems Among Black Adults in the USA. J Racial Ethn Health Disparities :
Arnett, M J; Thorpe Jr, R J; Gaskin, D J et al. (2016) Race, Medical Mistrust, and Segregation in Primary Care as Usual Source of Care: Findings from the Exploring Health Disparities in Integrated Communities Study. J Urban Health 93:456-67
Porch, Tichelle C; Bell, Caryn N; Bowie, Janice V et al. (2016) The Role of Marital Status in Physical Activity Among African American and White Men. Am J Mens Health 10:526-532
Thorpe, Roland J Jr; Simonsick, Eleanor; Zonderman, Alan et al. (2016) Association between Race, Household Income and Grip Strength in Middle- and Older-Aged Adults. Ethn Dis 26:493-500
Gaskin, Darrell J; Zare, Hossein; Haider, Adil H et al. (2016) The Quality of Surgical and Pneumonia Care in Minority-Serving and Racially Integrated Hospitals. Health Serv Res 51:910-36
Parker, Lauren J; Kinlock, Ballington L; Chisolm, Dakarai et al. (2016) Association Between Any Major Discrimination and Current Cigarette Smoking Among Adult African American Men. Subst Use Misuse 51:1593-1599

Showing the most recent 10 out of 78 publications