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.

Agency
National Institute of Health (NIH)
Institute
National Institute on Minority Health and Health Disparities (NIMHD)
Type
Comprehensive Center (P60)
Project #
2P60MD000214-11
Application #
8353506
Study Section
Special Emphasis Panel (ZMD1-RN (02))
Project Start
Project End
Budget Start
2012-06-12
Budget End
2013-04-30
Support Year
11
Fiscal Year
2012
Total Cost
$194,727
Indirect Cost
$74,525
Name
Johns Hopkins University
Department
Type
DUNS #
001910777
City
Baltimore
State
MD
Country
United States
Zip Code
21218
LaVeist, Thomas A; Thorpe Jr, Roland J; Pierre, Geraldine et al. (2014) THE RELATIONSHIPS AMONG VIGILANT COPING STYLE, RACE, AND DEPRESSION. J Soc Issues 70:241-255
Smolen, J R; Thorpe Jr, Roland J; Bowie, J V et al. (2014) Health insurance and chronic conditions in low-income urban whites. J Urban Health 91:637-47
Wilson-Frederick, Shondelle M; Thorpe Jr, Roland J; Bell, Caryn N et al. (2014) Examination of race disparities in physical inactivity among adults of similar social context. Ethn Dis 24:363-9
Martínez, Airín D; Juon, Hee-soon; Levine, David M et al. (2014) The association between nutrition transition score and measures of obesity: results from a cross-sectional study among Latina/o immigrants in Baltimore. Global Health 10:57
Pierre, Geraldine; Thorpe Jr, Roland J; Dinwiddie, Gniesha Y et al. (2014) Are there racial disparities in psychotropic drug use and expenditures in a nationally representative sample of men in the United States? Evidence from the Medical Expenditure Panel Survey. Am J Mens Health 8:82-90
Njie-Carr, Veronica (2014) Violence experiences among HIV-infected women and perceptions of male perpetrators' roles: a concurrent mixed method study. J Assoc Nurses AIDS Care 25:376-91
Thorpe Jr, Roland J; Szanton, Sarah L; Bell, Caryn N et al. (2013) Education, income and disability in African Americans. Ethn Dis 23:12-7
Dinwiddie, Gniesha Y; Gaskin, Darrell J; Chan, Kitty S et al. (2013) Residential segregation, geographic proximity and type of services used: evidence for racial/ethnic disparities in mental health. Soc Sci Med 80:67-75
Jackson, Chandra L; Szklo, Moyses; Yeh, Hsin-Chieh et al. (2013) Black-white disparities in overweight and obesity trends by educational attainment in the United States, 1997-2008. J Obes 2013:140743
Bower, Kelly M; Thorpe Jr, Roland J; LaVeist, Thomas A (2013) Perceived racial discrimination and mental health in low-income, urban-dwelling whites. Int J Health Serv 43:267-80

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