Abstract

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.

  Funding Agency

Agency
National Institute of Health (NIH)
Institute
National Institute on Minority Health and Health Disparities (NIMHD)
Type
Comprehensive Center (P60)
Project #
5P60MD000214-12
Application #
8487443
Study Section
Special Emphasis Panel (ZMD1-RN)
Project Start
Project End
Budget Start
2013-05-01
Budget End
2014-04-30
Support Year
12
Fiscal Year
2013
Total Cost
$35,707
Indirect Cost
$13,666

  Institution

Name
Johns Hopkins University
Department
Type
DUNS #
001910777
City
Baltimore
State
MD
Country
United States
Zip Code
21218

  Publications

Bell, Caryn N; Thorpe Jr, Roland J; LaVeist, Thomas A (2018) The Role of Social Context in Racial Disparities in Self-Rated Health. J Urban Health 95:13-20
Gaskin, Darrell J; Zare, Hossein; Vazin, Roza et al. (2018) Racial and Ethnic Composition of Hospitals' Service Areas and the Likelihood of Being Penalized for Excess Readmissions by the Medicare Program. Med Care 56:934-943
Archibald, Paul C; Parker, Lauren; Thorpe Jr, Roland (2018) Criminal Justice Contact, Stressors, and Obesity-Related Health Problems Among Black Adults in the USA. J Racial Ethn Health Disparities 5:387-397
Bruce, Marino A; Thorpe Jr, Roland J; Beech, Bettina M et al. (2018) Sex, Race, Food Security, and Sugar Consumption Change Efficacy Among Low-Income Parents in an Urban Primary Care Setting. Fam Community Health 41 Suppl 2 Supp:S25-S32
Hines, Anika L; Pollack, Craig E; LaVeist, Thomas A et al. (2018) Race, Vigilant Coping Strategy, and Hypertension in an Integrated Community. Am J Hypertens 31:197-204
Mwinnyaa, George; Porch, Tichelle; Bowie, Janice et al. (2018) The Association Between Happiness and Self-Rated Physical Health of African American Men: A Population-Based Cross-Sectional Study. Am J Mens Health 12:1615-1620
Usher, Therri; Gaskin, Darrell J; Bower, Kelly et al. (2018) Residential Segregation and Hypertension Prevalence in Black and White Older Adults. J Appl Gerontol 37:177-202
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
Gray, Tamryn F; Cudjoe, Joycelyn; Murphy, Jeanne et al. (2017) Disparities in Cancer Screening Practices among Minority and Underrepresented Populations. Semin Oncol Nurs 33:184-198
Thorpe Jr, Roland J; Parker, Lauren J; Cobb, Ryon J et al. (2017) Association between discrimination and obesity in African-American men. Biodemography Soc Biol 63:253-261

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