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 """"""""place"""""""" and racial disparities in healthcare use. We want to advance our research by understanding the dynamics of """"""""place"""""""". What are the characteristics of minority communities that produce disparities in health and healthcare use? This research project proposes three specific aims to answer the question: Why does place matter? Specific Aim 1) To determine if the association between the racial/ethnic composition of neighborhoods and healthcare use can be explained by variations in healthcare provider availability.
Specific Aim 2) To examine whether the healthcare use of individuals changes as the racial/ethnic composition of their census tracts changes over time.
Specific Aim 3) To determine whether the level of private investment in a community impacts health and healthcare utilization.
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.
|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|
|Hill, Sarah E; Bell, Caryn; Bowie, Janice V et al. (2017) Differences in Obesity Among Men of Diverse Racial and Ethnic Background. Am J Mens Health 11:984-989|
|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|
|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|
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