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.
|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|
|Furr-Holden, C Debra M; Milam, Adam J; Nesoff, Elizabeth D et al. (2016) Not in My Back Yard: A Comparative Analysis of Crime Around Publicly Funded Drug Treatment Centers, Liquor Stores, Convenience Stores, and Corner Stores in One Mid-Atlantic City. J Stud Alcohol Drugs 77:17-24|
|Kaufmann, Christopher N; Mojtabai, Ramin; Hock, Rebecca S et al. (2016) Racial/Ethnic Differences in Insomnia Trajectories Among U.S. Older Adults. Am J Geriatr Psychiatry 24:575-84|
|Fakunle, D O; Milam, A J; Furr-Holden, C D et al. (2016) The inequitable distribution of tobacco outlet density: the role of income in two Black Mid-Atlantic geopolitical areas. Public Health 136:35-40|
|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|
|Thorpe Jr, Roland J; Fesahazion, Ruth G; Parker, Lauren et al. (2016) Accelerated Health Declines among African Americans in the USA. J Urban Health 93:808-819|
|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|
|GonzÃ¡lez, Gloria; Wilson-Frederick Wilson, Shondelle M; Thorpe Jr, Roland J (2015) Examining Place As a Social Determinant of Health: Association Between Diabetes and US Geographic Region Among Non-Hispanic Whites and a Diverse Group of Hispanic/Latino Men. Fam Community Health 38:319-31|
|Kalyani, Rita Rastogi; Rodriguez, Diana C; Yeh, Hsin-Chieh et al. (2015) Diabetes, race, and functional limitations in older U.S. men and women. Diabetes Res Clin Pract 108:390-7|
|Seamans, Marissa J; Robinson, Whitney R; Thorpe Jr, Roland J et al. (2015) Exploring racial differences in the obesity gender gap. Ann Epidemiol 25:420-5|
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