Article

Segregation and Disparities in Health Services Use

African American Studies Department, College of Behavioral and Social Sciences, University of Maryland, 2169 LeFrak Hall, College Park, MD 20742, USA.
Medical Care Research and Review (Impact Factor: 2.57). 06/2009; 66(5):578-89. DOI: 10.1177/1077558709336445
Source: PubMed

ABSTRACT We compared race disparities in health services use in a national sample of adults from the 2002 Medical Expenditure Panel Survey and data from the Exploring Health Disparities in Integrated Communities Project, a 2003 survey of adult residents from a low-income integrated urban community in Maryland. In the Medical Expenditure Panel Survey data, African Americans were less likely to have a health care visit compared with Whites. However, in the Exploring Health Disparities in Integrated Communities Project, the integrated community, African Americans were more likely to have a health care visit than Whites. The race disparities in the incidence rate of health care use among persons who had at least one visit were similar in both samples. Our findings suggest that disparities in health care utilization may differ across communities and that residential segregation may be a confounding factor.

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    • "This fits with the prior research on segregation and health, and contributes to our understanding of how segregation can impact health care (Gaskin et al., 2009). However, their analysis of an integrated neighborhood only involved one area in Baltimore, MD (Gaskin et al., 2009). Multiple single-city studies or nation-wide studies would be necessary to systematically examine the relationship between segregation and access to health care. "
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