기사
Neighborhood Socioeconomic Disadvantage and Access to Health Care /
- 개인저자
- Kirby, James B. ;, Kaneda, Toshiko
- 수록페이지
- 15-31 p.
- 발행일자
- 2005.03.30
- 출판사
- American Sociological Association
초록
[영문]Most research on access to health care focuses on individual-level determinants such as income and insurance coverage. The role of community-level factors in helping or hindering individuals in obtaining needed care, however, has not received much attention. We address this gap in the literature by examining how neighborhood socioeconomic disadvantage is associated with access to health care. We find that living in disadvantaged neighborhoods reduces the likelihood of having a usual source of care and of obtaining recommended preventive services, while it increases the likelihood of having unmet medical need. These associations are not explained by the supply of health care providers. Furthermore, though controlling for individual-level characteristics reduces the association between neighborhood disadvantage and access to health care, a significant association remains. This suggests that when individuals who are disadvantaged are concentrated into specific areas, disadvantage becomes an qqqquot;emergent characteristicqqqquot; of those areas that predicts the ability of residents to obtain health care.