Abstract:
OBJECTIVE:To determine the contributions of personal, structural, and neighborhood characteristics to differential access to health care for older persons in the United States. METHODS:This study used the 1994 National Health Interview Survey, ages 65 and older (n = 12,341), 1990 census block group data, and data on health professional shortage areas. Logistic regression was used to model the probability of problems accessing care. RESULTS:The likelihood of access problems increased sharply with decreasing gradients of family income and for those lacking private health care insurance. Rural areas and poor areas were at a disadvantage in accessing care, whereas residents of neighborhoods that were homogeneous in ancestral heritage appeared better able to access care. DISCUSSION:Considering the high association between neighborhood and personal characteristics, it is notable that any neighborhood effects remained after combining them with personal effects.
journal_name
J Aging Healthjournal_title
Journal of aging and healthauthors
Auchincloss AH,Van Nostrand JF,Ronsaville Ddoi
10.1177/089826430101300302subject
Has Abstractpub_date
2001-08-01 00:00:00pages
329-54issue
3eissn
0898-2643issn
1552-6887journal_volume
13pub_type
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