Abstract:
:Objectives. To quantify the number of people in the US who delay medical care annually because of lack of available transportation and to examine the differential prevalence of this barrier for adults across sociodemographic characteristics and patient populations.Methods. We used data from the National Health Interview Survey (1997-2017) to examine this barrier over time and across groups. We used joinpoint regression analysis to identify significant changes in trends and multivariate analysis to examine correlates of this barrier for the year 2017.Results. In 2017, 5.8 million persons in the United States (1.8%) delayed medical care because they did not have transportation. The proportion reporting transportation barriers increased between 2003 and 2009 with no significant trends before or after this window within our study period. We found that Hispanic people, those living below the poverty threshold, Medicaid recipients, and people with a functional limitation had greater odds of reporting a transportation barrier after we controlled for other sociodemographic and health characteristics.Conclusions. Transportation barriers to health care have a disproportionate impact on individuals who are poor and who have chronic conditions. Our study documents a significant problem in access to health care during a time of rapidly changing transportation technology.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Wolfe MK,McDonald NC,Holmes GMdoi
10.2105/AJPH.2020.305579subject
Has Abstractpub_date
2020-06-01 00:00:00pages
815-822issue
6eissn
0090-0036issn
1541-0048journal_volume
110pub_type
杂志文章abstract::The medical outcomes and demographic characteristics of all victims of fires identified by The Baltimore Fire Department during a 14-month period in Baltimore City were studied. Fifty-nine per cent of victims suffered minor injuries, 25 per cent required hospitalization and 16 per cent were fatalities. The majority of...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.67.11.1077
更新日期:1977-11-01 00:00:00
abstract::Health officials often wish to sponsor nutrition and other health promotion programs but are hampered by lack of funding. One source of funding is suggested by the fact that 18 states and 1 major city levy special taxes on soft drinks, candy, chewing gum, or snack foods. The tax rates may be too small to affect sales,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.6.854
更新日期:2000-06-01 00:00:00
abstract:OBJECTIVES:This study evaluated the effectiveness of a low-intensity dietary intervention in primary care practice in lowering dietary fat intake and raising dietary fiber intake. METHODS:A randomized controlled trial of 28 physician practices in six primary care clinics enrolled, by telephone, adult patients who had ...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.2105/ajph.87.4.610
更新日期:1997-04-01 00:00:00
abstract:OBJECTIVES:The association between carbonated beverage consumption and bone mineral density was examined in a community-based cohort of older White women. METHODS:One thousand women 44 to 98 years of age had bone mineral density measured at four sites and provided medical and behavioral histories, including type and q...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.2.276
更新日期:1997-02-01 00:00:00
abstract::US national elections, which draw sizable numbers of older voters, take place during flu-shot season and represent an untapped opportunity for large-scale delivery of vaccinations. In 2012, Vote & Vax deployed a total of 1585 clinics in 48 states; Washington, DC; Guam; Puerto Rico; and the US Virgin Islands. Approxima...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302628
更新日期:2015-06-01 00:00:00
abstract:OBJECTIVES:We compared admission rates, outcomes, and performance of the CURB-65 mortality prediction score of homeless patients and nonhomeless patients with community-acquired pneumonia (CAP). METHODS:We compared homeless (n = 172) and nonhomeless (n = 1897) patients presenting to a Salt Lake City, Utah, emergency d...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301342
更新日期:2013-12-01 00:00:00
abstract:OBJECTIVES:This study examined the correlates of clinical gallbladder disease among US adults and whether serum ascorbic acid levels are associated with a decreased prevalence of gallbladder disease. METHODS:Cross-sectional analyses of data from the Second National Health and Nutrition Examination Survey were conducte...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.8.1208
更新日期:1998-08-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to assess the relationship between syphilis and human immunodeficiency virus (HIV) infection in injection drug users. METHODS:A 6-year prospective study of 790 injection drug users receiving methadone maintenance treatment in the Bronx, NY, was conducted. RESULTS:Sixteen perce...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.8_pt_1.1112
更新日期:1996-08-01 00:00:00
abstract::This population-based case-control study of North Carolina workplaces evaluated the hypothesis that employers' policies allowing firearms in the workplace may increase workers' risk of homicide. Workplaces where guns were permitted were about 5 times as likely to experience a homicide as those where all weapons were p...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2003.033535
更新日期:2005-05-01 00:00:00
abstract:OBJECTIVES:We estimated annual mortality, years of potential life lost, and associated economic costs attributable to regular cigar smoking among US adults aged 35 years or older. METHODS:We estimated cigar-attributable mortality for the United States in 2010 using the Centers for Disease Control and Prevention's Smok...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.301991
更新日期:2014-09-01 00:00:00
abstract::The term "rural" suggests many things to many people, such as agricultural landscapes, isolation, small towns, and low population density.However, defining "rural" for health policy and research purposes requires researchers and policy analysts to specify which aspects of rurality are most relevant to the topic at han...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.042432
更新日期:2005-07-01 00:00:00
abstract::This prospective study was done in a health maintenance organization colorectal cancer screening program to determine whether 166 persons found to have abnormal fecal occult blood test results typically underwent complete diagnostic evaluation (i.e., either colonoscopy or barium enema x-ray plus flexible sigmoidoscopy...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.11.1620
更新日期:1993-11-01 00:00:00
abstract:OBJECTIVES:The role of competing priorities as a barrier to the utilization of physical health services was assessed in a subset (n = 363) of a probability sample of homeless adults in Los Angeles. METHODS:Unadjusted odds of four measures of health services utilization were calculated for those with frequent difficult...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.2.217
更新日期:1997-02-01 00:00:00
abstract::For systematic reviews to have an impact on public health, they must report outcomes that are important for decision-making. Systematic reviews of public health interventions, however, have a range of potential end users, and identifying and prioritizing the most important and relevant outcomes represents a considerab...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2020.306061
更新日期:2021-01-21 00:00:00
abstract::We identified factors associated with death at home for 28,828 hospice and non-hospice cancer patients in 13 counties of western Washington State. Hospice participation was found to be the variable most strongly associated with death at home. Admission to hospice appears to override the tendency for certain subgroups ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.11.1549
更新日期:1989-11-01 00:00:00
abstract:OBJECTIVES:Interpreting associations between lead exposure and child behavior problems is difficult because studies have not controlled for sociodemographic confounders or have used shed teeth to mark exposure. This study explored associations between blood lead and preschool behavior. METHODS:Children from a smelter ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.3.481
更新日期:1998-03-01 00:00:00
abstract:OBJECTIVES:To assess the level of HIV-related risk behavior among the general US adult population, we analyzed data from the first sexual behavior questions available for states to use with the Behavioral Risk Factor Surveillance System. METHODS:The Behavioral Risk Factor Surveillance System is a state-specific, popul...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.11.1882
更新日期:2001-11-01 00:00:00
abstract::To study the effects of a comprehensive, multifaceted intervention program to reduce fireworks-related injuries during the Italian New Year's holiday season, active surveillance was conducted in the 18 public emergency rooms of Naples, Italy, before and after implementation of the program. Preintervention data collect...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.1.84
更新日期:1996-01-01 00:00:00
abstract:OBJECTIVES:We estimated HCV incidence among individuals who repeatedly underwent anti-HCV testing. METHODS:We studied HCV-negative individuals who had at least 2 tests between April 1992 and September 2012 in British Columbia, Canada. We calculated incidence as the number of new infections per 100 person-years at risk...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302591
更新日期:2015-08-01 00:00:00
abstract:OBJECTIVES:This study determined the effect of provider (nurse or teacher) and training method (workshop or self-preparation) on outcomes of a social influences smoking prevention program. METHODS:One hundred elementary schools were stratified by school risk score (high risk = high smoking rate among senior students) ...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.2105/ajph.89.12.1827
更新日期:1999-12-01 00:00:00
abstract::The relationship between corneal arcus (arcus senilis) and mortality from coronary heart disease (CHD) and cardiovascular disease (CVD) is examined in a prospective study of White men (n = 3,930) and women non-hormone users (n = 2,139), ages 30-69, followed for an average of 8.4 years as part of the Lipid Research Cli...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.10.1200
更新日期:1990-10-01 00:00:00
abstract::The case of Hanna Porn affords an opportunity to examine how the laws that led to the abolition of midwifery in Massachusetts evolved and were applied to the midwife whose case set the state legal precedent. Mrs Porn served primarily a Finnish-Swedish clientele of wives of laborers. The outcomes of the births she atte...
journal_title:American journal of public health
pub_type: 传,历史文章,杂志文章
doi:10.2105/ajph.84.6.1022
更新日期:1994-06-01 00:00:00
abstract::Data from the southwestern United States sample of the Hispanic Health and Nutrition Examination Survey were employed to compare the patterns of alcohol use among Mexican American mothers and children in female-headed households with use patterns among mothers and children in couple-headed households. Single female he...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.suppl.36
更新日期:1990-12-01 00:00:00
abstract::A joint urban planning and public health perspective is articulated here for use, in health impact assessment. Absent a blueprint for a coherent and supportive structure on which to test our thinking, we are bound to fall flat. Such a perspective is made necessary by the sheer number of people living in cities through...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.1.118
更新日期:2003-01-01 00:00:00
abstract::Potable drinking water is essential to public health; however, few studies have investigated income or racial disparities in water infrastructure or drinking water quality. There were many case reports documenting a lack of piped water or serious water quality problems in low income and minority communities, including...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2011.300189
更新日期:2011-12-01 00:00:00
abstract:OBJECTIVES:We examined whether Medicaid beneficiaries are more likely to be diagnosed with late-stage cervical cancer than women not enrolled in Medicaid. METHODS:Using the California Cancer Registry-Medicaid linked file, we identified 4682 women diagnosed during 1996-1999 with invasive cervical cancer. Multivariate l...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.072553
更新日期:2006-12-01 00:00:00
abstract:OBJECTIVES:Because larger food portions could be contributing to the increasing prevalence of overweight and obesity, this study was designed to weigh samples of marketplace foods, identify historical changes in the sizes of those foods, and compare current portions with federal standards. METHODS:We obtained informat...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.2.246
更新日期:2002-02-01 00:00:00
abstract::A retrospective review was undertaken of the records of 725 children who attended the neurodevelopmental clinic at the Baragwanath Hospital in Soweto, South Africa. Most children presented at an early age (less than 2-6 years). The etiological factors were prenatal, 4 per cent; perinatal, 41 per cent; postnatal, 21 pe...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.9.1112
更新日期:1986-09-01 00:00:00
abstract:OBJECTIVES:We examined local health department (LHD) preparedness capacities in the context of participation in accreditation and other performance improvement efforts. MetHODS: We analyzed preparedness in 8 domains among LHDs responding to a preparedness capacity instrument from 2010 through 2012. Study groups include...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302159
更新日期:2014-11-01 00:00:00
abstract::Despite the dissemination of principles of medical ethics in prisons, formulated and advocated by numerous international organizations, health care professionals in prisons all over the world continue to infringe these principles because of perceived or real dual loyalty to patients and prison authorities. Health car...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300374
更新日期:2012-03-01 00:00:00