Neighborhood Environment and Disparities in Health Care Access Among Urban Medicare Beneficiaries With Diabetes
A Retrospective Cohort Study
Bibliographic Data
| ID | 13775214 |
|---|---|
| Authors | Miriam Ryvicker (0000-0002-7339-080X, Visiting Nurse Service of New York, New York City, USA, corresponding author), Sridevi Sridharan (0000-0002-6674-4315, Visiting Nurse Service of New York, New York City, USA) |
| Year | 2018 |
| Volume | 55 |
| Pages | 46958018771414-46958018771414 |
| Publication date | 2018-01-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | INQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL) |
| Journal identifiers | ISSN: 0046-9580 • E-ISSN: 1945-7243 |
| Publisher | SAGE Publishing (PUBLISHER • US) |
| DOI | 10.1177/0046958018771414 |
| PMID | 29717616 |
| OpenAlex | W2802248282 |
| Language | EN |
| Citations received | 4 |
| References cited | 46 |
Older adults' health is sensitive to variations in neighborhood environment, yet few studies have examined how neighborhood factors influence their health care access. This study examined whether neighborhood environmental factors help to explain racial and socioeconomic disparities in health care access and outcomes among urban older adults with diabetes. Data from 123 233 diabetic Medicare beneficiaries aged 65 years and older in New York City were geocoded to measures of neighborhood walkability, public transit access, and primary care supply. In 2008, 6.4% had no office-based "evaluation and management" (E&M) visits. Multilevel logistic regression indicated that this group had greater odds of preventable hospitalization in 2009 (odds ratio = 1.31; 95% confidence interval: 1.22-1.40). Nonwhites and low-income individuals had greater odds of a lapse in E&M visits and of preventable hospitalization. Neighborhood factors did not help to explain these disparities. Further research is needed on the mechanisms underlying these disparities and older adults' ability to navigate health care. Even in an insured population living in a provider-dense city, targeted interventions may be needed to overcome barriers to chronic illness care for older adults in the community
Confidence interval · Environmental health · Health care · Health equity · Logistic regression · Odds · Odds ratio · Population · Psychological intervention · Public health · Socioeconomic status · Walkability · Demography · Geriatric Care and Nursing Homes · Health disparities and outcomes · Medicine · Nursing · Urban Transport and Accessibility · Gerontology
Association Between Residential Neighborhood Social Conditions and Health Care Utilization and Costs
Acculturation and Disparities in Telemedicine Readiness
Spatial availability of federally qualified health centers and disparities in health services utilization in medically underserved areas
The Effect of Neighborhood Deprivation on Mortality in Newly Diagnosed Diabetes Patients
Applied Spatial Data Analysis with R
Built Environments and Obesity in Disadvantaged Populations
Neighborhood Environment in Studies of Health of Older Adults
Access to Medical Care for Low-Income Persons
The Urban Built Environment and Obesity in New York City
Fitting Linear Mixed-Effects Models Using lme4
The difference-in-difference method
Health-related behavior as a mechanism behind the relationship between neighborhood social capital and individual health - a multilevel analysis
Neighborhood Socioeconomic Status, Depression, and Health Status in the Look Ahead (Action for Health in Diabetes) Study
The World Cities Project
A Framework for Evaluating Safety-Net and other Community-Level Factors on Access for Low-Income Populations
Built Environment and Lower Extremity Physical Performance
Neighborhood features and physiological risk
Towards Global Age-Friendly Cities
Social Capital and Smoking Among Asian American Men
Racial and Ethnic Disparities in Services and the Patient Protection and Affordable Care Act
Neighborhoods and Obesity in Later Life
Association of the Built Environment With Physical Activity and Obesity in Older Persons
Association of Perceived Neighborhood Safety on Body Mass Index
Trust in the Health Care System and the Use of Preventive Health Services by Older Black and White Adults
Neighborhoods and Chronic Disease Onset in Later Life
Association between neighborhood walkability, cardiorespiratory fitness and body-mass index
Comparing Spatial and Multilevel Regression Models for Binary Outcomes in Neighborhood Studies
Neighborhood cohesion, neighborhood disorder, and cardiometabolic risk
Neighborhoods and disability in later life
Estimating neighborhood health effects
Neighborhood social capital and individual health
Revisiting the Behavioral Model and Access to Medical Care
Neighborhood Disadvantage, Network Social Capital, and Depressive Symptoms
| Citations per year | 0.67 |
|---|---|
| Citation span | 2020 - 2024 (5) |
| Highly cited | No |