Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

Residential Segregation and Disparities in Health Care Services Utilization

Bibliographic Data

ID23318451
AuthorsDarrell J Gaskin (0000-0002-0822-1583, Johns Hopkins University, Baltimore, MD, USA), Gniesha Y Dinwiddie (0000-0003-1856-8297, University of Maryland, College Park, MD, USA), Kun-Sun Chan (0000-0003-2639-4186, Johns Hopkins University), Kitty S Chan (Johns Hopkins University, Baltimore, MD, USA), Rachael Mccleary (Johns Hopkins University, Baltimore, MD, USA)
Year2012
Volume69
Issue2
Pages158-175
Publication date2012-04-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMedical Care Research and Review (JOURNAL)
Journal identifiersISSN: 1077-5587 • E-ISSN: 1552-6801
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/1077558711420263
PMID21976416
PMCIDPMC3387667
OpenAlexW2073970946
LanguageEN
Citations received74
References cited41

Using data from the 2006 Medical Expenditure Panel Survey and the 2000 Census, the authors explored whether race/ethnic disparities in health care use were associated with residential segregation. They used five measures of health care use: office-based physician visits, outpatient department physician visits, visits to nurses and physician’s assistants, visits to other health professionals, and having a usual source of care. For each individual, the authors controlled for age, gender, marital status, insurance status, income, educational attainment, employment status, region, and health status. The authors used the racial–ethnic composition of the zip code to control for residential segregation. The findings suggest that disparities in health care utilization are related to both individuals’ racial and ethnic identity and the racial and ethnic composition of their communities. Therefore, efforts to improve access to health care services and to eliminate health care disparities for African Americans and Hispanics should not only focus on individual-level factors but also include community-level factors.

Census · Environmental health · Ethnic group · Family medicine · Geography · Health care · Health equity · Health insurance · Immigration · Marital status · Medical Expenditure Panel Survey · Political science · Population · Public health · Race (biology) · Race and health · Racial composition · Socioeconomic status · Geriatric Care and Nursing Homes · Health disparities and outcomes · Healthcare Policy and Management · Medicine · Nursing · Gerontology

  • How Should Health Professions Educators and Organizations Desegregate Teaching and Learning Environments

    Open Access•Aisha James, Katrina Armstrong•The AMA Journal of Ethic•2023

  • Observing types and successes of alcohol cessation attempts among young sexual and gender minority people assigned male at birth in the Radar cohort study

    Open Access•Madison Shea Smith, Juan Pablo Zapata et al.•Psychology of Sexual Orientation…•2025

  • Socioeconomic, Geospatial, and Geopolitical Disparities in Access to Health Care in the US 2011–2015

    Open Access•Samuel D Towne•International Journal of…•2017

  • Ethnic identity commitment as a moderator for perceived access to health care among Latinx sexual minority men

    Open Access•Steven M Sasa, Frank R Dillon et al.•Cultural Diversity & Ethnic…•2023

  • Hispanic Residential Isolation, ADHD Diagnosis and Stimulant Treatment among Medicaid-insured Youth

    Dinci Pennap, Mehmet Burcu et al.•Ethnicity & Disease•2017

  • The values and benefits of environmental elements on housing rents

    Open Access•Ali Ardeshiri, Mahyar Ardeshiri et al.•Habitat International•2016

  • Policy Dilemmas in Latino Health Care and Implementation of the Affordable Care Act

    Alexander N Ortega, Hector P Rodriguez et al.•Annual Review of Public Health•2015

  • Elucidating the Role of Place in Health Care Disparities

    Open Access•K White, Jennifer S Haas et al.•Health Services Research•2012

  • Disparities in Health Care Spending and Utilization Among Black and White Medicaid Enrollees

    Open Access•Jacob Wallace, Anthony Lollo et al.•JAMA Health Forum•2022

  • Investigating the Spatial Relationship between Social Vulnerability and Healthcare Facility Distribution in Nassau County, New York

    Open Access•Alea Jones, Ijeoma Nnadi et al.•International Journal of…•2023

  • Neighborhood Walkability as a Risk Factor for Preterm Birth Phenotypes in Two Philadelphia Hospitals from 2013–2016

    Open Access•Theresa A Kash, Rachel Ledyard et al.•International Journal of…•2023

  • Neighborhood-level factors associated with Covid-19 vaccination rates

    Open Access•Grace Keegan, Mengqi Zhu et al.•BMC Public Health•2024

  • Spatial Correlation Between Neighborhood Characteristics and Home and Community-Based Services (HCBS) Availability in Virginia

    Seon Kim•Journal of Aging & Social Policy•2026

  • Historical neighbourhood redlining and contemporary environmental racism

    Issam Motairek, Zhuo Chen et al.•Local Environment•2023

  • Framing risk and responsibility

    Open Access•Erin Ash, Kelsea Schulenberg et al.•Newspaper Research Journal•2023

  • Nursing Education and Social Determinants of Health

    Deirdre Colburn, Deirdre Ann Colburn•Journal of Nursing Education•2022

  • Psychosocial Factors Associated with Psychiatric Readmission Following Inpatient Discharge

    Open Access•Guillermo Francisco Martínez-Montás, Girsy Esther Moreta-Manzueta et al.•Community Mental Health Journal•2026

  • Doulas, Racism, and Whiteness

    Open Access•Juan L Salinas, Manisha Salinas et al.•Societies•2022

  • Residential Segregation, Neighborhood Health Care Organizations, and Children's Health Care Utilization in the Phoenix Urbanized Area

    Open Access•K F Anderson•City and Community•2020

  • Health justice and economic segregation in climate risks

    Open Access•Hyun Kim, Dujin Park et al.•Health & Place•2023

  • Racial and ethnic residential segregation and access to health care in rural areas

    Open Access•Julia T Caldwell, Chandra L Ford et al.•Health & Place•2016

  • The long shadow of residential racial segregation

    Open Access•Gabriel L Schwartz, Guangyi Wang et al.•Health & Place•2022

  • Self-reported segregation experience throughout the life course and its association with adequate health literacy

    Open Access•Melody S Goodman, Darrell J Gaskin et al.•Health & Place•2012

  • Accelerated Health Declines among African Americans in the USA

    Open Access•Roland J Thorpe, Ruth G Fesahazion et al.•Journal of Urban Health•2016

  • The Role of Social Context in Racial Disparities in Self-Rated Health

    Open Access•Caryn N Bell, Roland J Thorpe et al.•Journal of Urban Health•2017

  • Race, Medical Mistrust, and Segregation in Primary Care as Usual Source of Care

    Open Access•Miles J Arnett, Roland J Thorpe et al.•Journal of Urban Health•2016

  • Using Index of Concentration at the Extremes as Indicators of Structural Racism to Evaluate the Association with Preterm Birth and Infant Mortality—California, 2011–2012

    Open Access•Brittany D Chambers Butcher, Rebecca J Baer et al.•Journal of Urban Health•2018

  • Racial Disparities in Disability Among Older Adults

    Open Access•Roland J Thorpe, Rachael Mccleary et al.•Journal of Aging and Health•2014

  • The association of residential racial segregation with health among U.S. children

    Open Access•Guangyi Wang, Gabriel L Schwartz et al.•SSM - Population Health•2022

  • Family, neighbourhood, and children’s health

    Open Access•Yuying Shen, A R Moore et al.•Global Public Health•2016

  • Global translation and adaptation of social medicines and structural competencies

    Open Access•H Hansen•Global Public Health•2024

  • Racial Residential Segregation and STI Diagnosis Among Non-Hispanic Blacks, 2006–2010

    Open Access•Khaleeq Lutfi, Mary Jo Trepka et al.•Journal of Immigrant and Minority…•2017

  • Health Care Access Among Asian American Subgroups

    Open Access•Daisy C Carreon, Sebastian E Baumeister•Journal of Immigrant and Minority…•2015

  • Individual and Neighborhood Determinants of Late HIV Diagnosis Among Latinos, Florida, 2007–2011

    Open Access•Diana M Sheehan, Mary Jo Trepka et al.•Journal of Immigrant and Minority…•2016

  • Comparative observational study of mortality amenable by health policy and care between rural and urban Finland

    Open Access•Markku Lehikoinen, Martti Arffman et al.•International Journal for Equity…•2016

  • Neighborhood socioeconomic disadvantage and travel time to diabetes prevention programs in Maryland

    Open Access•Portia Buchongo, Jie Chen et al.•Health & Place•2025

  • Racial Disparities in Health Care Use in Gentrifying Neighborhoods

    Amanda I Ferber, Roland J Thorpe et al.•Ethnicity & Disease•2024

  • Social Determinants of Cancer Risk Among American Indian and Alaska Native Populations

    Open Access•Stephanie C Melkonian, Jolie Crowder et al.•Health Equity•2022

  • Exploring racial and ethnic diversity trajectories and diabetes prevalence in the United States

    Open Access•Jiue‐an Yang, Calvin P Tribby et al.•Social Science & Medicine•2026

  • A Quantitative Exploration of U.S. Citizenship and Its Relationship to Latinx Health

    Open Access•Elizabeth Sánchez, Shereen Bader et al.•Hispanic Journal of Behavioral…•2026

  • Relationship Between Residential Racial and Economic Segregation and Main Causes of Death in US Counties

    Open Access•Rui Gong•Journal of Racial and Ethnic…•2025

  • Latino attitudes toward mental health treatment and criminal justice involvement

    Brittany J Hood•Journal of Ethnicity in Criminal…•2023

  • Place, Race, and Case

    Open Access•Jennifer L Scott, Jennifer Scott et al.•Journal of Racial and Ethnic…•2023

  • The Patient Protection and Affordable Care Act and Utilization of Preventive Health Care Services

    Open Access•Victor Eno, Senthilkumar Mehalingam et al.•SAGE Open•2016

  • Assessing childhood community experiences

    Open Access•Samantha Addante, Jacob D Kraft et al.•Children and Youth Services Review•2024

  • Community health contexts and school suspensions of students with disabilities

    Open Access•Robert S Dembo, J Lafleur•Children and Youth Services Review•2019

  • Neighbourhood economic deprivation explains racial/ethnic disparities in overweight and obesity among children and adolescents in the USA

    Lauren M Rossen•Journal of Epidemiology and…•2014

  • Exploring Risk Factors in Latino Cardiovascular Disease

    Gniesha Y Dinwiddie, R E Zambrana et al.•American Journal of Public Health•2014

  • Variations in Asian Americans

    Eva Chang, Kun-Sun Chan et al.•American Journal of Public Health•2015

  • Effect of Acculturation on Variations in Having a Usual Source of Care Among Asian Americans and Non-Hispanic Whites in California

    Eva Chang, Kun-Sun Chan et al.•American Journal of Public Health•2015

  • Marketing Little Cigars and Cigarillos in African American Communities

    Diana M Sheehan•American Journal of Public Health•2014

  • Factors Associated With Having a Usual Source of Care in an Ethnically Diverse Sample of Asian American Adults

    Eva Chang, Kun-Sun Chan et al.•Medical Care•2014

  • Residential Segregation and Covid-19

    Sarah Forrester, Sarah N Forrester•Medical Care•2021

  • The dual contingencies of ethnoraciality

    Open Access•Abigail Sewell, Emily Pingel et al.•Social Science Research•2020

  • Racial and Ethnic Community Composition and Geographic Distance to Substance Use Disorder Treatment Across the Rural and Urban Divide

    Open Access•Sophia N D Negaro, Peiyin Hung et al.•Journal of Racial and Ethnic…•2025

  • Associations between historical and contemporary measures of structural racism and leukocyte telomere length

    Open Access•Elleni M Hailu, Xing Gao et al.•Social Science & Medicine•2024

  • The role of provider supply and organization in reducing racial/ethnic disparities in mental health care in the U.S

    Open Access•Benjamin Lê Cook, Teresa Doksum et al.•Social Science & Medicine•2013

  • Latino residential segregation and self-rated health among Latinos

    Open Access•Jesse J Plascak, Yamile Molina et al.•Social Science & Medicine•2016

  • Residential segregation, geographic proximity and type of services used

    Open Access•Gniesha Y Dinwiddie, Darrell J Gaskin et al.•Social Science & Medicine•2013

  • Spatial availability of federally qualified health centers and disparities in health services utilization in medically underserved areas

    Open Access•E K Lee, Gwendolyn Donley et al.•Social Science & Medicine•2023

  • Geographic disparities in access to Medication for Opioid Use Disorder across US census tracts based on treatment utilization behavior

    Open Access•Penelope Mitchell, Steven Samsel et al.•Social Science & Medicine•2022

  • The segregation of physician networks providing care to black and white patients with heart disease

    Open Access•Irina Popescu, C Ben Gibson et al.•Social Science & Medicine•2024

  • Using Electronic Health Records to understand the population of local children captured in a large health system in Durham County, NC, USA, and implications for population health research

    Open Access•Allison Stolte, M Giovanna Merli et al.•Social Science & Medicine•2022

  • A spatial analysis of community disadvantage and access to healthcare services in the U.S

    Matthew E Archibald, Caddie Putnam Rankin•Social Science & Medicine•2013

  • Health & access to care among working-age lower income adults in the Great Recession

    Open Access•Samuel D Towne, Janice C Probst et al.•Social Science & Medicine•2017

  • Racial/ethnic neighborhood change and the distribution of health-related urban amenities over time

    Open Access•K F Anderson, Michelle Stanley et al.•Social Problems•2025

  • Neighborhood Diversity Is Good for Your Health

    Open Access•Shetal Vohra-Gupta, Bethany M Wood et al.•Journal of Racial and Ethnic…•2024

  • Racial/Ethnic Residential Segregation, Neighborhood Health Care Provision, and Choice of Pediatric Health Care Provider Across the USA

    Open Access•K F Anderson, Caroline Wolski•Journal of Racial and Ethnic…•2024

  • Impact of Residential Segregation on Healthcare Utilization and Perceived Quality of Care Among Informal Caregivers in the United States

    Open Access•Hyunmin Kim, Azhar Mahmood et al.•Journal of Racial and Ethnic…•2025

  • Racial/Ethnic Inequities in Access to High-Quality Dialysis Treatment in Chicago

    Open Access•Haena Lee, Julia T Caldwell et al.•Journal of Racial and Ethnic…•2020

  • Health Care Disparities in Race-Ethnic Minority Communities and Populations

    Open Access•Kun-Sun Chan, Megha A Parikh et al.•Journal of Racial and Ethnic…•2020

  • The Association of Racial and Ethnic Social Networks with Mental Health Service Utilization Across Minority Groups in the USA

    Open Access•Sung W Choi, Christal Ramos et al.•Journal of Racial and Ethnic…•2019

  • Post-traumatic Stress Disorder, Race/Ethnicity, and Coronary Artery Disease Among Older Patients with Depression

    Open Access•Denise C Cooper, Ranak B Trivedi et al.•Journal of Racial and Ethnic…•2014

  • Racial Isolation and Chlamydia Rates in US Counties

    Open Access•Loren Henderson•Race and Social Problems•2015

  • American apartheid

    Douglas Massey, Douglas S Massey et al.•American apartheid•1993

  • Racial and Ethnic Differences in Access to and Use of Health Care Services, 1977 to 1996

    Open Access•Robin M Weinick, Samuel H Zuvekas et al.•Medical Care Research and Review•2000

  • Separate And Unequal

    DAVID BARTON SMITH, Zhanlian Feng et al.•Health Affairs•2007

  • Attitudes about Racism, Medical Mistrust, and Satisfaction with Care among African American and White Cardiac Patients

    Open Access•Thomas A Laveist, Kim J Nickerson et al.•Medical Care Research and Review•2000

  • The Contribution of Insurance Coverage and Community Resources to Reducing Racial/Ethnic Disparities in Access to Care

    Open Access•J Lee Hargraves, Jack Hadley•Health Services Research•2003

  • Racial and Ethnic Differences in Access to Medical Care

    Open Access•Robert Mayberry, Robert M Mayberry et al.•Medical Care Research and Review•2000

  • Perceived Discrimination and Adherence to Medical Care in a Racially Integrated Community

    Open Access•Sarah Stark Casagrande, Tiffany L Gary‐webb et al.•Journal of General Internal…•2007

  • The Truly Disadvantaged

    William Julius Wilson•Truly Disadvantaged•2012

  • The Effect of Residential Segregation on Black Social and Economic Well-Being

    D S Massey, Gretchen A Condran et al.•Social Forces•1987

  • Efforts to Decrease Diabetes-Related Amputations in African Americans by the Racial and Ethnic Approaches to Community Health Charleston and Georgetown Diabetes Coalition

    Carolyn Jenkins, Patsy Myers et al.•Family & Community Health•2011

  • Decreasing disparity in cholesterol screening in minority communities—findings from the Racial and Ethnic Approaches to Community Health 2010

    Y Liao, Pattie Tucker et al.•Journal of Epidemiology and…•2010

  • The racial segregation of hospital care revisited

    D B Smith, Daisy Smith•American Journal of Public Health•1998

  • Hypersegregation in U.S. Metropolitan Areas

    Open Access•D S Massey, Nancy A Denton•Demography•1989

  • Paradox lost

    Open Access•Alberto Palloni, Elizabeth Arias•Demography•2004

  • Hospital Outpatient Services and Medicaid Patients?? Access to Care

    James W Fossett, Chang Hun Choi et al.•Medical Care•1991

  • Access to Medical Care in the U.S

    Ronald Andersen, Lu Ann Aday•Medical Care•1978

  • Experience of Primary Care by Racial and Ethnic Groups in the United States

    Leiyu Shi•Medical Care•1999

  • Demographic and Health-Related Correlates of Visits to Complementary and Alternative Medical Providers

    R Barker Bausell, Wen-Lin Lee et al.•Medical Care•2001

  • Physician Participation in Medicaid Revisited

    Janet B Mitchell•Medical Care•1991

  • Medicaid Participation Among Urban Primary Care Physicians

    Janet D Perloff, Janet D Perloff Janet D Perloff et al.•Medical Care•1997

  • Prevalence and Patterns of Discrimination among U.S. Health Care Consumers

    Open Access•Thomas A Laveist, Nicole C Rolley et al.•International Journal of Health…•2003

  • The Association between Perceived Discrimination and Underutilization of Needed Medical and Mental Health Care in a Multi-Ethnic Community Sample

    Diana Jill Burge, Yingmei Ding et al.•Journal of Health Care for the…•2008

  • Social Conditions As Fundamental Causes of Disease

    Bruce G Link, Jo C Phelan et al.•Journal of Health and Social…•1995

  • Revisiting the Behavioral Model and Access to Medical Care

    Ronald Andersen, Ronald M Andersen•Journal of Health and Social…•1995

  • Access to Expertise as a Form of Social Capital

    Open Access•Erin York Cornwell, B Cornwell•Sociological Perspectives•2008

  • The Dynamics of Racial Residential Segregation

    Camille Zubrinsky Charles•Annual Review of Sociology•2003

Unique citing works74
Citations per year5,29
Citation span2012 - 2026 (15)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 68

Tools

Open DOISci-Hub
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae