Neighborhood Effects on Primary Care Acess in Los Angeles  

Oleh:

Prentice, Julia C.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 5 (Mar. 2006), page 1291-1303.
Topik: neighborhoods; neighborhood environment; primary care; healthcare access; USA; individual effects

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.2 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Individual health outcomes differ greatly between neighborhoods, and recent research has begun to examine how neighborhood environment affects individual health. A common hypothesis is that the inequitable distribution of healthcare resources limits access to health care for individuals in disadvantaged neighborhoods, causing poorer longterm health. yet, research has not examined if neighborhood environment actually affects an individual's ability to access primary care. Data from the los angeles family and neighborhood survey suggests there is significant variation by the composition of individual's living in the neighborhood. Four mechanisms through which neighborhood environment could affect an individual's ability to access primary care. This neighborhood level effect is not explained by the composition of individuals living in the neighborhood. Four mechanisms through which neighborhood environment could affect an individual's ability to access primary care are examined : 1. neighborhood information networks 2. neighborhood health behaviour norms 3. neighorhood social capital 4. neighborhood healthcare resources Social capital and healtcare resources significantly predict an individual's primary care access. Since differences in primary care access may explain individual level health disparities between neighbourhoods, policies designed to improve primary care access must account for both individual and neighbourbood effects.

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