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首页> 外文期刊>Journal of health care for the poor and underserved >Public Housing Relocations and Relationships of Changes in Neighborhood Disadvantage and Transportation Access to Unmet Need for Medical Care
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Public Housing Relocations and Relationships of Changes in Neighborhood Disadvantage and Transportation Access to Unmet Need for Medical Care

机译：公共住房迁移和邻里劣势和运输进入医疗保健需求的变化关系

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Introduction. Cross-sectional research suggests that neighborhood characteristics and transportation access shape unmet need for medical care. This longitudinal analysis explores relationships of changes in neighborhood socioeconomic disadvantage and transportation access to unmet need for medical care. Methods. We analyzed seven waves of data from African American adults (N = 172) relocating from severely distressed public housing complexes in Atlanta, Georgia. Surveys yielded individual-level data and administrative data characterized census tracts. We used hierarchical generalized linear models to explore relationships. Results. Unmet need declined from 25% pre-relocation to 12% at Wave 7. Post-relocation reductions in neighborhood disadvantage were inversely associated with reductions in unmet need over time (OR = 0.71, 95% CI = 0.51-0.99). More frequent transportation barriers predicted unmet need (OR = 1.16, 95% CI = 1.02-1.31). Conclusion. These longitudinal findings support the importance of neighborhood environments and transportation access in shaping unmet need and suggest that improvements in these exposures reduce unmet need for medical care in this vulnerable population.
机译：介绍。横截面研究表明，邻域特性和运输接入形状未满足的医疗保健需求。这种纵向分析探讨了邻里社会经济劣势和运输对医疗保健需求的变化的关系。方法。我们分析了来自非洲裔美国成年人（N = 172）的七大数据（n = 172），从格鲁吉亚亚特兰大的严重陷入困境的公共住房综合体迁移。调查产生了个性级数据和行政数据的特征在于人口普查。我们使用了分层广义的线性模型来探索关系。结果。未满足的需求从25％的预先定位下降到波浪的12％。邻域缺点的重新分配减少与未满足的减少相关（或= 0.71,95％CI = 0.51-0.99）。更频繁的运输障碍预测未满足的需求（或= 1.16,95％CI = 1.02-1.31）。结论。这些纵向调查结果支持邻里环境和运输进入在整形未满足的需求方面的重要性，并表明这些暴露的改进减少了在这种易受攻击的人群中对医疗保健的未满足需求。

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