Joonsoo S Lyeo, Ignacio Tiznado-Aitken, Steven Farber, Hilary K Brown, Nicholas Spence
{"title":"Predictors of transportation-related barriers to healthcare access in a North American suburb.","authors":"Joonsoo S Lyeo, Ignacio Tiznado-Aitken, Steven Farber, Hilary K Brown, Nicholas Spence","doi":"10.1007/s10389-023-01916-2","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim: </strong>To identify predictors of transportation-related barriers to healthcare access in a North American suburb.</p><p><strong>Subject and methods: </strong>Data from the 2022 Scarborough Survey were used, comprising n = 528 adults living in Scarborough, which is a subu<rb of Toronto, Canada, recruited through iterative sampling. Log binomial regression models identified demographic, socioeconomic, health and transportation predictors of a composite of: (1) delaying a primary care appointment, (2) missing a primary care appointment or (3) postponing or declining a vaccination due to transportation issues.</p><p><strong>Results: </strong>Of the sampled individuals, 34.5% experienced the outcome. In the multivariable model, younger age (RR = 3.03), disability (RR = 2.60), poor mental health (RR = 1.70) and reliance on public transit (RR = 2.09) were associated with greater risk of experiencing the outcome. Full-time employment, reliance on active travel and reliance on others for transportation were specifically associated with greater risk of experiencing a transportation-related barrier to vaccination.</p><p><strong>Conclusion: </strong>In suburban areas such as Scarborough, transportation-related barriers to healthcare access have a disproportionate impact on groups defined by important demographic, health and transportation-related characteristics. These results corroborate that transportation is an important determinant of health in suburban areas, the absence of which may exacerbate existing inequities among the most vulnerable individuals in a given population.</p>","PeriodicalId":29967,"journal":{"name":"Journal of Public Health-Heidelberg","volume":null,"pages":null},"PeriodicalIF":1.9000,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10120494/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Public Health-Heidelberg","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s10389-023-01916-2","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
Aim: To identify predictors of transportation-related barriers to healthcare access in a North American suburb.
Subject and methods: Data from the 2022 Scarborough Survey were used, comprising n = 528 adults living in Scarborough, which is a subu
Results: Of the sampled individuals, 34.5% experienced the outcome. In the multivariable model, younger age (RR = 3.03), disability (RR = 2.60), poor mental health (RR = 1.70) and reliance on public transit (RR = 2.09) were associated with greater risk of experiencing the outcome. Full-time employment, reliance on active travel and reliance on others for transportation were specifically associated with greater risk of experiencing a transportation-related barrier to vaccination.
Conclusion: In suburban areas such as Scarborough, transportation-related barriers to healthcare access have a disproportionate impact on groups defined by important demographic, health and transportation-related characteristics. These results corroborate that transportation is an important determinant of health in suburban areas, the absence of which may exacerbate existing inequities among the most vulnerable individuals in a given population.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
