Clinic access and teenage birth rates: Racial/ethnic and spatial disparities in Houston, TX.

Teenage motherhood is a pressing issue in the United States, and one that is disproportionately affecting racial/ethnic minorities. In this research, we examine the relationship between the distance to the nearest reproductive health clinic and teenage birth rates across all zip codes in Houston, Te...

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Publicado en:Social Science & Medicine Vol. 201; pp. 87 - 95
Autores principales: Wisniewski, Megan M., O'Connell, Heather A.
Formato: Artículo
Publicado: Elsevier B.V. Mar2018
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2018
      vid: 201
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      pub: Elsevier B.V.
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        128475420
        10.1016/j.socscimed.2018.02.009
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        atl: Clinic access and teenage birth rates: Racial/ethnic and spatial disparities in Houston, TX.
      aug:
        au:
          Wisniewski, Megan M.
          O'Connell, Heather A.
        affil:
          Rice University, USA
          Louisiana State University, USA
      su:
        Texas
        Childbirth
        Health services accessibility
        Health status indicators
        Population geography
        Poverty
        Race
        Teenage mothers
        Teenage pregnancy
        White people
        Reproductive health
        Socioeconomic factors
        Regression analysis
      sug:
        subj:
          Childbirth
          Health services accessibility
          Health status indicators
          Population geography
          Poverty
          Race
          Teenage mothers
          Teenage pregnancy
          White people
          Reproductive health
          Socioeconomic factors
          Texas
          Regression analysis
      keyword:
        Clinics access
        Family planning
        Race/ethnicity
        Spatial disparities
        Teenage births
        United States
        Clinics access
        Family planning
        Race/ethnicity
        Spatial disparities
        Teenage births
        United States
      ab: Teenage motherhood is a pressing issue in the United States, and one that is disproportionately affecting racial/ethnic minorities. In this research, we examine the relationship between the distance to the nearest reproductive health clinic and teenage birth rates across all zip codes in Houston, Texas. Our primary data come from the Texas Department of State Health Services. We use spatial regression analysis techniques to examine the link between clinic proximity and local teenage birth rates for all females aged 15 to 19, and separately by maternal race/ethnicity. We find, overall, limited support for a connection between clinic distance and local teenage birth rates. However, clinics seem to matter most for explaining non-Hispanic white teenage birth rates, particularly in high-poverty zip codes. The racial/ethnic and economic variation in the importance of clinic distance suggests tailoring clinic outreach to more effectively serve a wider range of teenage populations. We argue social accessibility should be considered in addition to geographic accessibility in order for clinics to help prevent teenage pregnancy.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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