Predictors of transportation-related barriers to healthcare access in a North American suburb.
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<rb of Toronto, Canada, recruited through iterative sa...
| Publicado en: | Journal of Public Health: From Theory to Practice (2198-1833) Vol. 32; no. 8; pp. 1359 - 1371 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
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Springer Nature
Aug2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=179536557&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 179536557 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 21981833 NENI jtl: Journal of Public Health: From Theory to Practice (2198-1833) issn: 21981833 maglogo: N pubinfo: dt: Aug2024 vid: 32 iid: 8 pid: 237 pub: Springer Nature artinfo: ui: 179536557 10.1007/s10389-023-01916-2 ppf: 1359 ppct: 12 formats: tig: atl: Predictors of transportation-related barriers to healthcare access in a North American suburb. aug: au: Lyeo, Joonsoo S. Tiznado-Aitken, Ignacio Farber, Steven Brown, Hilary K. Spence, Nicholas affil: https://ror.org/03dbr7087 Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada https://ror.org/03dbr7087 Department of Human Geography, University of Toronto Scarborough, Toronto, Ontario, Canada https://ror.org/03dbr7087 Department of Health & Society, University of Toronto Scarborough, Toronto, Ontario, Canada https://ror.org/03dbr7087 Department of Sociology, University of Toronto, Toronto, Ontario, Canada su: Canada North America Health services accessibility Cross-sectional method Suburbs Human beings Age distribution Transportation Patients' attitudes People with disabilities Research funding Statistical sampling Descriptive statistics Surveys Data analysis software Regression analysis sug: subj: Health services accessibility Cross-sectional method Suburbs Human beings Age distribution Transportation Patients' attitudes People with disabilities Canada North America Marketing Research and Public Opinion Polling All Other Support Activities for Transportation Other support activities for transportation Research funding Statistical sampling Descriptive statistics Surveys Data analysis software Regression analysis keyword: Health care quality, access, and evaluation Healthcare disparities Suburban health Suburban population Health care quality, access, and evaluation Healthcare disparities Suburban health Suburban population ab: 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<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. 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. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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