在纽约州,弱势群体可以更好地进入药房的空间
Abhinav Suri1,2, James Quinn3, Raymond R Balise4
1Columbia University Mailman School of Public Health, New York, NY, United States of America. asuri@mednet.ucla.edu.
BMC health services research
|April 15, 2024
概括
药房在纽约州人口普查区更容易进入,那里的贫困率更高,有更多的黑人,非裔美国人和西班牙裔居民. 这一发现与以前关于缺乏服务的社区在药房接入方面的假设形成鲜明对比.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 空间分析 空间分析
背景情况:
- 药房的可访问性与健康和福祉有关.
- 之前的研究表明,药房对低收入和少数群体的服务可能不足,但研究结果不一致.
- 这项研究调查了纽约州 (NYS) 药房的空间访问.
研究的目的:
- 评估整个纽约州药房的区域级空间接入.
- 测试假设,较高的贫困率和更大的黑人和西班牙裔人口与较低的空间访问药房相关.
主要方法:
- 2018年,每个纽约州人口普查区的药房公路网络距离 (PWMSD) 计算的人口加权平均最短距离.
- PWMSD是由从人口普查区中心点到最短的道路网络距离衍生出来的,并按区块人口加权.
- 进行了横截面分析,将路径级社会人口统计特征与路径级PWMSD联系起来.
主要成果:
- 平均PWMSD到纽约州人口普查区的药房是2.07公里.
- 较短的PWMSD与较高的通道水平贫困,较高的黑人/非裔美国人和西班牙裔/拉丁裔居民百分比,以及较低的大学教育程度有关.
- 黑人/非裔美国人居民最高四分之一的地区与最低四分之一相比,PWMSD短70.7%;最高贫困地区的PWMSD短61.3%.
结论:
- 与一些预期相反,纽约州地区的种族/族裔少数群体比例较高,贫困率较高,表明对药店的空间准入更大.
- 这些发现表明,社会人口因素与纽约州的药房可达性之间存在复杂的关系.
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