Minority Health Archive

The Effect of Primary Care Physician Supply and Income Inequality on Mortality Among Blacks and Whites in US Metropolitan Areas

Shi, Leiyu and Starfield, Barbara (2001) The Effect of Primary Care Physician Supply and Income Inequality on Mortality Among Blacks and Whites in US Metropolitan Areas. American Journal of Public Health, 91 (8). pp. 1246-1250. ISSN 0090-0036

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Abstract

Objectives. This study assessed whether income inequality and primary care physician supply have a different effect on mortality among Blacks compared with Whites. Methods.We conducted a multivariate ecologic analysis of 1990 data from 273 US metropolitan areas. Results. Both income inequality and primary care physician supply were significantly associated with White mortality (P < .01).After the inclusion of the socioeconomic status covariates, the effect of income inequality on Black mortality remained significant (P < .01), but the effect of primary care physician supply was no longer significant (P > .10), particularly in areas with high income inequality. Conclusions. Improvement in population health requires addressing socioeconomic determinants of health, including income inequality and primary care availability and access.


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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: income inequality; primary care physician supply; Black mortality; socioeconomic status; population health; socioeconomic determinants of health
Subjects: Health > Health Equity > Access To Healthcare
Research > studies
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Depositing User: Users 141 not found.
Date Deposited: 21 Apr 2008
Last Modified: 12 Jul 2011 10:02
Link to this item (URI): http://health-equity.pitt.edu/id/eprint/977

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