Titre :
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The effect of primary care physician supply and income inequality on mortality among Blacks and whites in US metropolitan areas. (2001)
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Auteurs :
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Leiyu Shi ;
Barbara STARFIELD ;
Department of Health Policy and Management. Johns Hopkins School of Public Health and. Hygiene. Baltimore. MD. USA
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 91, n° 8, 2001)
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Pagination :
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1246-1250
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Langues:
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Anglais
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Mots-clés :
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Soins santé primaire
;
Médecin généraliste
;
Facteur socioéconomique
;
Revenu
;
Race
;
Milieu urbain
;
Mortalité
;
Epidémiologie
;
Etats Unis
;
Amérique
;
Homme
;
Amérique du Nord
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Résumé :
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[BDSP. Notice produite par INIST-CNRS rR0xjvPN. Diffusion soumise à autorisation]. 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<. after the inclusion of socioeconomic status covariates effect income inequality on black mortality remained significant but primary care physician supply was no longer>. 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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