| Titre : | The effect of primary care physician supply and income inequality on mortality among Blacks and whites in US metropolitan areas. (2001) |
| Auteurs : | Leiyu Shi ; Barbara STARFIELD ; Department of Health Policy and Management. Johns Hopkins School of Public Health and. Hygiene. Baltimore. MD. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 91, n° 8, 2001) |
| Pagination : | 1246-1250 |
| Langues: | Anglais |
| Mots-clés : | Soins santé primaire ; Médecin généraliste ; Facteur socioéconomique ; Revenu ; Race ; Milieu urbain ; Mortalité ; Epidémiologie ; Etats Unis ; Amérique ; Homme ; Amérique du Nord |
| Résumé : | [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<. 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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