IDEAS home Printed from https://ideas.repec.org/a/aph/ajpbhl/10.2105-ajph.2003.031716_4.html
   My bibliography  Save this article

Primary care, social inequalities, and all-cause, heart disease, and cancer mortality in US counties, 1990

Author

Listed:
  • Shi, L.
  • Macinko, J.
  • Starfield, B.
  • Politzer, R.
  • Wulu, J.
  • Xu, J.

Abstract

Objectives. We tested the association between the availability of primary care and income inequality on several categories of mortality in US counties. Methods. We used cross-sectional analysis of data from counties (n = 3081) in 1990, including analysis of variance and multivariate ordinary least squares regression. Independent variables included primary care resources, income inequality, and sociodemographics. Results. Counties with higher availability of primary care resources experienced between 2% and 3% lower mortality than counties with less primary care. Counties with high income inequality experienced between 11% and 13% higher mortality than counties with less inequality. Conclusions. Primary care resources may partially moderate the effects of income inequality on health outcomes at the county level.

Suggested Citation

  • Shi, L. & Macinko, J. & Starfield, B. & Politzer, R. & Wulu, J. & Xu, J., 2005. "Primary care, social inequalities, and all-cause, heart disease, and cancer mortality in US counties, 1990," American Journal of Public Health, American Public Health Association, vol. 95(4), pages 674-680.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2003.031716_4
    DOI: 10.2105/AJPH.2003.031716
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.2105/AJPH.2003.031716
    Download Restriction: no
    File URL: https://libkey.io/10.2105/AJPH.2003.031716?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Chen, Zhuo & Roy, Kakoli & Haddix, Anne C. & Thacker, Stephen B., 2010. "Factors associated with differences in mortality and self-reported health across states in the United States," Health Policy, Elsevier, vol. 94(3), pages 203-210, March.
    2. TCHICAYA Anastase & LORENTZ Nathalie, 2011. "Disparités sociales de mortalité au Luxembourg," LISER Working Paper Series 2011-37, Luxembourg Institute of Socio-Economic Research (LISER).
    3. Wang, Hufeng & Gusmano, Michael K. & Cao, Qi, 2011. "An evaluation of the policy on community health organizations in China: Will the priority of new healthcare reform in China be a success?," Health Policy, Elsevier, vol. 99(1), pages 37-43, January.
    4. Yang, Tse-Chuan & Chen, Vivian Yi-Ju & Shoff, Carla & Matthews, Stephen A., 2012. "Using quantile regression to examine the effects of inequality across the mortality distribution in the U.S. counties," Social Science & Medicine, Elsevier, vol. 74(12), pages 1900-1910.
    5. Muhammad Umar Boodoo & Irene Henriques & Bryan W. Husted, 2022. "Putting the “Love of Humanity” Back in Corporate Philanthropy: The Case of Health Grants by Corporate Foundations," Journal of Business Ethics, Springer, vol. 178(2), pages 415-428, June.
    6. Jiaoling Huang & Qin Zhu & Jing Guo, 2020. "Can Health Disparity Be Eliminated? The Role of Family Doctor Played in Shanghai, China," IJERPH, MDPI, vol. 17(15), pages 1-15, July.
    7. Bhattacharyya, Onil & Delu, Yin & Wong, Sabrina T. & Bowen, Chen, 2011. "Evolution of primary care in China 1997–2009," Health Policy, Elsevier, vol. 100(2), pages 174-180.
    8. Laura Vallejo-Torres & Stephen Morris, 2018. "Primary care supply and quality of care in England," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(4), pages 499-519, May.
    9. Jatrana, Santosh & Crampton, Peter, 2021. "Do financial barriers to access to primary health care increase the risk of poor health? Longitudinal evidence from New Zealand," Social Science & Medicine, Elsevier, vol. 288(C).
    10. Miller, Charlotte E. & Vasan, Ramachandran S., 2021. "The southern rural health and mortality penalty: A review of regional health inequities in the United States," Social Science & Medicine, Elsevier, vol. 268(C).
    11. Laberge, Maude & Gaudreault, Myriam, 2019. "Promoting access to family medicine in Québec, Canada: Analysis of bill 20, enacted in November 2015," Health Policy, Elsevier, vol. 123(10), pages 901-905.
    12. Zhifei He & Zhaohui Cheng & Hang Fu & Shangfeng Tang & Qian Fu & Haiqing Fang & Yue Xian & Hui Ming & Zhanchun Feng, 2015. "Factors Associated with the Competencies of Public Health Workers in Township Hospitals: A Cross-Sectional Survey in Chongqing Municipality, China," IJERPH, MDPI, vol. 12(11), pages 1-16, November.
    13. Enrico Miglino & Nicolás Navarrete H. & Gonzalo Navarrete H. & Pablo Navarrete H., 2023. "Health Effects of Increasing Income for the Elderly: Evidence from a Chilean Pension Program," American Economic Journal: Economic Policy, American Economic Association, vol. 15(1), pages 370-393, February.
    14. Nolan, Anne & Smith, Samantha, 2012. "The effect of differential eligibility for free GP services on GP utilisation in Ireland," Social Science & Medicine, Elsevier, vol. 74(10), pages 1644-1651.
    15. Wilkinson, Richard G & Pickett, Kate E., 2006. "Income inequality and population health: A review and explanation of the evidence," Social Science & Medicine, Elsevier, vol. 62(7), pages 1768-1784, April.
    16. Lee, Kwang-soo & Chun, Ki-hong & Lee, Jung-soo, 2008. "Reforming the hospital service structure to improve efficiency: Urban hospital specialization," Health Policy, Elsevier, vol. 87(1), pages 41-49, July.
    17. Helen Lee & Sarah Shea Crowne & Melanie Estarziau & Keith Kranker & Charles Michalopoulos & Anne Warren & Tod Mijanovich & Jill H. Filene & Anne Duggan & Virginia Knox, "undated". "The Effects of Home Visiting on Prenatal Health, Birth Outcomes, and Health Care Use in the First Year of Life: Final Implementation and Impact Findings from the Mother and Infant Home Visiting Progra," Mathematica Policy Research Reports a9626a8d90bf4f01811d0c9d7, Mathematica Policy Research.
    18. Lee, Kwangsoo & Lee, Sangil, 2007. "Effects of the DRG-based prospective payment system operated by the voluntarily participating providers on the cesarean section rates in Korea," Health Policy, Elsevier, vol. 81(2-3), pages 300-308, May.
    19. Jiaoling Huang & Shanshan Liu & Rongrong He & Shuai Fang & Wei Lu & Jun Wu & Hong Liang & Yimin Zhang, 2018. "Factors associated with residents’ contract behavior with family doctors in community health service centers: A longitudinal survey from China," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-16, November.
    20. Zheng, Hui, 2012. "Do people die from income inequality of a decade ago?," Social Science & Medicine, Elsevier, vol. 75(1), pages 36-45.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:aph:ajpbhl:10.2105/ajph.2003.031716_4. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Christopher F Baum (email available below). General contact details of provider: https://www.apha.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.