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Unfavorable perceived neighborhood environment associates with less routine healthcare utilization: Data from the Dallas Heart Study

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  • Joniqua N Ceasar
  • Colby Ayers
  • Marcus R Andrews
  • Sophie E Claudel
  • Kosuke Tamura
  • Sandeep Das
  • James de Lemos
  • Ian J Neeland
  • Tiffany M Powell-Wiley

Abstract

Neighborhood environment perception (NEP) has been associated with health outcomes. However, little is known about how NEP relates to routine healthcare utilization. This study investigated the relationship between NEP and independent subfactors with healthcare utilization behavior, as measured by self-reported (1) usual source of healthcare and (2) time since last routine healthcare check-up. We used cross-sectional data from the Dallas Heart Study, which features a diverse, probability-based sample of Dallas County residents ages 18 to 65. We used logistic regression modeling to examine the association of self-reported NEP and routine healthcare utilization. NEP was assessed via a questionnaire exploring residents’ neighborhood perceptions, including violence, the physical environment, and social cohesion. Routine healthcare utilization was assessed via self-reported responses regarding usual source of care and time since last routine healthcare check-up. The analytic sample (N = 1706) was 58% black, 27% white, 15% Hispanic, 42% male, and had a mean age of 51 (SD = 10.3). Analysis of NEP by tertile demonstrated that younger age, lower income, and lower education were associated with unfavorable overall NEP (p trend

Suggested Citation

  • Joniqua N Ceasar & Colby Ayers & Marcus R Andrews & Sophie E Claudel & Kosuke Tamura & Sandeep Das & James de Lemos & Ian J Neeland & Tiffany M Powell-Wiley, 2020. "Unfavorable perceived neighborhood environment associates with less routine healthcare utilization: Data from the Dallas Heart Study," PLOS ONE, Public Library of Science, vol. 15(3), pages 1-16, March.
    • Handle: RePEc:plo:pone00:0230041
    DOI: 10.1371/journal.pone.0230041
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    1. Liang Ma & Jennifer Dill & Cynthia Mohr, 2014. "The objective versus the perceived environment: what matters for bicycling?," Transportation, Springer, vol. 41(6), pages 1135-1152, November.
    2. Orstad, Stephanie L. & McDonough, Meghan H. & Klenosky, David B. & Mattson, Marifran & Troped, Philip J., 2017. "The observed and perceived neighborhood environment and physical activity among urban-dwelling adults: The moderating role of depressive symptoms," Social Science & Medicine, Elsevier, vol. 190(C), pages 57-66.
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