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Am J Public Health. 2001 Aug;91(8):1246-50.

The effect of primary care physician supply and income inequality on mortality among blacks and whites in US metropolitan areas.

Author information

1
Department of Health Policy and Management, Johns Hopkins School of Public Health and Hygiene, 624 N Broadway, Room 409, Baltimore, MD 21205-1996, USA. lshi@jhsph.edu

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.

PMID:
11499112
PMCID:
PMC1446754
DOI:
10.2105/ajph.91.8.1246
[Indexed for MEDLINE]
Free PMC Article

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