ArticleJournal of urban health : bulletin of the New York Academy of Medicine2016
Neighborhood Socioeconomic Status and Primary Health Care: Usual Points of Access and Temporal Trends in a Major US Urban Area.
Article in Journal of urban health : bulletin of the New York Academy of Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 58 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
58 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic review of neighborhood socioeconomic indices studied across the cancer control continuum.Cancer medicine · 2022Pooled it
- Representation of minoritized people with cystic fibrosis in the Cystic Fibrosis Therapeutics Development Network clinical trials.Annals of the American Thoracic Society · 2026Article
- Access to Primary Care and Nephrology: Implications for Preemptive Listing and Kidney Transplantation, A National Registry Study.Journal of general internal medicine · 2026Article
- The Patient Experience Divide: How Income Relates to Care Quality in the Primary Care Setting.Medical care · 2026Article
- Neighborhood Disinvestment and Racial Disparities in Early Hypertension Onset Among Women.JAMA network open · 2026Article
- Understanding perspectives of safety-net NICU neonatologists disclosing genomic sequencing results: a mixed methods approach.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Quality of Life Impact of Velopharyngeal Insufficiency: The Role of Social Determinants of Health.The Laryngoscope · 2026Article
- Evaluating the association between upstream perceived individual and neighborhood determinants of health and intensity of breast cancer screening.American journal of epidemiology · 2026Article
- Neighborhood deprivation and cardiometabolic risk factors in people living with HIV in urban South Africa.Health & place · 2026Article
- Associations between neighborhood socioeconomic status with depressive symptoms, and psychological distress among Asian American adults in New York City.Scientific reports · 2025Article
- Neighborhood Determinants of Primary Care Access in Virginia.Annals of family medicine · 2025Article
- Neighborhood Factors Related to Cancer Screening in Texas: A Spatioecological Study.American journal of preventive medicine · 2025Article
- Neighborhood Socioeconomic Disadvantage and Acute Care Utilization in Washington State Medicaid: A Retrospective Cohort Study.Journal of general internal medicine · 2025Article
- Neighborhood Socioeconomic Deprivation and Health Care Costs in Older Community-Dwelling Adults: Importance of Functional Impairment and Frailty.Journal of general internal medicine · 2024Article
- "It's hard to wait": Provider perspectives on current genomic care in safety-net NICUs.Genetics in medicine : official journal of the American College of Medical Genetics · 2024Article
- Tracking the Uneven Outcomes of COVID-19 on Racial and Ethnic Groups: Implications for Health Policy.Journal of racial and ethnic health disparities · 2024Article
- Geospatial Imprecision With Constraints for Precision Public Health: Algorithm Development and Validation.Online journal of public health informatics · 2024Article
- Access to Federally Qualified Health Centers and HIV Outcomes in the U.S. South.American journal of preventive medicine · 2024Article
- Association Between Pharmacy Proximity With Cardiovascular Medication Use and Risk Factor Control in the United States.Journal of the American Heart Association · 2024Article
- Addressing sleep deserts: A proposed call for action.Sleep health · 2024Article
Corrections and comments
- Erratum issued
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Neighborhood socioeconomic status (SES), an overall marker of neighborhood conditions, may determine residents' access to health care, independently of their own individual characteristics. It remains unclear, however, how the distinct settings where individuals seek care vary by neighborhood SES, particularly in US urban areas. With existing literature being relatively old, revealing how these associations might have changed in recent years is also timely in this US health care reform era. Using data on the Philadelphia region from 2002 to 2012, we performed multilevel analysis to examine the associations of neighborhood SES (measured as census tract median household income) with access to usual sources of primary care (physician offices, community health centers, and hospital outpatient clinics). We found no evidence that residence in a low-income (versus high-income) neighborhood was associated with poorer overall access. However, low-income neighborhood residence was associated with less reliance on physician offices [-4.40 percentage points; 95 % confidence intervals (CI) -5.80, -3.00] and greater reliance on the safety net provided by health centers [2.08; 95 % CI 1.42, 2.75] and outpatient clinics [1.61; 95 % CI 0.97, 2.26]. These patterns largely persisted over the 10 years investigated. These findings suggest that safety-net providers have continued to play an important role in ensuring access to primary care in urban, low-income communities, further underscoring the importance of supporting a strong safety net to ensure equitable access to care regardless of place of residence.
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