ArticleInternational journal for equity in health2019
Spatial accessibility to pediatric primary care in Philadelphia: an area-level cross sectional analysis.
Article in International journal for equity in health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Environmental lead exposure and clinical infectious respiratory disease in a sample of urban and disadvantaged children.Journal of exposure science & environmental epidemiology · 2026Article
- Exploring contemporary public perceptions of historical redlining practices in the United States.Computational urban science · 2026Article
- Pediatric vaccination in pharmacies is not associated with delayed well-child visits among commercially insured children.Health affairs scholar · 2025Article
- Spatiotemporal trends and geographic disparities in spatial accessibility to maternal and child health services in Nanning, China: impact of two-child policies.BMC health services research · 2024Article
- Investigating the Spatial Accessibility and Coverage of the Pediatric COVID-19 Vaccine: An Ecologic Study of Regional Health Data.Vaccines · 2024Article
- Measures of Neighborhood Opportunity and Adherence to Recommended Pediatric Primary Care.JAMA network open · 2023Observational
- The Association of Mobility, Social Deprivation, and Pediatric Primary Care Outcomes in Community Health Centers.The Journal of pediatrics · 2023Article
- Racialized economic segregation and potentially preventable hospitalizations among Medicaid/CHIP-enrolled children.Health services research · 2023Article
- Social Vulnerabilities and Spatial Access to Primary Healthcare through Car and Public Transportation System in the Albuquerque, NM, Metropolitan Area: Assessing Disparities through GIS and Multilevel Modeling.Journal of urban health : bulletin of the New York Academy of Medicine · 2023Article
- Quantifying side effects and caregiver burdens of pediatric pulmonary hypertension therapies.BMC pediatrics · 2023Article
- Primary Care Physician Supply and Population Health Outcomes in Florida, 2010-2019.HCA healthcare journal of medicine · 2023Article
- Ethnic Disparities in the Management of Pediatric Subcutaneous Abscesses.Children (Basel, Switzerland) · 2022Article
- Facility or Transport Inequality? Decomposing Healthcare Accessibility Inequality in Shenzhen, China.International journal of environmental research and public health · 2022Article
- Factors Associated With Penicillin Allergy Labels in Electronic Health Records of Children in 2 Large US Pediatric Primary Care Networks.JAMA network open · 2022Article
- Socioeconomic Disparities in Hypertension by Levels of Green Space Availability: A Cross-Sectional Study in Philadelphia, PA.International journal of environmental research and public health · 2022Article
- Primary Care Accessibility Effects on Health Care Utilization Among Urban Children.Academic pediatrics · 2020Article
- Aligning Partners in Pediatric Health: Using Geographical Information Systems to Plan Community Coalitions.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPediatric primary care visits are a foundational element in the health maintenance of children. Differential access may be a driver of racial inequities in health. We hypothesized that pediatric primary care accessibility would be lowest in neighborhoods with higher proportion of non-Hispanic Black residents.
methodsAnnual ratios (2008-2016) of providers to pediatric population were calculated by census tract in Philadelphia, Pennsylvania. Marginal logistic regression was used to estimate the independent association between neighborhood racial composition and access to pediatric primary care controlling for confounders.
resultsIn general, low access to care was associated with greater neighborhood disadvantage (e.g., SES, % poverty, % public insurance). After controlling for neighborhood indicators of disadvantage, risk of being in the lowest quintile of access significantly increased as the percent of non-Hispanic Black residents increased.
conclusionA new measure of pediatric primary care accessibility demonstrates a persistent disparity in primary care access for predominantly non-Hispanic Black neighborhoods.
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