Residential Segregation, Neighborhood Health Care Organizations, and Children's Health Care Utilization in the Phoenix Urbanized Area

Abstract

Research has demonstrated health care consequences of racial/ethnic residential segregation. Here, I test one possible mechanism-the distribution of community health care organizations and service providers across urban communities. Using data from a 2013 survey on children's health care utilization in the Phoenix urbanized area combined with data on a 2013 census of health care organizations, I estimate a series of statistical models in order to test this relationship. I find that Latino and Native American segregation is related to a lower density of health care organizations. Furthermore, the lack of these resources increases the odds of a family using a clinic, versus a physician's office, which is a more ideal source of care. Finally, a higher rate of racial/ethnic clustering is also related to greater utilization of a clinic, as opposed to a physician's office, and this association is partially mitigated by distribution of health care organizations.

Systems of Oppression: The Impact of Discrimination on Latinx Immigrant Adolescents’ Well‐Being and Development

“…Blatant misinformation about loans, mortgages, and housing inspections can further perpetuate this form of structural discrimination (Troche‐Rodriguez, 2009). Experiences of housing discrimination have been associated with distress among Latinx immigrants (Woo et al., 2020), particularly higher depressive and anxious symptoms (Lee, 2009), and restricted access to health care services (Anderson, 2020).…”

Racial-Ethnic Residential Clustering and Early COVID-19 Vaccine Allocations in Five Urban Texas Counties

“…Another study found that racial-ethnic residential segregation was linked to a greater likelihood of patients seeing nonpsychiatrists for mental health needs (Dinwiddie et al 2013). A study of the Phoenix area found that the lack of health care service provision in Latino-segregated neighborhoods was linked to a lower likelihood of seeing a personal physician for pediatric care and greater use of clinics (Anderson 2020). Chan et al (2012) also found that although Black and Latinos living in highly segregated areas had adequate spatial access to facilities, they were less likely to receive certain services, especially specialist care.…”

A Bibliometric Analysis on Research Regarding Residential Segregation and Health Based on CiteSpace

“…Moreover, the structural racism associated with segregation is equally critical in affecting minority health; it promotes racial discrimination through various systems such as housing, employment, income, health care, and credit, and reinforces pre-existing patterns of inequality. Most of the time, segregation promotes the concentration of poverty; it leads to a reduction in available resources such as health care [ 14 , 15 , 16 ], healthy food shops [ 17 , 18 , 19 ], and green spaces [ 20 , 21 ], in some cases along with air pollution exposure [ 22 , 23 ], all of which are significant reasons for causing and keeping minority or low-income populations in adverse health conditions [ 24 , 25 , 26 , 27 ].…”