The Uneven Distribution of Medically Underserved Areas in Chicago.

Health Equity
Sage J KimAnne E Glassgow

Abstract

Purpose: Safety net health services, such as federally funded health clinics, are interventions that aim to mitigate inequality in resource distribution, thus primarily clustered in poor areas with lack of access to health care. However, not all neighborhoods with the most needs benefit from safety net health services. In this article, we explore the distribution of a federally funded health service intervention designed to serve impoverished areas, the medically underserved areas (MUAs), and the relationship between MUA designation and neighborhood sociodemographic characteristics. Methods: We explore the spatial distribution of MUAs. The 2010 U.S. census data including 868 census tracts in Chicago were used for the analysis. We then examined the likelihood of being designated as an MUA using census tract level neighborhood demographic variables. Results: We found that the likelihood of obtaining MUA designation increases for neighborhoods with higher levels of poverty, the likelihood of being designated as an MUA begins to decline beyond the tipping point, whereas the proportion of black residents continues to increase. In census tracts that were eligible but not designated, there was a greater proportion of black residents c...Continue Reading

References

Aug 31, 2004·Health Services Research·Jack Hadley, Peter Cunningham
Sep 25, 2007·Annals of Epidemiology·Richard E BarrettRichard B Warnecke
Aug 11, 2012·American Sociological Review·Geoffrey T WodtkeFelix Elwert
Feb 18, 2014·Cancer Causes & Control : CCC·Caryn E PetersonFaith G Davis
Oct 26, 2018·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Richard B WarneckeGarth H Rauscher

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Stata
MUA Find
ArcGIS

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