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Predictors of transportation-related barriers to healthcare access in a North American suburb

AIM: To identify predictors of transportation-related barriers to healthcare access in a North American suburb. SUBJECT AND METHODS: Data from the 2022 Scarborough Survey were used, comprising n = 528 adults living in Scarborough, which is a subu<rb of Toronto, Canada, recruited through iterative...

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Autores principales: Lyeo, Joonsoo S., Tiznado-Aitken, Ignacio, Farber, Steven, Brown, Hilary K., Spence, Nicholas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10120494/
https://www.ncbi.nlm.nih.gov/pubmed/37361303
http://dx.doi.org/10.1007/s10389-023-01916-2
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author Lyeo, Joonsoo S.
Tiznado-Aitken, Ignacio
Farber, Steven
Brown, Hilary K.
Spence, Nicholas
author_facet Lyeo, Joonsoo S.
Tiznado-Aitken, Ignacio
Farber, Steven
Brown, Hilary K.
Spence, Nicholas
author_sort Lyeo, Joonsoo S.
collection PubMed
description AIM: To identify predictors of transportation-related barriers to healthcare access in a North American suburb. SUBJECT AND METHODS: Data from the 2022 Scarborough Survey were used, comprising n = 528 adults living in Scarborough, which is a subu<rb of Toronto, Canada, recruited through iterative sampling. Log binomial regression models identified demographic, socioeconomic, health and transportation predictors of a composite of: (1) delaying a primary care appointment, (2) missing a primary care appointment or (3) postponing or declining a vaccination due to transportation issues. RESULTS: Of the sampled individuals, 34.5% experienced the outcome. In the multivariable model, younger age (RR = 3.03), disability (RR = 2.60), poor mental health (RR = 1.70) and reliance on public transit (RR = 2.09) were associated with greater risk of experiencing the outcome. Full-time employment, reliance on active travel and reliance on others for transportation were specifically associated with greater risk of experiencing a transportation-related barrier to vaccination. CONCLUSION: In suburban areas such as Scarborough, transportation-related barriers to healthcare access have a disproportionate impact on groups defined by important demographic, health and transportation-related characteristics. These results corroborate that transportation is an important determinant of health in suburban areas, the absence of which may exacerbate existing inequities among the most vulnerable individuals in a given population.
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spelling pubmed-101204942023-04-24 Predictors of transportation-related barriers to healthcare access in a North American suburb Lyeo, Joonsoo S. Tiznado-Aitken, Ignacio Farber, Steven Brown, Hilary K. Spence, Nicholas Z Gesundh Wiss Original Article AIM: To identify predictors of transportation-related barriers to healthcare access in a North American suburb. SUBJECT AND METHODS: Data from the 2022 Scarborough Survey were used, comprising n = 528 adults living in Scarborough, which is a subu<rb of Toronto, Canada, recruited through iterative sampling. Log binomial regression models identified demographic, socioeconomic, health and transportation predictors of a composite of: (1) delaying a primary care appointment, (2) missing a primary care appointment or (3) postponing or declining a vaccination due to transportation issues. RESULTS: Of the sampled individuals, 34.5% experienced the outcome. In the multivariable model, younger age (RR = 3.03), disability (RR = 2.60), poor mental health (RR = 1.70) and reliance on public transit (RR = 2.09) were associated with greater risk of experiencing the outcome. Full-time employment, reliance on active travel and reliance on others for transportation were specifically associated with greater risk of experiencing a transportation-related barrier to vaccination. CONCLUSION: In suburban areas such as Scarborough, transportation-related barriers to healthcare access have a disproportionate impact on groups defined by important demographic, health and transportation-related characteristics. These results corroborate that transportation is an important determinant of health in suburban areas, the absence of which may exacerbate existing inequities among the most vulnerable individuals in a given population. Springer Berlin Heidelberg 2023-04-21 /pmc/articles/PMC10120494/ /pubmed/37361303 http://dx.doi.org/10.1007/s10389-023-01916-2 Text en © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Original Article
Lyeo, Joonsoo S.
Tiznado-Aitken, Ignacio
Farber, Steven
Brown, Hilary K.
Spence, Nicholas
Predictors of transportation-related barriers to healthcare access in a North American suburb
title Predictors of transportation-related barriers to healthcare access in a North American suburb
title_full Predictors of transportation-related barriers to healthcare access in a North American suburb
title_fullStr Predictors of transportation-related barriers to healthcare access in a North American suburb
title_full_unstemmed Predictors of transportation-related barriers to healthcare access in a North American suburb
title_short Predictors of transportation-related barriers to healthcare access in a North American suburb
title_sort predictors of transportation-related barriers to healthcare access in a north american suburb
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10120494/
https://www.ncbi.nlm.nih.gov/pubmed/37361303
http://dx.doi.org/10.1007/s10389-023-01916-2
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