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The Diabetes Educator

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Medical Care Research and Review
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Segregation and Disparities in Health Services Use

Darrell J. Gaskin

University of Maryland, College Park, dgaskin{at}aasp.umd.edu, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland

Adrian Price

Xavier University of Louisiana, New Orleans

Dwayne T. Brandon

North Carolina Central University, Durham

Thomas A. LaVeist

Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland

We compared race disparities in health services use in a national sample of adults from the 2002 Medical Expenditure Panel Survey and data from the Exploring Health Disparities in Integrated Communities Project, a 2003 survey of adult residents from a low-income integrated urban community in Maryland. In the Medical Expenditure Panel Survey data, African Americans were less likely to have a health care visit compared with Whites. However, in the Exploring Health Disparities in Integrated Communities Project, the integrated community, African Americans were more likely to have a health care visit than Whites. The race disparities in the incidence rate of health care use among persons who had at least one visit were similar in both samples. Our findings suggest that disparities in health care utilization may differ across communities and that residential segregation may be a confounding factor.

Key Words: health care disparities • segregation • minority health

This version was published on October 1, 2009

Medical Care Research and Review, Vol. 66, No. 5, 578-589 (2009)
DOI: 10.1177/1077558709336445
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