Analyzing Racial Disparities in Preventive Healthcare Access Using Logistic Regression and Geospatial Clustering of Public Health Survey Data
Keywords:
Racial disparities, preventive healthcare, logistic regression, geospatial clustering, public health, access to care, health equityAbstract
Persistent racial disparities in access to preventive healthcare services remain a pressing public health concern in the United States. This study investigates the extent and geographic distribution of these disparities by leveraging public health survey data collected at the state level. Employing logistic regression to model the likelihood of preventive care usage across racial and ethnic groups, and combining this with geospatial clustering to detect regional concentrations of healthcare inequity, the analysis offers a multidimensional perspective on healthcare access. Findings reveal that non-White populations, particularly Black and Hispanic communities, consistently report lower access to preventive services such as cancer screenings, vaccinations, and routine checkups. Spatial clustering reveals these disparities are more pronounced in Southern and rural counties. The study contributes to ongoing equity-focused health policy discussions and suggests targeted regional interventions based on racialized healthcare access patterns.
References
Agency for Healthcare Research and Quality. National Healthcare Quality and Disparities Report. AHRQ, 2019.
Bailey, Zinzi D., et al. “Structural Racism and Health Inequities in the USA: Evidence and Interventions.” The Lancet, vol. 389, no. 10077, 2017, pp. 1453–1463.
DeVoe, Jennifer E., et al. “Usual Source of Care as a Health Insurance Substitute for U.S. Adults with Diabetes?” Diabetes Care, vol. 30, no. 12, 2007, pp. 3040–3045.
Griffith, Derek M., et al. “Dismantling Structural Racism to Advance Health Equity.” Health Education & Behavior, vol. 48, no. 4, 2021, pp. 351–355.
Hicken, Margaret T., et al. “The Role of Racism in Health Inequalities: Integrating Approaches from Across Disciplines.” Health Services Research, vol. 53, no. S1, 2018, pp. 458–477.
Krieger, Nancy, et al. “Geocoding and Monitoring US Socioeconomic Inequalities in Health: An Introduction to Using Area-Based Socioeconomic Measures.” Public Health Reports, vol. 120, no. 3, 2005, pp. 239–247.
Lê Cook, Benjamin, et al. “Trends in Racial-Ethnic Disparities in Access to Mental Health Care, 2004–2012.” Psychiatric Services, vol. 68, no. 1, 2017, pp. 9–16.
National Academies of Sciences, Engineering, and Medicine. Communities in Action: Pathways to Health Equity. The National Academies Press, 2017.
Orgera, Kendal, and Samantha Artiga. Disparities in Health and Health Care: Five Key Questions and Answers. Kaiser Family Foundation, 2018.
Shi, Leiyu, et al. “Racial and Socioeconomic Disparities in Access to Primary Care among People with Chronic Conditions.” Journal of the American Board of Family Medicine, vol. 28, no. 4, 2015, pp. 505–513.
White, Kellee, et al. “Racial and Ethnic Differences in Preventive Health Services Use among Older Women.” American Journal of Public Health, vol. 103, no. 2, 2013, pp. 359–367.
Williams, David R., and Selina A. Mohammed. “Discrimination and Racial Disparities in Health: Evidence and Needed Research.” Journal of Behavioral Medicine, vol. 32, no. 1, 2009, pp. 20–47.
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