TY - JOUR
T1 - The effect of primary care physician supply and income inequality on mortality among Blacks and Whites in US metropolitan areas
AU - Shi, L.
AU - Starfield, B.
PY - 2001
Y1 - 2001
N2 - Objectives. This study assessed whether income inequality and primary care physician supply have a different effect on mortality among Blacks compared with Whites. Methods. We conducted a multivariate ecologic analysis of 1990 data from 273 US metropolitan areas. Results. Both income inequality and primary care physician supply were significantly associated with White mortality (P<.01). After the inclusion of the socioeconomic status covariates, the effect of income inequality on Black mortality remained significant (P<.01), but the effect of primary care physician supply was no longer significant (P>.10), particularly in areas with high income inequality. Conclusions. Improvement in population health requires addressing socioeconomic determinants of health, including income inequality and primary care availability and access.
AB - Objectives. This study assessed whether income inequality and primary care physician supply have a different effect on mortality among Blacks compared with Whites. Methods. We conducted a multivariate ecologic analysis of 1990 data from 273 US metropolitan areas. Results. Both income inequality and primary care physician supply were significantly associated with White mortality (P<.01). After the inclusion of the socioeconomic status covariates, the effect of income inequality on Black mortality remained significant (P<.01), but the effect of primary care physician supply was no longer significant (P>.10), particularly in areas with high income inequality. Conclusions. Improvement in population health requires addressing socioeconomic determinants of health, including income inequality and primary care availability and access.
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U2 - 10.2105/AJPH.91.8.1246
DO - 10.2105/AJPH.91.8.1246
M3 - Article
C2 - 11499112
AN - SCOPUS:0034902721
SN - 0090-0036
VL - 91
SP - 1246
EP - 1250
JO - American journal of public health
JF - American journal of public health
IS - 8
ER -