2023-09-28 14:46:10 +00:00
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abstract: 'In the United States (US) and elsewhere, residents of low resource areas
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face health-related disparities, and may experience different outcomes
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throughout times of severe economic flux. We aimed to identify
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individual (e.g. sociodemographic) and environmental (e.g. region,
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rurality) factors associated with self reported health and forgone
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medical care due to the cost of treatment in the US across the Great
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Recession (2008-2009).
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We analyzed nationally representative data (2004-2010) using the
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Behavioral Risk Factor Surveillance System in the US. Individual and
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geospatial factors (rurality, census region) were used to identify
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differences in self-reported health and forgone medical care due to the
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cost.
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Adjusted-analyses taking into account individual and geospatial factors
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among those with incomes <\$50,000 identified multiple differences
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across time, sex, education, disability, rurality and Census Region for
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health. Similar analyses for forgone medical care found that those in
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the Recovery and the Recession were more likely to report forgone care
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than before the Recession. Having insurance and/or being employed
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(versus unemployed) was a protective factor in terms of reporting
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fair/poor health and having to forgo health care due to cost.
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Policies affecting improvements in health and access for vulnerable
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populations (e.g., low-income minority adults) are critical. Monitoring
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trends related to Social Determinants of Health, including the
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relationship between health and place (e.g. Census region, rurality), is
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necessary in efforts targeted towards ameliorating disparities. (C) 2017
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Elsevier Ltd. All rights reserved.'
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affiliation: 'Towne, SD (Corresponding Author), Texas A\&M Univ, Sch Publ Hlth, Dept
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Hlth Promot \& Community Hlth Sci, College Stn, TX 77843 USA.
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Towne, Samuel D., Texas A\&M Univ, Sch Publ Hlth, Dept Hlth Promot \& Community
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Hlth Sci, College Stn, TX 77843 USA.
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Probst, Janice C., Univ South Carolina, South Carolina Rural Hlth Res Ctr, 220 Stoneridge
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Dr,Suite 204, Columbia, SC 29210 USA.
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Hardin, James W., Univ South Carolina, Dept Epidemiol \& Biostat, 915 Greene St,Room
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448, Columbia, SC 29208 USA.
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Bell, Bethany A., Univ South Carolina, Coll Social Work, Hamilton Coll 118, 1512
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Pendleton St, Columbia, SC 29208 USA.
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Glover, Saundra, Univ South Carolina, Inst Partnerships Eliminate Hlth Dispar, Discovery
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1, 915 Greene St, Columbia, SC 29208 USA.'
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author: Towne, Samuel D. and Probst, Janice C. and Hardin, James W. and Bell, Bethany
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A. and Glover, Saundra
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author-email: 'towne@sph.tamhsc.edu
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JPROBST@mailbox.sc.edu
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JHARDIN@mailbox.sc.edu
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BELLB@mailbox.sc.edu
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SGLOVER@mailbox.sc.edu'
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author_list:
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- family: Towne
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given: Samuel D.
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- family: Probst
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given: Janice C.
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- family: Hardin
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given: James W.
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- family: Bell
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given: Bethany A.
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- family: Glover
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given: Saundra
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da: '2023-09-28'
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doi: 10.1016/j.socscimed.2017.04.005
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files: []
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issn: 0277-9536
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journal: SOCIAL SCIENCE \& MEDICINE
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keywords: 'Health and place; Rural health; Recession; Access to care; Health
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disparities'
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keywords-plus: 'RISK-FACTOR SURVEILLANCE; SERVICES UTILIZATION; MORTALITY; EXPANSIONS;
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BEHAVIORS'
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language: English
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month: JUN
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number-of-cited-references: '57'
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orcid-numbers: 'Hardin, James William/0000-0003-0506-5500
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Bell, Bethany/0000-0001-8225-6277
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Towne, Samuel/0000-0002-7310-5837'
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pages: 30-44
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papis_id: 17bfe5a1ed828384d39df665c29d3fdc
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ref: Towne2017healthaccess
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researcherid-numbers: 'Hardin, James William/P-4772-2019
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Bell, Bethany/AAV-6917-2021
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Towne, Samuel/AAE-1992-2021
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'
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times-cited: '27'
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title: 'Health & access to care among working-age lower income adults in the Great
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Recession: Disparities across race and ethnicity and geospatial factors'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000402215400004
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usage-count-last-180-days: '1'
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usage-count-since-2013: '20'
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volume: '182'
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web-of-science-categories: 'Public, Environmental \& Occupational Health; Social Sciences,
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Biomedical'
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year: '2017'
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