Neighborhood Environment and Disparities in Health Care Access Among Urban Medicare Beneficiaries With Diabetes: A Retrospective Cohort Study

Ryvicker, Miriam; Sridharan, Sridevi

doi:10.1177/0046958018771414

Cited by 14 publications

(19 citation statements)

References 49 publications

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“…Second, the findings may have been affected by sampling bias. Our prior research among chronically ill Medicare beneficiaries suggested that Blacks, Hispanics, and dually eligible beneficiaries were more likely to have lapses in E&M visits ( Ryvicker & Sridharan, 2018 ). Thus, the required minimum of four E&M visits during the 3-year study period introduced selection bias to the analytic sample, which we confirmed in exploratory analysis.…”

Section: Discussionmentioning

confidence: 99%

Individual and Environmental Determinants of Provider Continuity Among Urban Older Adults With Heart Failure: A Retrospective Cohort Study

Ryvicker

Russell

2018

Gerontology and Geriatric Medicine

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Objective: Continuity in patient–provider relationships is important to providing high-quality care for older adults with chronic conditions. We investigated individual and environmental determinants of provider continuity for office-based physician visits among urban older adults with heart failure. Method: We linked Medicare claims with data on neighborhood characteristics for a retrospective cohort of community-dwelling Medicare beneficiaries with heart failure in New York City (N = 50,475). Results: Mean continuity using the Bice–Boxerman index was 0.33 (SD = 0.22) (possible range of 0 [no continuity] to 1 [perfect continuity]). Multivariable regression indicated that provider continuity was higher among older, female, and dually eligible beneficiaries. Those with more chronic conditions had higher continuity, controlling for number of medical specialties seen. Continuity was lower for beneficiaries in neighborhoods with high median income and high primary care density. Conclusion: Individual and environmental predictors of provider continuity among urban older adults with heart failure could help to identify those at risk of care fragmentation.

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Section: Discussionmentioning

confidence: 99%

Individual and Environmental Determinants of Provider Continuity Among Urban Older Adults With Heart Failure: A Retrospective Cohort Study

Ryvicker

Russell

2018

Gerontology and Geriatric Medicine

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“…In general, although different area-level health outcomes might share a variety of explanatory variables such as socioeconomic, pollution, delinquency levels, health access, among others; by down scaling, spatio-temporal heterogeneity might arise [20,21,[56][57][58]. To overcome the MAUP, a variety of geo-statistical procedures have been implemented to estimate mortality rates at different granularity levels.…”

Section: Spatio-temporal Interpolationmentioning

confidence: 99%

Metropolitan age-specific mortality trends at borough and neighborhood level: The case of Mexico City

et al. 2021

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Understanding the spatial and temporal patterns of mortality rates in a highly heterogeneous metropolis, is a matter of public policy interest. In this context, there is no, to the best of our knowledge, previous studies that correlate both spatio-temporal and age-specific mortality rates in Mexico City. Spatio-temporal Kriging modeling was used over five age-specific mortality rates (from the years 2000 to 2016 in Mexico City), to gain both spatial (borough and neighborhood) and temporal (year and trimester) data level description. Mortality age-specific patterns have been modeled using multilevel modeling for longitudinal data. Posterior tests were carried out to compare mortality averages between geo-spatial locations. Mortality correlation extends in all study groups for as long as 12 years and as far as 13.27 km. The highest mortality rate takes place in the Cuauhtémoc borough, the commercial, touristic and cultural core downtown of Mexico City. On the contrary, Tlalpan borough is the one with the lowest mortality rates in all the study groups. Post-productive mortality is the first age-specific cause of death, followed by infant, productive, pre-school and scholar groups. The combinations of spatio-temporal Kriging estimation and time-evolution linear mixed-effect models, allowed us to unveil relevant time and location trends that may be useful for public policy planning in Mexico City.

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“…Access to health care and disparities in physical health issues occur in the general population, and there is a wealth of evidence that racial and ethnic minorities have less access to services and lower health care service utilization (Manuel, 2018; Ryvicker & Sridharan, 2018). For example, people of color are more likely to have higher rates of high BP, cardiovascular disease, and obesity (Lackland, 2014; Petersen et al, 2019), but they are less likely to access and utilize physical health care (Substance Abuse and Mental Health Services Administration [SAMHSA], 2015).…”

Section: Introductionmentioning

confidence: 99%

Physical Health Problems Among People With Severe Mental Illnesses: Race, Gender, and Implications for Practice

Givens

Wilson

Deinse

et al. 2021

J Am Psychiatr Nurses Assoc

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BACKGROUND Individuals with severe mental illnesses experience high rates of chronic health conditions; however, the extent to which risk of chronic physical health problems varies by race and gender among these individuals is understudied. AIMS This study examines variations in health problems by race and gender among individuals with severe mental illnesses. METHOD Administrative data, which included blood pressure, body mass index (BMI), and glycated hemoglobin (HbA1c) values, were obtained from 603 individuals with serious mental illnesses who received integrated health and behavioral health services from a large mental health agency in the Midwest. Bivariate and multivariate statistical models were used to examine variation in physical health problems by race and gender. RESULTS Compared with men, women with severe mental illnesses were more likely to have BMI levels indicating obesity or morbid obesity ( p < .001). Compared with White participants, Black participants were less likely to have high HbA1c levels ( p < .001) but were more likely to have high blood pressure ( p < .001). Among race and gender groups, Black women were more likely to have high BMI ( p < .05), Black men were more likely to have high blood pressure ( p < .001), and White men were more likely to have high HbA1c levels ( p < .01) when holding constant all other variables. CONCLUSIONS There is evidence that types and severity of physical health problems among individuals with severe mental illnesses varies by race and gender. Replication of these results and more research is needed to ensure that health-related education and integrated health and behavioral health interventions meet the needs of individuals with serious mental illnesses.

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Neighborhood Environment and Disparities in Health Care Access Among Urban Medicare Beneficiaries With Diabetes: A Retrospective Cohort Study

Cited by 14 publications

References 49 publications

Individual and Environmental Determinants of Provider Continuity Among Urban Older Adults With Heart Failure: A Retrospective Cohort Study

Individual and Environmental Determinants of Provider Continuity Among Urban Older Adults With Heart Failure: A Retrospective Cohort Study

Metropolitan age-specific mortality trends at borough and neighborhood level: The case of Mexico City

Physical Health Problems Among People With Severe Mental Illnesses: Race, Gender, and Implications for Practice

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