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Socioeconomic and Geographic Disparities in Health and Healthcare Utilization

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Care Sciences & Services".

Deadline for manuscript submissions: closed (15 January 2024) | Viewed by 2455

Special Issue Editors

Department of Public Health Sciences, College of Health and Human Services, University of North Carolina at Charlotte, Charlotte, NC 28223, USA
Interests: bayesian analysis; infectious diseases; injury prevention; social epidemiology; spatial and spatiotemporal analysis
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Guest Editor
Department of Geography and Earth Sciences, University of North Carolina at Charlotte, Charlotte, NC 28223, USA
Interests: geospatial analysis; spatio-temporal change; cities and regions; place-based policies; socio-economic wellbeing
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The social determinants of health (SDoH), defined by the World Health Organization as nonmedical conditions in which “people are born, grow, work, live, and age,” impact one’s quality of life via access to healthcare, health education, and awareness. Among the five major domains of SDoH, economic stability and neighborhood and built environment are key contributors to the disparities in health, healthcare access, and quality. Individuals of a lower socioeconomic status face multiple barriers to maintaining good health and accessing quality care and often become dependent on unhealthy coping mechanisms to deal with stress. Identifying these disparities at the individual and aggregate levels will provide pathways to targeted place-based interventions and recommendations for policy change on a broader scale.

This Special Issue invites manuscripts that consider mobility and transportation, location of facilities, urban and rural healthcare disparities, uninsured rates, unemployment rates, high school and college education, and policies across states and countries as potential barriers to accessing quality care and maintaining good health. From data analytic perspectives, manuscripts on hotspot and cluster analysis, spatiotemporal methods, Bayesian analysis, multilevel modeling, disease mapping, and epidemiologic methods will be considered. Case studies on disparities in infectious diseases, chronic noncommunicable diseases (diabetes, hypertension), and access to nutrition will also be considered.

Dr. Rajib Paul
Prof. Dr. Jean-Claude Thill
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • bayesian analysis
  • chronic diseases
  • cluster analysis
  • disease mapping
  • healthcare infrastructure
  • infectious diseases
  • mobility and transportation
  • nutrition
  • racial disparity
  • rural–urban disparities
  • health geography
  • spatiotemporal methods

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Published Papers (1 paper)

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Research

11 pages, 13875 KiB  
Article
Spatial Accessibility to Primary Care in Metropolitan France: Results Using the SCALE Spatial Accessibility Index for All Regions
by Ludivine Launay, Fabien Guillot, Mohand Medjkane, Guy Launoy and Olivier Dejardin
Int. J. Environ. Res. Public Health 2024, 21(3), 276; https://doi.org/10.3390/ijerph21030276 - 28 Feb 2024
Viewed by 1931
Abstract
Accessibility to care is a major public health issue. Various tools to assess it are available, but they do not solve the problem of scale. Moreover, accessibility is a multidimensional concept that is not taken into account with current tools. The SCALE index [...] Read more.
Accessibility to care is a major public health issue. Various tools to assess it are available, but they do not solve the problem of scale. Moreover, accessibility is a multidimensional concept that is not taken into account with current tools. The SCALE index aims to overcome these two limitations by proposing a synthetic measure on a more precise scale than the administrative unit or the sub-municipal scale. Under the assumption of access to care facilities for all and access to the nearest facilities, the potential accessibility distance was calculated for each couple (residential area, accessible facilities). This was defined as the average distance by road that the population has to travel to access care. To take the availability of resources into account, these distances were weighted by the theoretical pressure on the facilities. The SCALE index was then calculated using a linear combination of the distances of potential accessibility to care facilities It highlights differences in accessibility at the national and regional scale. Using this index, it was possible to provide maps for all French regions and the major cities in a story-map. The major conurbation around Paris and the main urban centers has high accessibility. Low accessibility forms a “Y” shape. In conclusion, the SCALE index measures accessibility at the scale of a small geographic unit taking the proximity and the availability of health professionals into account. It is also possible to take into account the diversity of accessibility in a given territory. Full article
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