Browsing by Subject "urban"
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Item Characteristics of Primary Care Physicians Serving in Texas Medically Underserved Areas(2006-08-01) Lancaster, Scott Bradley; Kristine Lykens; Russell Gamber; Jeffrey TalbertLancaster, Scott Bradley, Characteristics of Primary Care Physicians Serving in Texas Medically Underserved Areas, 2005. Master of Public Health (Health Management and Policy), May 2006, 63 pp., 13 tables, bibliography, 59 titles. Primary care physician demographics were examined to determine if subgroups differed in choice of practice location in urban and rural Medically Underserved Areas (MUAs) in Texas. Compared with the overall proportion of physicians practicing in rural MUAs (8.8%), subgroups that significantly differed were Dos (13.5%), males (10.6%), general practitioners (19.4%), family physicians (12.4%), and graduates of medical school prior to or during 1960 (18.8%) and from 1961-1970 (11.2%). Compared with the overall proportion of physicians practicing in urban MUAs (23.2%), subgroups that significantly differed were females (25%), Blacks (29.7%), and Latinos (38.7). Binary logistic regression showed that Asian ethnicity, general practice specialty, and graduate year of 1961-1970 predicted MUA practice location. The statistically significant differences observed underscore the importance of further study to examine potential differences between rural and urban MUAs. Public policy that provides incentives for more equitable physician distribution should be based on sound research.Item Population Characteristics Suggest Modifications to Proposed Pediatric Asthma Intervention Program(1998-08-01) DeMoss, Margaret W.; Ramirez, Gilbert; Urrutia-Rojas, Ximena; Coggin, ClaudiaDeMoss, Margaret W., Population Characteristics Suggest Modifications to Proposed Pediatric Asthma Intervention Program. Master of Public Health, August, 1998, 57 pp., 4 tables, 1 illustration, 2 appendices, reference list, 46 titles. Asthma is the most common chronic childhood disease affecting almost 5 million children in this country. The children most as risk for developing asthma come from low income, minority, and urban families. This studies examines a proposed pediatric asthma intervention program targeting Tarrant County area Medicaid clients. The purpose of this study is to define different subgroups and preferences among those clients and to recommend modifications that are likely to improve program outcomes. Recommendations were based on information gathered from interviews with 70 families, all having at least one child with asthma. Specific interests in learning more about asthma as well as learning preferences are tested for association with a variety of family characteristics. Although no statistically significant results were determined for subgroups, descriptive findings reveal that a large minority of respondents are interested in more information about asthma, but not necessarily by the means proposed. The study also suggests special needs for families with very young children, for those with adult asthma, and for Hispanics.Item Urbanicity and Mammography Utilization: How Living in an Urban or Rural Area Affects Mammography Screening Utilization Among Women in the United States(2008-05-01) Ylitalo, Kelly R.; Kathryn Cardarelli; Fang Fang Zhang; Nuha LackanYlitalo, Kelly R., Urbanicity and Mammography Utilization: How Living in an Urban or Rural Area Affects Mammography Screening Utilization among Women in the United States. Master of Public Health (Epidemiology), May 2008, 67 pp., 7 tables, 1 figure, references. Mammography is a widely used screening tool that can help prevent breast cancer mortality, yet utilization is not consistent. We utilized the 2006 Behavioral Risk Factor Surveillance System data to evaluate differences in mammography screening practices by urbanicity (urban vs. rural residence). Chi-square analyses, logistic regression, and propensity score matching were utilized to determine the association between urbanicity and mammography compared to women who lived in rural areas, even after controlling for individual variables. Geographic access to health care as represented by individual urban or rural residence may contribute to mammography screening practices in the United States.