Disparities in Travel-Related Barriers to Accessing Health Care From the 2017 National Household Travel Survey

Key Points Question What sociodemographic factors are associated with geographic barriers in accessing health care facilities in the United States? Findings In this cross-sectional study including 12 092 households and 15 063 respondents, non-Hispanic Black respondents and economically disadvantaged populations were more likely to use public transportation. Among respondents with an income of $25 000 to $49 999, non-Hispanic Black respondents had longer trip duration than non-Hispanic White respondents, despite a similar distance traveled. Meaning These findings suggest that achieving health equity in access to care will require the removal of access barriers that disproportionately affect socioeconomically disadvantaged and racially minoritized populations.

[1]  Yi-Lin Wu,et al.  Association between vehicle ownership and disparities in mortality after myocardial infarction , 2023, American journal of preventive cardiology.

[2]  M. Kharouta,et al.  An Analysis of Cancer Center-Provided Rideshare Utilization for Radiation Therapy. , 2022, Journal of the American College of Radiology : JACR.

[3]  Jesse J. Plascak,et al.  Association Between Residence in Historically Redlined Districts Indicative of Structural Racism and Racial and Ethnic Disparities in Breast Cancer Outcomes , 2022, JAMA network open.

[4]  Dong Liu,et al.  Racial/Ethnic Inequity in Transit-Based Spatial Accessibility to COVID-19 Vaccination Sites , 2022, Journal of Racial and Ethnic Health Disparities.

[5]  James D. Murphy,et al.  Disparities in telemedicine during COVID‐19 , 2022, Cancer medicine.

[6]  H. Bosworth,et al.  Transportation as a barrier to colorectal cancer care , 2021, BMC Health Services Research.

[7]  Jessie K. Edwards,et al.  A Geography of Risk: Structural Racism and COVID-19 Mortality in the United States , 2021, American journal of epidemiology.

[8]  A. Kibel,et al.  Access denied: The relationship between patient insurance status and access to high‐volume hospitals , 2020, Cancer.

[9]  Anna Lee,et al.  Assessment of Parking Fees at National Cancer Institute-Designated Cancer Treatment Centers. , 2020, JAMA oncology.

[10]  N. Krieger,et al.  Structural Racism, Historical Redlining, and Risk of Preterm Birth in New York City, 2013-2017. , 2020, American journal of public health.

[11]  Jana A. Hirsch,et al.  Patterns in Geographic Access to Health Care Facilities Across Neighborhoods in the United States Based on Data From the National Establishment Time-Series Between 2000 and 2014 , 2020, JAMA network open.

[12]  G. M. Holmes,et al.  Transportation Barriers to Health Care in the United States: Findings From the National Health Interview Survey, 1997-2017. , 2020, American journal of public health.

[13]  S. Lipsitz,et al.  Evaluation of the contribution of demographics, access to health care, treatment, and tumor characteristics to racial differences in survival of advanced prostate cancer , 2018, Prostate Cancer and Prostatic Diseases.

[14]  M. Peluso,et al.  A Step Toward Timely Referral and Early Diagnosis of Cancer: Implementation and Impact on Knowledge of a Primary Care-Based Training Program in Botswana , 2018, Front. Oncol..

[15]  R. Hubbard,et al.  Association of Rideshare-Based Transportation Services and Missed Primary Care Appointments: A Clinical Trial , 2018, JAMA internal medicine.

[16]  R. Hubbard,et al.  Rideshare-Based Medical Transportation for Medicaid Patients and Primary Care Show Rates: A Difference-in-Difference Analysis of a Pilot Program , 2018, Journal of General Internal Medicine.

[17]  Kristen Kurland,et al.  Transportation characteristics associated with non-arrivals to paediatric clinic appointments: a retrospective analysis of 51 580 scheduled visits , 2017, BMJ Quality & Safety.

[18]  Brian W Powers,et al.  Nonemergency Medical Transportation: Delivering Care in the Era of Lyft and Uber. , 2016, JAMA.

[19]  Jacqueline R. Halladay,et al.  Achieving Health Equity: Closing The Gaps In Health Care Disparities, Interventions, And Research. , 2016, Health affairs.

[20]  顏素美 Suh-May Yen,et al.  The American Journal of Managed Care , 2015 .

[21]  A. Kavanagh,et al.  Associations between individual socioeconomic position, neighbourhood disadvantage and transport mode: baseline results from the HABITAT multilevel study , 2015, Journal of Epidemiology & Community Health.

[22]  L. Sharp,et al.  Traveling Towards Disease: Transportation Barriers to Health Care Access , 2013, Journal of Community Health.

[23]  William A Satariano,et al.  Missed or Delayed Medical Care Appointments by Older Users of Nonemergency Medical Transportation. , 2012, The Gerontologist.

[24]  Thomas J. Smith,et al.  Factors associated with adherence to chemotherapy guidelines in patients with non-small cell lung cancer. , 2012, Lung cancer.

[25]  T. Welty,et al.  Effect of limited transportation on medication adherence in patients with epilepsy. , 2010, Journal of the American Pharmacists Association : JAPhA.

[26]  S. Laditka,et al.  Effects of residence and race on burden of travel for care: cross sectional analysis of the 2001 US National Household Travel Survey , 2007, BMC Health Services Research.

[27]  D. Pathman,et al.  Differences in Access to Outpatient Medical Care for Black and White Adults in the Rural South , 2006, Medical care.

[28]  M. Guagliardo International Journal of Health Geographics Open Access Spatial Accessibility of Primary Care: Concepts, Methods and Challenges , 2022 .

[29]  Andrew J Karter,et al.  Missed Appointments and Poor Glycemic Control: An Opportunity to Identify High-Risk Diabetic Patients , 2004, Medical care.

[30]  David R. Williams,et al.  Racial Residential Segregation: A Fundamental Cause of Racial Disparities in Health , 2001, Public health reports.

[31]  R. Penchansky,et al.  The Concept of Access: Definition and Relationship to Consumer Satisfaction , 1981, Medical care.

[32]  Snehamay Khasnabis,et al.  Access to Health Care and Nonemergency Medical Transportation , 2005 .

[33]  R. Winn,et al.  Transportation as a barrier to cancer treatment. , 1997, Cancer practice.