Journal article
Factors Associated with Travel Time and Distance to Access Hospital Care Among Infants with Spina Bifida
Maternal and child health journal, v 20(1), pp 205-217
01 Jan 2016
PMID: 26481364
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objectives
Using geographic information systems (GIS), we examined travel time and distance to access hospital care for infants with spina bifida (SB).
Methods
This study was a statewide, population-based analysis of Florida-born children with SB, 1998–2007, identified by the Florida Birth Defects Registry and linked to hospitalizations. We geocoded maternal residence at delivery and identified hospital locations for infants (<1 year). Using 2007 Florida Department of Transportation road data, we calculated one-way mean travel time and distance to access hospital care. We used Poisson regression to examine selected factors associated with travel time and distance [≤30 vs. >30 min/miles (reference)], including presence of hydrocephalus and SB type [isolated (no other major birth defect) versus non-isolated SB].
Results
For 612 infants, one-way mean (median) travel time was 45.1 (25.9) min. Infants with both non-isolated SB and hydrocephalus traveled longest to access hospitals (mean 60.8 min/48.5 miles; median 34.2 min/26.9 miles). In adjusted results, infants with non-isolated SB and whose mothers had a rural residence were less likely to travel ≤30 min to hospitals. Infants born to mothers in minority racial/ethnic groups were more likely to travel ≤30 min.
Conclusions
Birth defects registry data and GIS-based methods can be used to evaluate geographic accessibility to hospital care for infants with birth defects. Results can help to identify geographic barriers to accessing hospital care, such as travel time and distance, and inform opportunities to improve access to care for infants with SB or other special needs.
Metrics
Details
- Title
- Factors Associated with Travel Time and Distance to Access Hospital Care Among Infants with Spina Bifida
- Creators
- Elizabeth Radcliff - University of South CarolinaEric Delmelle - University of North Carolina at CharlotteRussell S. Kirby - University of South FloridaSarah B. Laditka - University of North Carolina at CharlotteJane Correia - Florida Department of HealthCynthia H. Cassell - National Center on Birth Defects and Developmental Disabilities
- Publication Details
- Maternal and child health journal, v 20(1), pp 205-217
- Publisher
- Springer US
- Grant note
- Research Grant #5-FY09-533 / March of Dimes Foundation (http://dx.doi.org/10.13039/100000912)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative
- Web of Science ID
- WOS:000368199600023
- Scopus ID
- 2-s2.0-84954375049
- Other Identifier
- 991021874424404721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health