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Health Care In The Suburbs: An Analysis Of Suburban Poverty And Health Care Access
Journal article   Open access   Peer reviewed

Health Care In The Suburbs: An Analysis Of Suburban Poverty And Health Care Access

Alina S Schnake-Mahl and Benjamin D Sommers
Health affairs Web exclusive, v 36(10), pp 1777-1785
01 Oct 2017
PMID: 28971923
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
http://nrs.harvard.edu/urn-3:HUL.InstRepos:34389685View
SubmittedCC BY V4.0 Open

Abstract

Adult Behavioral Risk Factor Surveillance System Female Health Services Accessibility - statistics & numerical data Humans Insurance Coverage - statistics & numerical data Insurance, Health - statistics & numerical data Male Medicaid Medically Uninsured - statistics & numerical data Middle Aged Patient Protection and Affordable Care Act - legislation & jurisprudence Poverty - statistics & numerical data Rural Population United States Urban Population - statistics & numerical data
There are 16.9 million Americans living in poverty in the suburbs-more than in cities or rural communities. Despite recent increases in suburban poverty, the perception of the suburbs as areas of uniform affluence remains, and there has been little research into health care barriers experienced by people living in these areas. The objectives of this study were to compare patterns of insurance coverage and health care access in suburban, urban, and rural areas using national survey data from 2005 to 2015 and to compare outcomes by geography before and after the Affordable Care Act took effect. We found that nearly 40 percent of the uninsured population lived in suburban areas. Though unadjusted rates of health care access were better in suburban areas, compared to urban and rural communities, this advantage was greatly reduced after income and other demographics are accounted for. Overall, a substantial portion of the US population residing in the suburbs lacked health insurance and experienced difficulties accessing care. Increased policy attention is needed to address these challenges for vulnerable populations living in the suburbs.

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#11 Sustainable Cities and Communities

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Web of Science research areas
Health Care Sciences & Services
Health Policy & Services
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