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Time and Distance Barriers to Mammography Facilities in the Atlanta Metropolitan Area

To a great extent, research on geographic accessibility to mammography facilities has focused on urban–rural differences. Spatial accessibility within urban areas can nonetheless pose a challenge, especially for minorities and low-income urban residents who are more likely to depend on public transp... Full description

Journal Title: Journal of community health 2011-01-26, Vol.36 (4), p.675-683
Main Author: Peipins, Lucy A
Other Authors: Graham, Shannon , Young, Randall , Lewis, Brian , Foster, Stephanie , Flanagan, Barry , Dent, Andrew
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: Boston: Springer US
ID: ISSN: 0094-5145
Link: https://www.ncbi.nlm.nih.gov/pubmed/21267639
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title: Time and Distance Barriers to Mammography Facilities in the Atlanta Metropolitan Area
format: Article
creator:
  • Peipins, Lucy A
  • Graham, Shannon
  • Young, Randall
  • Lewis, Brian
  • Foster, Stephanie
  • Flanagan, Barry
  • Dent, Andrew
subjects:
  • Accessibility
  • Adult
  • Ambulatory Care Facilities - organization & administration
  • Analysis
  • Article
  • Breast cancer
  • Breast Neoplasms - diagnosis
  • Breast Neoplasms - ethnology
  • Breast Neoplasms - prevention & control
  • Cancer
  • Community and Environmental Psychology
  • Ethics
  • Ethnic Groups - statistics & numerical data
  • Female
  • Geographic information systems
  • Geographic information systems (GIS)
  • Georgia
  • Health care access
  • Health Promotion and Disease Prevention
  • Health Services Accessibility - statistics & numerical data
  • Healthcare access
  • Households
  • Humans
  • Local transit
  • Low income people
  • Mammography
  • Mammography - statistics & numerical data
  • Mass Screening - statistics & numerical data
  • Medicine
  • Medicine & Public Health
  • Metropolitan areas
  • Middle Aged
  • Oncology, Experimental
  • Original Paper
  • Patient Acceptance of Health Care - ethnology
  • Patient Acceptance of Health Care - statistics & numerical data
  • Public transport
  • Research
  • Residence Characteristics
  • Social disadvantage
  • Socioeconomic factors
  • Time Factors
  • Transportation - statistics & numerical data
  • Urban Population - statistics & numerical data
  • Vehicles
  • Women
  • Women's Health
ispartof: Journal of community health, 2011-01-26, Vol.36 (4), p.675-683
description: To a great extent, research on geographic accessibility to mammography facilities has focused on urban–rural differences. Spatial accessibility within urban areas can nonetheless pose a challenge, especially for minorities and low-income urban residents who are more likely to depend on public transportation. To examine spatial and temporal accessibility to mammography facilities in the Atlanta metropolitan area by public and private transportation, we built a multimodal transportation network model including bus and rail routes, bus and rail stops, transfers, walk times, and wait times. Our analysis of travel times from the population-weighted centroids of the 282 census tracts in the 2-county area to the nearest facility found that the median public transportation time was almost 51 minutes. We further examined public transportation travel times by levels of household access to a private vehicle. Residents in tracts with the lowest household access to a private vehicle had the shortest travel times, suggesting that facilities were favorably located for women who have to use public transportation. However, census tracts with majority non-Hispanic black populations had the longest travel times for all levels of vehicle availability. Time to the nearest mammography facility would not pose a barrier to women who had access to a private vehicle. This study adds to the literature demonstrating differences in spatial accessibility to health services by race/ethnicity and socioeconomic characteristics. Ameliorating spatial inaccessibility represents an opportunity for intervention that operates at the population level.
language: eng
source:
identifier: ISSN: 0094-5145
fulltext: no_fulltext
issn:
  • 0094-5145
  • 1573-3610
url: Link


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descriptionTo a great extent, research on geographic accessibility to mammography facilities has focused on urban–rural differences. Spatial accessibility within urban areas can nonetheless pose a challenge, especially for minorities and low-income urban residents who are more likely to depend on public transportation. To examine spatial and temporal accessibility to mammography facilities in the Atlanta metropolitan area by public and private transportation, we built a multimodal transportation network model including bus and rail routes, bus and rail stops, transfers, walk times, and wait times. Our analysis of travel times from the population-weighted centroids of the 282 census tracts in the 2-county area to the nearest facility found that the median public transportation time was almost 51 minutes. We further examined public transportation travel times by levels of household access to a private vehicle. Residents in tracts with the lowest household access to a private vehicle had the shortest travel times, suggesting that facilities were favorably located for women who have to use public transportation. However, census tracts with majority non-Hispanic black populations had the longest travel times for all levels of vehicle availability. Time to the nearest mammography facility would not pose a barrier to women who had access to a private vehicle. This study adds to the literature demonstrating differences in spatial accessibility to health services by race/ethnicity and socioeconomic characteristics. Ameliorating spatial inaccessibility represents an opportunity for intervention that operates at the population level.
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descriptionTo a great extent, research on geographic accessibility to mammography facilities has focused on urban–rural differences. Spatial accessibility within urban areas can nonetheless pose a challenge, especially for minorities and low-income urban residents who are more likely to depend on public transportation. To examine spatial and temporal accessibility to mammography facilities in the Atlanta metropolitan area by public and private transportation, we built a multimodal transportation network model including bus and rail routes, bus and rail stops, transfers, walk times, and wait times. Our analysis of travel times from the population-weighted centroids of the 282 census tracts in the 2-county area to the nearest facility found that the median public transportation time was almost 51 minutes. We further examined public transportation travel times by levels of household access to a private vehicle. Residents in tracts with the lowest household access to a private vehicle had the shortest travel times, suggesting that facilities were favorably located for women who have to use public transportation. However, census tracts with majority non-Hispanic black populations had the longest travel times for all levels of vehicle availability. Time to the nearest mammography facility would not pose a barrier to women who had access to a private vehicle. This study adds to the literature demonstrating differences in spatial accessibility to health services by race/ethnicity and socioeconomic characteristics. Ameliorating spatial inaccessibility represents an opportunity for intervention that operates at the population level.
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abstractTo a great extent, research on geographic accessibility to mammography facilities has focused on urban–rural differences. Spatial accessibility within urban areas can nonetheless pose a challenge, especially for minorities and low-income urban residents who are more likely to depend on public transportation. To examine spatial and temporal accessibility to mammography facilities in the Atlanta metropolitan area by public and private transportation, we built a multimodal transportation network model including bus and rail routes, bus and rail stops, transfers, walk times, and wait times. Our analysis of travel times from the population-weighted centroids of the 282 census tracts in the 2-county area to the nearest facility found that the median public transportation time was almost 51 minutes. We further examined public transportation travel times by levels of household access to a private vehicle. Residents in tracts with the lowest household access to a private vehicle had the shortest travel times, suggesting that facilities were favorably located for women who have to use public transportation. However, census tracts with majority non-Hispanic black populations had the longest travel times for all levels of vehicle availability. Time to the nearest mammography facility would not pose a barrier to women who had access to a private vehicle. This study adds to the literature demonstrating differences in spatial accessibility to health services by race/ethnicity and socioeconomic characteristics. Ameliorating spatial inaccessibility represents an opportunity for intervention that operates at the population level.
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