@article{ref1,
title="Predictors of transportation-related barriers to healthcare access in a North American suburb",
journal="Journal of public health (Heidelberg)",
year="2023",
author="Lyeo, Joonsoo S. and Tiznado-Aitken, Ignacio and Farber, Steven and Brown, Hilary K. and Spence, Nicholas",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="AIM: To identify predictors of transportation-related barriers to healthcare access in a North American suburb. SUBJECT AND METHODS: Data from the 2022 Scarborough Survey were used, comprising n = 528 adults living in Scarborough, which is a subu<rb of Toronto, Canada, recruited through iterative sampling. Log binomial regression models identified demographic, socioeconomic, health and transportation predictors of a composite of: (1) delaying a primary care appointment, (2) missing a primary care appointment or (3) postponing or declining a vaccination due to transportation issues. <br><br>RESULTS: Of the sampled individuals, 34.5% experienced the outcome. In the multivariable model, younger age (RR = 3.03), disability (RR = 2.60), poor mental health (RR = 1.70) and reliance on public transit (RR = 2.09) were associated with greater risk of experiencing the outcome. Full-time employment, reliance on active travel and reliance on others for transportation were specifically associated with greater risk of experiencing a transportation-related barrier to vaccination. <br><br>CONCLUSION: In suburban areas such as Scarborough, transportation-related barriers to healthcare access have a disproportionate impact on groups defined by important demographic, health and transportation-related characteristics. These results corroborate that transportation is an important determinant of health in suburban areas, the absence of which may exacerbate existing inequities among the most vulnerable individuals in a given population.<p /> <p>Language: en</p>",
language="en",
issn="0943-1853",
doi="10.1007/s10389-023-01916-2",
url="http://dx.doi.org/10.1007/s10389-023-01916-2"
}