Public housing relocations in Atlanta, Georgia, and declines in spatial access to safety net primary care.
This analysis investigates changes in spatial access to safety-net primary care in a sample of US public housing residents relocating via the HOPE VI initiative from public housing complexes to voucher-subsidized rental units; substance misusers were oversampled. We used gravity-based models to measure spatial access to care, and used mixed models to assess pre-/post-relocation changes in access. Half the sample experienced declines in spatial access of ≥ 79.83%; declines did not vary by substance misuse status. Results suggest that future public housing relocation initiatives should partner with relocaters, particularly those in poor health, to help them find housing near safety-net clinics.
Department of Behavioral Science and Health Education, Rollins School of Public Health at Emory University, 1518 Clifton Road NE, Atlanta, GA 30322, USA. hcoope3@emory.edu
Hannah L F
HL
Cooper
Stephanie
S
Wodarski
Janet
J
Cummings
Josalin
J
Hunter-Jones
Conny
C
Karnes
Zev
Z
Ross
Ben
B
Druss
Loida E
LE
Bonney
D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data; D002947:Cities / Q000453:epidemiology / Q000706:statistics & numerical data; D005260:Female; D005845:Georgia / Q000453:epidemiology; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care / Q000706:statistics & numerical data*; D011638:Public Housing / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors; D062206:Spatial Analysis