MHS-1930 Lecture Notes - Lecture 4: Concentrated Poverty, Diabetes Mellitus Type 2, Social Integration
Document Summary
Experience of exposure to psychosocial and environmental risk factors has the potential to affect them later on in life. Detroit: race-based residential segregation and concentrated poverty. Look at interrelation between the 3 factor levels and impact on cardiovascular health: obesity, blood pressure, fat, cholesterol. Result: stress (cid:272)a(cid:374) (cid:373)a(cid:374)ifest i(cid:374) people"s li(cid:448)es and affect their health. Divided by race, ethnicity, gender, insurance status, and site of care. Retrospective cohort went back and looked at records to look at who was referred to specialty (cid:272)are a(cid:374)d (cid:449)ho (cid:449)as(cid:374)"t. Differences in race, ethnicity, insurance, site of care, age, but not gender. Wo(cid:373)e(cid:374) (cid:373)ight"(cid:448)e (cid:271)ee(cid:374) less likely to re(cid:272)ei(cid:448)e consultations and community health care clinics and satellite clinics. Black and hispanics less likely to receive follow-up consultations. Blacks more likely than whites, medicaid / medicare >>> likely vs. private insurance. Of the study was white, 90% spoke english;