干旱区生态环境知识资源中心(Arid): Social Determinants of Pharmacy Deserts in Los Angeles County

Arid

DOI	10.1007/s40615-020-00904-6
	Social Determinants of Pharmacy Deserts in Los Angeles County
	Wisseh, Cheryl; Hildreth, Kristin; Marshall, Jazalene; Tanner, Ashton; Bazargan, Mohsen; Robinson, Paul
通讯作者	Wisseh, C
来源期刊	JOURNAL OF RACIAL AND ETHNIC HEALTH DISPARITIES
ISSN	2197-3792
EISSN	2196-8837
英文摘要	As medications are commonly used to prevent and mitigate chronic diseases and their associated complications and outcomes, limited geographic access to medications in communities that are already plagued with health inequity is a growing concern. This is especially important because low-income urban minority communities often have high prevalence and incidence of cardiometabolic and respiratory chronic conditions. Community pharmacy deserts have been established in Chicago, New York, and other locales. In part because the definition was originally adapted from the concept of food deserts, existing studies have either utilized the distance of 1 mile or greater to the nearest community pharmacy solely, or used distance along with the same predefined social indicator thresholds that define food deserts (i.e., income and vehicle ownership), to define and identify areas as pharmacy deserts. No full analysis has been conducted of the social determinants that define and characterize medication shortage areas within a given locale, even though medication and food are usually accessed independently. Therefore, to address this gap in the literature, this study was designed to identify all potential "pharmacy deserts" in Los Angeles County based on distance alone and then characterize them by their social determinants of health (SDOH) indicators. Geographic pharmacy deserts were identified as census tracts where the nearest community pharmacy was 1 mile or more away from a tract centroid. K-means clustering was applied to group pharmacy deserts based on their composition of social determinants of health indicators. Twenty-five percent (571/2323) of LA County census tracts were pharmacy deserts and 75% (1752/2323) were pharmacy non-deserts. Within the desert areas, two statistically distinct groups of pharmacy deserts (type one and type two) emerged from the analysis. In comparison to type two pharmacy deserts, type one pharmacy deserts were characterized by a denser population, had more renters, more residents that speak English as a second language, less vehicle ownership, more residents living under the federal poverty level, more Black and Hispanic residents, more areas with higher crime against property and people, and less health professionals to serve the area. Residing in type one desert areas, potentially compounds the geographic shortage of pharmacies and pharmacy services. As such, residents in Los Angeles County pharmacy deserts might benefit greatly from equitable, innovative, community-based interventions that increase access to medications, pharmacy services, and pharmacists.
英文关键词	Pharmacy Medication access Social determinants of health Pharmacy deserts Population health Public health
类型	Article ; Early Access
语种	英语
开放获取类型	Other Gold
收录类别	SSCI
WOS记录号	WOS:000584551800001
WOS关键词	COMMUNITY PHARMACIES ; GEOGRAPHIC ACCESSIBILITY ; ACCESS ; RACE ; SEGREGATION
WOS类目	Public, Environmental & Occupational Health
WOS研究方向	Public, Environmental & Occupational Health
来源机构	University of California, Los Angeles
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/328423
作者单位	[Wisseh, Cheryl] Univ Calif Irvine, Dept Clin Pharm Practice, Sch Pharm & Pharmaceut Sci, Irvine, CA 92697 USA; [Wisseh, Cheryl; Bazargan, Mohsen] Charles R Drew Univ Med & Sci, Dept Family Med, Coll Med, 1621 E 120th St, Los Angeles, CA 90059 USA; [Hildreth, Kristin] Charles R Drew Univ Med & Sci, Coll Med, Enhanced Post Baccalaureate Certificate Program P, 1621 E 120th St, Los Angeles, CA 90059 USA; [Marshall, Jazalene; Tanner, Ashton] Charles R Drew Univ Med & Sci, Coll Sci & Hlth, Dept Biomed Sci, 1621 E 120th St, Los Angeles, CA 90059 USA; [Bazargan, Mohsen] Univ Calif Los Angeles, Dept Family Med, Los Angeles, CA USA; [Robinson, Paul] Charles R Drew Univ Med & Sci, Dept Surg, Coll Med, 1621 E 120th St, Los Angeles, CA 90059 USA; [Robinson, Paul] Univ Calif Los Angeles, Dept Ophthalmol, Los Angeles, CA USA
推荐引用方式 GB/T 7714	Wisseh, Cheryl,Hildreth, Kristin,Marshall, Jazalene,et al. Social Determinants of Pharmacy Deserts in Los Angeles County[J]. University of California, Los Angeles.
APA	Wisseh, Cheryl,Hildreth, Kristin,Marshall, Jazalene,Tanner, Ashton,Bazargan, Mohsen,&Robinson, Paul.
MLA	Wisseh, Cheryl,et al."Social Determinants of Pharmacy Deserts in Los Angeles County".JOURNAL OF RACIAL AND ETHNIC HEALTH DISPARITIES