J Health Care Poor Underserved. 2023;34(1):112-131. doi: 10.1353/hpu.2023.0008.
Understanding how disparities are experienced by subpopulations within rural areas may inform efforts to mitigate persistent inequities in access to health care. Among 2,545 randomly sampled adults who completed a mailed survey in ten rural counties in Georgia as part of a health equity initiative, 50.8% of respondents were aged 35-64, 65.9% were women, 16.6% identified as Black, 36.0% worked full-time, and 39% had a high school degree or less. Significant disparities were observed in health care access, use and financial burden by age, employment status, race, and annual household income. In an examination of intersectionality of race and income, all sub-groups except for higher income Black respondents were more likely to report no health insurance and not seeing a doctor in the past 12 months due to cost relative to higher income White respondents. The findings shed insight into inequities in health care access within rural communities.
了解农村亚群体的差异体验，可能有助于努力减轻农村地区医疗保健获取方面持续存在的不平等现象。在作为一项公平倡议的一部分，对佐治亚州 10 个农村县随机抽样的 2545 名成年人进行的邮寄调查中，50.8%的受访者年龄在 35-64 岁之间，65.9%为女性，16.6%为黑人，36.0%全职工作，39%拥有高中学历或以下学历。在对医疗保健的可及性、使用情况和经济负担进行的差异分析中，按年龄、就业状况、种族和家庭年收入划分，所有亚组的差异都很明显。在对种族和收入交叉性的研究中，除了高收入黑人受访者之外，所有其他亚组都更有可能因费用而报告没有医疗保险，并且在过去 12 个月内没有去看医生，这一比例高于高收入白人受访者。这些发现深入了解了农村社区医疗保健获取方面的不平等现象。
