McClintock Heather F, Edmonds Sarah E, Wang Evangeline
Department of Public Health, College of Health Sciences, Arcadia University, 450 S. Easton Rd, Glenside, PA, USA.
Jefferson Collaborative for Health Equity, Jefferson Health, Philadelphia, PA, USA.
J Racial Ethn Health Disparities. 2025 Jan 13. doi: 10.1007/s40615-024-02262-z.
Lack of access to reliable transportation is a barrier to utilizing healthcare and other resources related to type 2 diabetes mellitus (T2DM). Little research has evaluated race/ethnicity-based differences in access to reliable transportation among persons with T2DM.
To examine whether access to reliable transportation for persons with T2DM differed by race/ethnicity.
Analysis was conducted among persons with T2DM using 2022 Behavioral Risk Factor Surveillance System data. The outcome was access to reliable transportation (yes/no) for medical appointments, meetings, work, or getting things needed for daily living in the last year. The independent variable was race/ethnicity (White, Black/African American, Asian, American Indian or Alaskan Native (AI/AN), Hispanic, Native Hawaiian or Other Pacific Islander, or multi-racial). Weighted logistic regression models examined the association between access to reliable transportation and race/ethnicity controlling for covariates.
Persons with T2DM (n = 24,964) who identified as Black (adjusted odds ratio (AOR) = 1.42 (95% confidence interval (CI) = 1.10, 1.84), AI/AN (AOR = 2.03 (95% CI = 1.22, 3.36), or multi-racial (AOR = 1.99 (95% CI = 1.18, 3.5) were significantly more likely to indicate they did not have reliable access to transportation in the past year compared to whites. Persons who were females, older, married, had higher income, employed, no mobility issues, no depression, and rated their health status fair to very good were significantly less likely to report transportation issues.
Access to reliable transportation may differ by race/ethnicity among persons with T2DM. Initiatives are needed to improve racially/ethnically equitable access to transportation for people with T2DM.
缺乏可靠的交通方式是利用医疗保健和其他与2型糖尿病（T2DM）相关资源的障碍。很少有研究评估T2DM患者在获得可靠交通方式方面基于种族/民族的差异。
研究T2DM患者获得可靠交通方式的情况是否因种族/民族而异。
使用2022年行为风险因素监测系统数据对T2DM患者进行分析。结果是在过去一年中是否有可靠的交通方式用于医疗预约、会议、工作或获取日常生活所需物品。自变量是种族/民族（白人、黑人/非裔美国人、亚洲人、美洲印第安人或阿拉斯加原住民（AI/AN）、西班牙裔、夏威夷原住民或其他太平洋岛民，或多种族）。加权逻辑回归模型在控制协变量的情况下检验了获得可靠交通方式与种族/民族之间的关联。
与白人相比，自我认同为黑人（调整后的优势比（AOR）=1.42（95%置信区间（CI）=1.10，1.84）、AI/AN（AOR=2.03（95%CI=1.22，3.36）或多种族（AOR=1.99（95%CI=1.18，3.5）的T2DM患者（n=24,964）在过去一年中表示没有可靠交通方式的可能性显著更高。女性、年龄较大、已婚、收入较高、就业、没有行动不便问题、没有抑郁症且将健康状况评为中等至非常好的人报告交通问题的可能性显著较低。
T2DM患者获得可靠交通方式的情况可能因种族/民族而异。需要采取措施改善T2DM患者在交通方面的种族/民族公平获取情况。
