Bastiaan T van Hoorn, Luke X van Rossenberg, Xander Jacobs, George S I Sulkers, Mark van Heijl, David Ring
Clinician Factors Rather Than Patient Factors Affect Discussion of Treatment Options
Clinical orthopaedics and related research
study considers residential segregation critical driver racialethnic health disparities introduces proxy measure segregation estimates degree segregation census tract level metric capturing overrepresentation racializedethnic group census tract relation groups representation city level using dallas texas pilot city measure used investigate mean life expectancy birth relatively overrepresented hispanic nonhispanic white nonhispanic black asian census tracts examine significant differences mean life expectancy relatively overrepresented census tracts groups mean life expectancy state level multivariable linear regression analysis utilized assess segregation measured census tract level associates life expectancy across different racializedethnic groups controlling socioeconomic disparities study aimed expose need consider possibility neighborhood mechanisms beyond socioeconomic characteristics important determinant health draw attention importance critically engaging experience place examinations racial ethnic health disparities multivariable linear regression modeling resulted significant findings nonhispanic black nonhispanic white asian groups indicating increased census tractlevel life expectancy black white residents highly segregated census tracts decreased life expectancy residents tracts asian community overrepresented compared state means unadjusted models demonstrated socioeconomic inequities first fourth quartile census tracts pointed importance mixed methods health disparities research importance including voice community members account places daily lived experience peoples relationships