High School Census Tract Information Predicts Practice in Rural and Minority Communities

Autor/inn/en	Hughes, Susan; Zweifler, John; Schafer, Sean; Smith, Mark A.; Athwal, Sukhdeep; Blossom, H. John
Titel	High School Census Tract Information Predicts Practice in Rural and Minority Communities
Quelle	In: Journal of Rural Health, 21 (2005) 3, S.228-232 (5 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0890-765X
DOI	10.1111/j.1748-0361.2005.tb00087.x
Schlagwörter	Physicians; High Schools; Census Figures; Rural Areas; Minority Groups; Cohort Analysis; Graduate Medical Education; Graduates; Disadvantaged; California + Suchen Sie Ihr Suchwort? Physician; Doctor; Arzt; High school; Oberschule; Volkszählung; Rural area; Ländlicher Raum; Ethnische Minderheit; Kohortenanalyse; Graduate; Absolvent; Absolventin; Hochschulabsolvent; Hochschulabsolventin; Kalifornien
Abstract	Purpose: Identify census-derived characteristics of residency graduates' high school communities that predict practice in rural, medically underserved, and high minority-population settings. Methods: Cohort study of 214 graduates of the University of California, San Francisco-Fresno Family Practice Residency Program (UCSF-Fresno) from its establishment in 1970 through 2000. Rural-urban commuting area code; education, racial, and ethnic distribution; median income; population; and federal designation as a medically underserved area were collected for census tracts of each graduate's (1) high school address and (2) practice location. Findings: Twenty-one percent of graduates practice in rural areas, 28% practice in areas with high proportions of minority population (high minority areas), and 35% practice in federally designated medically underserved areas. Graduation from high school in a rural census tract was associated with rural practice (P less than 0.01). Of those practicing in a rural site, 32% graduated from a rural high school, as compared with 11% of nonrural practitioners. Graduation from high school in a census tract with a higher proportion of minorities was associated with practice in a proportionally high minority community (P = 0.01). For those practicing in a high-minority setting, the median minority percentage of the high school census tract was 31%, compared with 16% for people not practicing in a high minority area. No characteristics of the high school census tract were predictive of practice in a medically underserved area. Conclusion: Census data from the residency graduate's high school predicted rural practice and practice in a proportionally high minority community, but not in a federally designated medically underserved area. (Author).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10