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BACKGROUND Previous studies suggest that the physical availability of alcohol may mediate the association between neighbourhood-level material deprivation and alcohol consumption. This study tests the relationships between neighbourhood-level deprivation, alcohol availability, and individual-level alcohol consumption using a multilevel analysis. METHODS(More)
In 2009, more than 2.8 million housing units in the U.S. received a foreclosure notice. That represents about 1 in every 45 properties and a 120% increase in the number of foreclosed properties since 2007. Real estate experts predict even more foreclosures in 2010 as high unemployment continues. The cascading effects of the foreclosure crisis on the U.S.(More)
BACKGROUND Health researchers rarely measure accumulated wealth to reflect socioeconomic status/position (SES). In order to determine whether health research should more frequently include measures of wealth, this study assessed the relationship between wealth and health. METHODS Studies published between 1990 to 2006 were systematically reviewed.(More)
BACKGROUND Retail clinics are clinics within a retail store that provide simple acute and preventive care services for a fixed price without an appointment. OBJECTIVE To describe characteristics of retail clinics, including their location, scope of practice, prices, acceptance of insurance, and ownership, and to estimate the proportion of the U.S.(More)
This study investigates differences in the effects of comorbidities on survival in Medicare beneficiaries with prostate cancer. Medicare data were used to assemble a cohort of 65- to 76-year-old Black (n = 6,402) and White (n = 47,458) men with incident localized prostate cancer in 1999 who survived >or=1 year postdiagnosis. Comorbidities were more(More)
IMPORTANCE Better continuity of care is expected to improve patient outcomes and reduce health care costs, but patterns of use, costs, and clinical complications associated with the current patterns of care continuity have not been quantified. OBJECTIVE To measure the association between care continuity, costs, and rates of hospitalizations, emergency(More)
BACKGROUND Clinical guidelines recommend against routine prostate-specific antigen (PSA) screening for older men and for those with lower life expectancies. The authors of this report examined providers' decision-making regarding discontinuing PSA screening. METHODS A survey of primary providers from a large, university-affiliated primary care practice(More)
BACKGROUND The extent to which retail clinics provide access to care for underserved populations remains largely unknown. The purpose of this study was to determine whether retail clinics tend to be located in census tracts with higher medical need. METHODS The locations of retail clinics as of July 1, 2008, were mapped and linked to the 2000 US Census(More)
OBJECTIVES We assessed the health status of people undergoing mortgage foreclosure in the Philadelphia region to determine if there was a relationship between foreclosure and health. METHODS Participants were recruited in partnership with a mortgage counseling agency. Participants' health status and health care use were compared with a community sample(More)
OBJECTIVE To examine whether physician social networks are associated with variation in treatment for men with localized prostate cancer. DATA SOURCE 2004-2005 Surveillance, Epidemiology and End Results-Medicare data from three cities. STUDY DESIGN We identified the physicians who care for patients with prostate cancer and created physician networks for(More)