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The Intersection of Urbanicity, Race, Diagnoses, Type of Residence, and Access to Services for Individuals with Intellectual Disabilities and Developmental Disabilities

Fortney, Stoni Lin
http://rave.ohiolink.edu/etdc/view?acc_num=osu1554995471441475

Abstract Details

2019, Master of Arts, Ohio State University, Psychology.
Previous research has shown that residence in a non-metropolitan area is associated with lower access to preventative care and poorer heath. However, this research has been largely restricted to the general population, despite data demonstrating people with intellectual and developmental disabilities (IDD) experience disparities in health care and service utilization as well as important markers of health. The current research explored the effects of urbanicity on these variables in people with IDD to provide a clearer picture of factors affecting access to care, focusing specifically on three outcome variables: access to services (e.g., transportation, healthcare coordination), utilization of preventative healthcare (e.g., most recent eye exam, most recent physical exam), and health markers (e.g., high blood pressure, BMI). Data was drawn from the National Core Indicators 2015-2016 Adult Consumer survey, which was the first wave of data collection to include Rural-Urban Commuting Area (RUCA) codes. This allowed for the analysis of urbanization as a predictor for the aforementioned variables of interest. Logistic regressions were run, which produced odds ratios for each of the outcome variables dependent on the urbanicity of the participants’ residence (i.e., metropolitan, micropolitan, or rural/small town). Overall, the current research suggests that, despite all participants in the sample being connected to state level disability services, health outcomes and access to care generally follow patterns similar to those observed in the general population, with those in non-metropolitan areas having lower access to services, lower healthcare utilization, and poorer health status. While there are some exceptions to this trend, suggesting that there is some recognition of the problem and attempts to remedy it, this research suggests that the effects of rurality are too significant to be completely mitigated by current efforts.
Marc Tasse, PhD (Advisor)
Susan Havercamp, PhD (Committee Member)
Luc Lecavalier, PhD (Committee Member)
49 p.
Psychology; Public Health
rurality; disability; intellectual disability; developmental disability; heath disparity; health; access to services; rural health; service allocation

Recommended Citations

Citations

  • Fortney, S. L. (2019). The Intersection of Urbanicity, Race, Diagnoses, Type of Residence, and Access to Services for Individuals with Intellectual Disabilities and Developmental Disabilities [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1554995471441475

    APA Style (7th edition)

  • Fortney, Stoni. The Intersection of Urbanicity, Race, Diagnoses, Type of Residence, and Access to Services for Individuals with Intellectual Disabilities and Developmental Disabilities. 2019. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1554995471441475.

    MLA Style (8th edition)

  • Fortney, Stoni. "The Intersection of Urbanicity, Race, Diagnoses, Type of Residence, and Access to Services for Individuals with Intellectual Disabilities and Developmental Disabilities." Master's thesis, Ohio State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=osu1554995471441475

    Chicago Manual of Style (17th edition)

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This open access ETD is published by The Ohio State University and OhioLINK.