PDF(Pubmed)
Abstract：
Planners and policymakers significantly consider providing suitable living environments for marginalized households, beyond creating affordable homes. Previous studies have explored various socioeconomic attributes of neighborhoods with public rental housing (PRH), particularly regarding education, job, and transportation opportunities; however, we have a limited understanding of health opportunities among such subsidized households. This study, therefore, explores the accessibility and spatial equity of emergency medical services (EMS) and primary health care (PHC) for PRH residents in Seoul, Korea. The findings show that neighborhoods with PRHs are associated with lower odds ratios for EMS and PHC accessibility. In particular, the relationships between the locations of PRHs and medical services accessibility in neighborhoods varied across the types of PRHs. While neighborhoods with large-scale PRHs are associated with lower PHC access, those with small-scale PRHs are associated with lower EMS access. In addition, our findings show that PRHs tend to be located in neighborhoods with lower walkability. These results may help in empirically determining the spatial accessibility of PHC and EMS, as well as neighborhood walkability, which may affect the health status of individuals in subsidized households.
摘要：
规划者和决策者考虑为边缘化家庭提供合适的生活环境，除了创造负担得起的房子。以前的研究已经探索了公共租赁住房(PRH)社区的各种社会经济属性，特别是在教育方面，工作,和运输机会；然而，我们对这类受资助家庭的健康机会了解有限。这项研究,因此,探索首尔PRH居民的紧急医疗服务（EMS）和初级卫生保健（PHC）的可及性和空间公平性，韩国。研究结果表明，具有PRH的社区与EMS和PHC可及性的较低比值比相关。特别是,PRH的位置与社区医疗服务可及性之间的关系因PRH的类型而异。虽然具有大规模PRH的社区与较低的PHC访问相关联，那些具有小规模PRH的人与较低的EMS访问相关联。此外,我们的研究结果表明，PRH往往位于步行能力较低的社区。这些结果可能有助于根据经验确定PHC和EMS的空间可达性，以及邻里步行能力，这可能会影响补贴家庭中个人的健康状况。
