Research Article

The Utility of Rural and Underserved Designations in Geospatial Assessments of Distance Traveled to Healthcare Services: Implications for Public Health Research and Practice

Table 2

Sample characteristics by cluster.

Cluster 1
( = 188)
Cluster 2
( = 348)
Cluster 3
( = 450)
Cluster 4
( = 468)
Cluster 5
( = 504)
Total
( = 1958)
or

Age57.796<0.001
 18–40 years7.4%14.4%14.3%13.1%10.5%12.4%
 41–64 years30.9%37.6%49.1%49.5%52.3%46.2%
 65+ years61.7%48.0%36.6%37.4%37.3%41.4%
Sex4.3740.358
 Male29.3%34.2%28.0%30.4%28.6%29.9%
 Female70.7%65.8%72.0%69.6%71.4%70.1%
Education13.7370.089
 Less than high school7.0%5.2%5.3%6.2%3.4%5.2%
 High school graduate33.7%31.9%40.0%39.7%38.8%37.6%
 More than high school59.4%62.9%54.6%54.1%57.8%57.2%
Race/ethnicity33.592<0.001
 Non-Hispanic white79.8%74.9%76.7%84.2%87.1%81.1%
 African American12.0%11.4%10.5%6.0%6.1%8.6%
 Hispanic8.2%13.7%12.8%9.9%6.9%10.3%
Body mass index13.5570.094
 Normal weight28.0%30.7%27.7%33.9%28.2%29.9%
 Overweight41.8%35.8%34.6%35.7%33.3%35.4%
 Obese30.2%33.4%37.8%30.4%38.6%34.7%
Number of chronic conditions1.42 (±1.08)1.32 (±1.17)1.32 (±1.10)1.28 (±1.11)1.30 (±1.15)1.32 (±1.13)0.5360.709
Distance traveled to (in miles)
 Medical care facility3.59 (±6.29)3.33 (±1.96)14.32 (±14.96)23.29 (±17.05)45.01 (±26.70)21.41 (±23.51)388.041<0.001
 Dental care facility1.24 (±0.58)6.39 (±11.01)14.26 (±17.42)15.62 (±8.00)42.70 (±25.89)19.27 (±22.13)371.269<0.001
 Retrieve prescription medications1.24 (±0.83)2.50 (±1.69)4.43 (±2.27)14.27 (±8.26)26.45 (±17.75)11.81 (±13.94)472.017<0.001
 Total6.07 (±6.14)12.21 (±10.31)33.02 (±21.35)53.18 (±17.59)114.15 (±46.52)52.49 (±48.13)1011.251<0.001
UIC
 Metro12.5%25.5%23.9%20.2%17.9%52.6%158.623<0.001
 Nonmetro6.4%9.2%22.0%28.0%34.5%47.4%
MUA
 Not designated17.1%37.0%30.5%14.1%1.3%31.6%510.874<0.001
 Designated6.1%8.9%19.5%28.5%37.0%68.4%
HPSA
 Not designated13.2%25.9%28.1%20.4%12.4%57.9%365.209<0.001
 Designated4.7%6.5%16.0%28.7%44.0%42.1%
Frontier
 Not designated11.9%21.8%26.1%22.9%17.3%75.9%290.413<0.001
 Designated2.3%5.1%13.2%27.0%52.4%24.1%

UIC: Urban Influence Codes.
MUA: Medically Underserved Area.
HPSA: Health Professional Shortage Area.