Neighborhood Deprivation Index Is Not Predictive of Patient's Perceived Barriers to Healthcare in an Urban Setting

Historically, the Southern United States has reported a high prevalence of healthcare inequities. This region consistently underperformed in both access to and quality care. Additionally, patients this area have higher percentage underrepresented minorities are more likely fall below poverty line. The goal our study was determine relationship between economic disadvantage large urban system. Patients presenting vascular surgery clinic for evaluation were asked interview with member research team. Enrollment limited by availability team; oral interviews required eliminate any literacy bias. Our researchers recorded patient demographics, transportation resources, income, neighborhood, patient’s perceived barriers (BHA). primary outcome variable self-reported BHA. predictor deprivation index (ADI) obtained using home address. Descriptive statistics, χ2, Fisher exact test, analysis variance, t logistic regression used analyze data as appropriate type. Multivariable potential confounding variables backward elimination technique, forcing ADI remain interest. Between November 2021 August 2022, 268 participated. mean age population 61.6 years, 50.7% (136/268) Black, there 129 (48.1%) women. associated race (P < .0001), income = .0035), educational level insurance type .0015). BHA 42.2% participants (113/268). Variables .0026), .036), employment status .0106), additional expenses visit .0006), distance travelled .0007). not unadjusted analysis. In multivariable regression, predicted unemployment (odds ratio [OR], 2.2; 95% confidence interval [CI], 1.2-4.1), expense related appointment (OR, 3.7; CI, 1.5-9.0), younger 0.97; 0.95-0.99). did predict Barriers unemployment, age, expenses. alone does healthcare. Future studies need focus on patient-specific variables.