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【正文】 ac t )S erv ic e Ar ea (by C ens us T rac t )Application in healthcare access (vs. latestage cancer) Cancer mortality Latestage diagnosis Healthcare access Risk breakdowns Urban vs. rural Travel time to cancer screening facility Access to primary care Spatial: where we are Individual attributes Community characteristics (contextual) Nonspatial: who we are Culture Knowledge (Dis)advantage Health insurance Access to primary care Availability and accessibility of screening services Quality of health care Multilevel approach Socioeconomic disadvantage Social works and institutions Local resources PERSON PLACE Ruralurban continuum ?Chicago ?Chicago suburbs ?Other metro areas ?Large town (1050k) ?Rural Multilevel Model Coefficients Breast Colorectal Lung Prostate Chic_sub * * * * * * Other_metro * * * * * * * * * Large town * * * * * * * * * * Rural * * * * * * * Age50 .547* .541* .216* .216* .195* .188* .129 .128 Age≥70 * * * * * * * * Black .373* .370* .083* .077* * * .289* .279* Ine * * Non_Engli .012* .002 .003 Access * * Time .002 Findings ? Effects of individual attributes ? Older age linked to reduced risk ? Blacks linked to higher risk ? Effects of contextual variables ? Ine amp。Socioe cono mic Di sadva ntage Scor es (Fa ctor 1 )L e g e n dF AC T OR1 2. 0 1130 0 0. 4628 0 0 0. 4 6279 9 0. 1000 000 . 10 0001 0. 9 3330 00 . 93 3301 1. 8 8860 01 . 88 8601 3. 1 6170 03 . 16 1701 5. 8 7210 0C ou nt y Boun d ary0 5 102 .5M i l e s177。Spatia l Acce ssibili ty by 2 step FCA M ethodL e g e n dA cces sibili ty Sc ore 0 . 00 3876 0. 0 0488 60 . 00 3218 0. 0 0387 50 . 00 2464 0. 0 0321 70 . 00 1727 0. 0 0246 30 . 00 0986 0. 0 0172
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