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The aims of this study were to 1) map and model spatial access to HCV-related services, visualizing the distribution of services, 2) characterize the association between spatial access to HCV-related services and HCV prevalence across Massachusetts, and 3) investigate the use of spatial mixed models to better account for geographic variability of spatial access and HCV prevalence. We will use a ... read morepartially de-identified, limited HCV Surveillance Dataset from the Massachusetts Department of Public Health (MDPH) and demographic variables from the U.S. Census Bureau's 2010 Decennial Census and the 2009-2013 American Community Survey (ACS) 5 year estimates, selected based upon a prior research of factors associated with HCV hotspots (Stopka et al., 2017). Preliminary results suggest spatial clustering of accessibility and socioeconomic variables across the state. Better access to hospitals, higher inequity in income distribution and a lack of racial diversity appear to be correlated with higher rates of HCV infection.
Thesis (M.A.)--Tufts University, 2019.
Submitted to the Dept. of Urban and Environmental Policy and Planning.
Advisor: Sumeeta Srinivasan.
Committee: Thomas Stopka.
Keywords: Urban planning, Transportation, and Public health.read less
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