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Duration of Dermatitis Before Patch Test Appointment Is Associated With Distance to Clinic and County Poverty Rate.

Publication ,  Journal Article
Rodriguez-Homs, LG; Liu, B; Green, CL; Sofela, O; Atwater, AR
Published in: Dermatitis
2020

BACKGROUND: Contact dermatitis is a common disease that is associated with impaired quality of life. OBJECTIVE: We examined the effect of travel distance and other socioeconomic factors on duration of dermatitis before presentation at the Duke Contact Dermatitis and Patch Testing Center. METHODS: This is a retrospective study of patients who underwent patch testing from March 1, 2012, to August 1, 2018. Associations between duration of dermatitis, distance to clinic, and socioeconomic factors (age, race, payor group, county poverty rate, rural-urban status) were examined. RESULTS: The median duration of dermatitis was 14 months (Q1 = 7 months; Q3 = 36 months), and the median distance to clinic was 18 miles (Q1 = 7 miles; Q3 = 45.9 miles). For a 50-mile increase in the distance from the patient's zip code to the clinic, the median duration of dermatitis increased by 17.9% (P < 0.001). For every 5% increase in the county poverty rate, the median duration of dermatitis increased by 16.3% (n = 29; P = 0.032). Trends were noted for a longer duration of dermatitis based on insurance payor, rural-urban status, and race. CONCLUSIONS: Distance to patch test provider and county poverty status are important measures of access for patients with dermatitis.

Duke Scholars

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Published In

Dermatitis

DOI

EISSN

2162-5220

Publication Date

2020

Volume

31

Issue

4

Start / End Page

259 / 264

Location

United States

Related Subject Headings

  • Urban Population
  • Time Factors
  • Rural Population
  • Retrospective Studies
  • Poverty
  • Patient Acceptance of Health Care
  • Patch Tests
  • Middle Aged
  • Male
  • Insurance, Health
 

Citation

APA
Chicago
ICMJE
MLA
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Rodriguez-Homs, L. G., Liu, B., Green, C. L., Sofela, O., & Atwater, A. R. (2020). Duration of Dermatitis Before Patch Test Appointment Is Associated With Distance to Clinic and County Poverty Rate. Dermatitis, 31(4), 259–264. https://doi.org/10.1097/DER.0000000000000581
Rodriguez-Homs, Larissa G., Beiyu Liu, Cynthia L. Green, Olamiji Sofela, and Amber Reck Atwater. “Duration of Dermatitis Before Patch Test Appointment Is Associated With Distance to Clinic and County Poverty Rate.Dermatitis 31, no. 4 (2020): 259–64. https://doi.org/10.1097/DER.0000000000000581.
Rodriguez-Homs LG, Liu B, Green CL, Sofela O, Atwater AR. Duration of Dermatitis Before Patch Test Appointment Is Associated With Distance to Clinic and County Poverty Rate. Dermatitis. 2020;31(4):259–64.
Rodriguez-Homs, Larissa G., et al. “Duration of Dermatitis Before Patch Test Appointment Is Associated With Distance to Clinic and County Poverty Rate.Dermatitis, vol. 31, no. 4, 2020, pp. 259–64. Pubmed, doi:10.1097/DER.0000000000000581.
Rodriguez-Homs LG, Liu B, Green CL, Sofela O, Atwater AR. Duration of Dermatitis Before Patch Test Appointment Is Associated With Distance to Clinic and County Poverty Rate. Dermatitis. 2020;31(4):259–264.

Published In

Dermatitis

DOI

EISSN

2162-5220

Publication Date

2020

Volume

31

Issue

4

Start / End Page

259 / 264

Location

United States

Related Subject Headings

  • Urban Population
  • Time Factors
  • Rural Population
  • Retrospective Studies
  • Poverty
  • Patient Acceptance of Health Care
  • Patch Tests
  • Middle Aged
  • Male
  • Insurance, Health