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March 31, 2026SHILAP Revista de lepidopterología0 citationsOpen Access

Social determinants of access to healthcare services by race/ethnicity in a Southeastern Metropolitan Area

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JLJonathan H. LowTVT. Robert VuJKJoseph Keawe’aimoku Kaholokula

Key Points

  • To evaluate how social determinants affect healthcare access among ethnic and minority groups in Charleston.
  • Analyzed secondary data from the 2019 Trident United Way Community Health Needs Assessment.
  • Examined self-reported reasons for limited healthcare access based on race/ethnicity.
  • Utilized statistical analysis to identify significant differences in access barriers.
  • Significant differences in healthcare access barriers were found by race/ethnicity.
  • Key barriers included not knowing how to access health services and when to see a doctor.
  • Fear and lack of trust in healthcare providers were significant factors.

Abstract

Ethnic and minority groups throughout the United States experience higher rates of sickness and death across a wide range of health conditions. The purpose of this study was to assess social determinants of healthcare access in the Charleston area by race/ethnicity. This study utilized a secondary data set from the 2019 Trident United Way Community Health Needs Assessment. Variables included self-reported reasons for limited healthcare access and race/ethnicity. Results indicated significant differences by race/ethnicity based on not knowing how to access health services (p=.034); not knowing when to see a doctor (p=.006); fear (p=.015); and lack of trust of doctors (p=.014). Additional significant differences were found for cultural/religious beliefs; health insurance related barriers; lack of transportation; and lack of knowledge (all p<.00l). Findings indicate that disparities exist by race/ethnicity related to reasons for limited healthcare access in the Charleston Tri-County area.

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Cite This Study

Low et al. (2026) studied this question.

synapsesocial.com/papers/69cb645fe6a8c024954b8938https://doi.org/10.1080/29944694.2026.2635823
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