Transportation barriers to accessing health care for urban children

Serena Yang, Robert L. Zarr, Taha A. Kass-Hout, Atoosa Kourosh, Nancy R. Kelly

Research output: Contribution to journalArticlepeer-review

54 Scopus citations


The Texas Children's Hospital Residents' Primary Care Group Clinic provides primary care to urban low-income children. The objective of this cross-sectional study was to investigate the impact of transportation problems on a family's ability to keep an appointment. One hundred eighty-three caregivers of children with an appointment were interviewed. Caregivers who kept their appointment were compared with those who did not with respect to demographic and transportation-related characteristics. Logistic regression modeling predicted caregivers with the following characteristics were more likely not to keep an appointment: not using a car to the last kept appointment, not keeping an appointment in the past due to transportation problems, having more than two people in the household, and not keeping an appointment in the past due to reasons other than transportation problems. Future research should focus on developing interventions to help low-income urban families overcome non-financial access barriers, including transportation problems.

Original languageEnglish (US)
Pages (from-to)928-943
Number of pages16
JournalJournal of Health Care for the Poor and Underserved
Issue number4
StatePublished - Nov 1 2006


  • Access to health care
  • Child health
  • Transportation
  • Urban population

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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