Social determinants and health service use among racial and ethnic minorities: Findings from a community sample

Duy D. Nguyen, Kiu H. Ho, Herbert Williams James

Research output: Contribution to journalArticle

10 Scopus citations


Multiple models conceptualizing the relationship between social determinants and health exist, but little research has examined the relationship between social determinants and health service use. Using previously collected survey data from racial and linguistic minorities from high-crime communities in a Midwestern urban area, this study uses the Commission on Social Determinants of Health framework to test the structural and intermediary determinants of health service use. The results indicate that perceived discrimination and neighborhood cohesion increase the likelihood of a person using health services. Implications for social work practice, advocacy, and research to address intermediary social determinants are discussed.

Original languageEnglish (US)
Pages (from-to)390-405
Number of pages16
JournalSocial Work in Health Care
Issue number5
StatePublished - May 1 2011



  • Health disparities
  • Health service use
  • Minority groups
  • Neighborhoods

ASJC Scopus subject areas

  • Community and Home Care
  • Psychiatry and Mental health

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