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Racial/ethnic differences in children's access to care
1Center for Primary Care Research, Agency for Healthcare Research and Quality, Rockville, MD 20852, USA. rweinick@ahrq.gov
American Journal of Public Health
|November 15, 2000
Summary
Racial and ethnic disparities exist in children's usual sources of care. For Hispanic children, language barriers appear to be a significant factor contributing to these differences.
Area of Science:
- Health Services Research
- Pediatric Health Disparities
- Sociology of Health
Background:
- Racial and ethnic minorities often face barriers in accessing consistent healthcare.
- Understanding these disparities is crucial for improving child health outcomes.
- Previous studies indicated a disadvantage for Hispanic children in accessing usual care.
Purpose of the Study:
- To investigate the underlying reasons for racial and ethnic variations in children's usual sources of healthcare.
- To identify specific factors contributing to disparities in access to care among children.
- To examine the role of socioeconomic status, insurance, and language in these differences.
Main Methods:
- Analysis of data from the 1996 Medical Expenditure Panel Survey (MEPS).
- Application of logistic regression techniques to identify significant factors.
- Comparison of healthcare access across different racial and ethnic groups.
Main Results:
- Black and Hispanic children were significantly less likely to have a usual source of care compared to White children.
- These disparities persisted even after accounting for health insurance and socioeconomic status.
- Controlling for language ability eliminated the observed differences between Hispanic and White children.
Conclusions:
- Language ability appears to be a key factor contributing to the disparity in usual source of care for Hispanic children.
- Addressing language barriers may be essential for improving healthcare access for minority children.
- Findings suggest a modifiable factor influencing healthcare access for vulnerable pediatric populations.
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