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Racial/ethnic differences in children's access to care

R M Weinick1, N A Krauss

  • 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
PubMed

Insights

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.
Abstract

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