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Perceived Discrimination and Increased Odds of Unmet Medical Needs Among US Children

Sze Yan Liu1, Roman Pabayo2, Peter Muennig3

  • 18087Montclair State University, Montclair, NJ, USA.

International Journal of Health Services : Planning, Administration, Evaluation
|March 12, 2021
PubMed

Insights

Racial discrimination in children is linked to unmet medical needs. Awareness of this discrimination is crucial for developing interventions to address healthcare disparities in childhood.

Area of Science:

  • Pediatric Health
  • Sociology of Health
  • Health Disparities Research

Background:

  • Perceived discrimination due to race is a significant stressor.
  • Racial disparities in healthcare access and outcomes persist in the US.
  • Understanding the link between discrimination and unmet medical needs in children is vital.

Purpose of the Study:

  • To examine the association between perceived racial discrimination and unmet medical needs in a national sample of US children.
  • To compare findings using two statistical methods (CEM and logistic regression) for robustness.

Main Methods:

  • Utilized data from the 2016-2017 National Survey of Children's Health.
  • Employed coarsened exact matching (CEM) and survey-weighted logistic regression.
  • Analyzed caregiver-reported data on perceived racial discrimination and unmet medical needs.

Main Results:

  • Approximately 2.7% of US children reported experiencing racial discrimination.
  • Prevalence of discrimination varied significantly by race, with 8.8% of non-Hispanic Black children reporting it compared to <1% of non-Hispanic White children.
  • Perceived discrimination was significantly associated with higher odds of unmet medical needs (Adjusted OR = 2.4-2.8).

Conclusions:

  • Children experiencing perceived racial discrimination face greater odds of unmet medical needs.
  • Findings highlight the impact of racism on child health outcomes.
  • Awareness of discrimination can inform interventions to address unmet medical needs in children.

Keywords:
childrenperceived discriminationunmet medical need

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