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Health Serv Res. 2012 Oct;47(5):2031-59. doi: 10.1111/j.1475-6773.2012.01394.x. Epub 2012 Mar 14.

Racial/ethnic disparities in health and health care among U.S. adolescents.

Author information

  • 1Division of General Pediatrics, Department of Pediatrics, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-9063, USA. may.lau@utsouthwestern.edu

Abstract

OBJECTIVE:

To examine racial/ethnic disparities in medical and oral health status, access to care, and use of services in U.S. adolescents.

DATA SOURCE:

Secondary data analysis of the 2003 National Survey of Children's Health. The survey focus was children 0-17 years old.

STUDY DESIGN:

Bivariate and multivariable analyses were conducted for white, African American, Latino, Asian/Pacific Islander, American Indian/Alaskan Native, and multiracial adolescents 10-17 years old (n = 48,742) to identify disparities in 40 measures of health and health care.

PRINCIPAL FINDINGS:

Certain disparities were especially marked for specific racial/ethnic groups and multiracial youth. These disparities included suboptimal health status and lack of a personal doctor or nurse for Latinos; suboptimal oral health and not receiving all needed medications in the past year for African Americans; no physician visit or mental health care in the past year for Asian/Pacific Islanders; overweight/obesity, uninsurance, problems getting specialty care, and no routine preventive visit in the past year for American Indian/Alaska Natives; and not receiving all needed dental care in multiracial youth.

CONCLUSIONS:

U.S. adolescents experience many racial/ethnic disparities in health and health care. These findings indicate a need for ongoing identification and monitoring of and interventions for disparities for all five major racial/ethnic groups and multiracial adolescents.

© Health Research and Educational Trust.

PMID:
22417169
[PubMed - indexed for MEDLINE]
PMCID:
PMC3513617
Free PMC Article
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