Racial/ethnic differences in children's access to care

Am J Public Health. 2000 Nov;90(11):1771-4. doi: 10.2105/ajph.90.11.1771.


Objectives: This study explored reasons for racial and ethnic differences in children's usual sources of care.

Methods: Data from the 1996 Medical Expenditure Panel Survey were examined by means of logistic regression techniques.

Results: Black and Hispanic children were substantially less likely than White children to have a usual source of care. These differences persisted after control for health insurance and socioeconomic status. Control for language ability, however, eliminated differences between Hispanic and White children.

Conclusions: Results suggest that the marked Hispanic disadvantage in children's access to care noted in earlier studies may be related to language ability.

MeSH terms

  • Adolescent
  • African Americans / statistics & numerical data*
  • Asian Americans / statistics & numerical data*
  • Child
  • Child Health Services / standards
  • Child Health Services / statistics & numerical data*
  • Child, Preschool
  • Communication Barriers
  • Female
  • Health Care Surveys
  • Health Expenditures / statistics & numerical data
  • Health Services Accessibility / standards
  • Health Services Accessibility / statistics & numerical data*
  • Hispanic or Latino / statistics & numerical data*
  • Humans
  • Infant
  • Infant, Newborn
  • Insurance, Health / statistics & numerical data
  • Logistic Models
  • Male
  • Multivariate Analysis
  • Socioeconomic Factors
  • United States / epidemiology
  • Whites / statistics & numerical data*