CoChat
Sign Up
Cited by 280Health disparities and outcomesChild and Adolescent HealthRacial and Ethnic Identity Research

The DOI matches its Crossref record; 49 of the 49 references it cites were found in a registry or an index.

Racial and Ethnic Disparities in Health Care for Adolescents: A Systematic Review of the Literature

Elster, Arthur, Jarosik, Julie, VanGeest, Jonathan, Fleming, Missy·2003·Archives of Pediatrics & Adolescent Medicine
DOI 10.1001/archpedi.157.9.867
Open this paper in CoChat — free account

Abstract

OBJECTIVE: To identify the extent of racial and ethnic disparities in primary care, mental health care, reproductive health care, and asthma care for adolescents independent of socioeconomic status (SES). DATA SOURCES: Systematic review of the scientific literature using standard bibliographic databases. STUDY SELECTION: Inclusion criteria were (1) studies published in the past 12 years, (2) analyses included children and adolescents aged 17 years and younger, and (3) data analyzed by racial/ethnic groups while accounting for SES. A total of 203 studies were reviewed, of which 31 met the criteria for inclusion: 14 of 65 studies on primary care, 11 of 61 studies on mental health care, 2 of 50 studies on reproductive health, and 4 of 27 studies on asthma services. DATA EXTRACTION: Data from tables in the selected studies were used to determine whether minority children and adolescents received fewer, greater, or the same health care services as white children and youth after taking into account SES. DATA SYNTHESIS: Black youth received fewer primary care services in 8 studies, whereas in 4 studies no disparity was noted. Hispanic youth received fewer primary care services in 6 studies, whereas no disparity was noted in 5. One study did not include Hispanic subjects. In 2 studies minority youth, combined into a single category, received fewer services than did white youth. In a total of 6 studies black youth received fewer mental health services, whereas in 3 studies no disparity was noted and in 1 study black youth received a greater number of services. In 3 studies Hispanic youth received fewer mental health services, and in 3 studies there were no group differences. In 1 study, with racial and ethnic groups combined in a single category, minority children and youth received fewer mental health services than white subjects. Three studies did not include Hispanic subjects. Too few studies of reproductive and asthma care were available to draw conclusions. CONCLUSIONS: These results suggest that racial and ethnic disparities, independent of SES, exist in selected areas of adolescent health care. More studies are needed to better understand the extent and causes of these findings.

Overview

Integrity signals

Registry

Crossref · 10.1001/archpedi.157.9.867

Cites

49 of 49 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Verification

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Citations

Cites

Show all 48 references

Cited by

Sorted by citations

Related

See all

Metadata

Authors
Elster, A., Jarosik, J., VanGeest, J., & Fleming, M.
Affiliations
American Medical Association (US)
ORCID
VanGeest, Jonathan
Venue
Archives of Pediatrics & Adolescent Medicine
Publisher
American Medical Association (AMA)
Published
2003-09-01
Volume
157
Issue
9
Pages
867
ISSN
1072-4710 (ISSN-L)
DOI
10.1001/archpedi.157.9.867
OpenAlex
W2056717805
Cited by
279
References
48
Citations by year
2025: 3 · 2024: 8 · 2023: 6 · 2022: 10 · 2021: 15 · 2020: 11 · 2019: 8 · 2018: 10 · 2017: 42 · 2016: 13 · 2015: 10 · 2014: 13 · 2013: 8 · 2012: 8
FWCI
9.65
Type
journal article
Language
en
Open access
closed
Locations
  • Archives of Pediatrics and Adolescent Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Health › Health disparities and outcomes
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Child and Adolescent Health
  • Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
Keywords
racial and ethnic disparities, adolescent health care, primary care, mental health services, reproductive health care, asthma care, Black adolescents, Latino youth, socioeconomic status, health care access
MeSH terms
Adolescent, Ethnicity, Female, Health Services Accessibility, Humans, Male, Mental Health Services, Primary Health Care, Adolescent Health Services, Racial Groups

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review