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Cited by 493Health disparities and outcomesChild and Adolescent HealthHealthcare Policy and Management

The DOI matches its Crossref record; 34 of the 36 references it cites were found in a registry or an index.

Racial and ethnic disparities in medical and dental health, access to care, and use of services in US children.

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Flores, Glenn, Tomany-Korman, Sandra C.·2008·Pediatrics
DOI 10.1542/peds.2007-1243
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Abstract

BACKGROUND. Not enough is known about the national prevalence of racial/ethnic disparities in children's medical and dental care. OBJECTIVE. The purpose of this work was to examine racial/ethnic disparities in medical and oral health, access to care, and use of services in a national sample. METHODS. The National Survey of Children's Health was a telephone survey in 2003–2004 of a national random sample of parents and guardians of 102353 children 0 to 17 years old. Disparities in selected medical and oral health and health care measures were examined for white, African American, Latino, Asian/Pacific Islander, Native American, and multiracial children. Multivariate analyses were performed to adjust for primary language at home, age, insurance coverage, income, parental education and employment, and number of children and adults in the household. Forty measures of medical and oral health status, access to care, and use of services were analyzed. RESULTS. Many significant disparities were noted; for example, uninsurance rates were 6% for whites, 21% for Latinos, 15% for Native Americans, 7% for African Americans, and 4% for Asians or Pacific Islanders, and the proportions with a usual source of care were as follows: whites, 90%; Native Americans, 61%; Latinos, 68%; African Americans, 77%; and Asians or Pacific Islanders, 87%. Many disparities persisted for ≥1 minority group in multivariate analyses, including increased odds of suboptimal health status, overweight, asthma, activity limitations, behavioral and speech problems, emotional difficulties, uninsurance, suboptimal dental health, no usual source of care, unmet medical and dental needs, transportation barriers to care, problems getting specialty care, no medical or dental visit in the past year, emergency department visits, not receiving mental health care, and not receiving prescription medications. Certain disparities were particularly marked for specific racial/ethnic groups: for Latinos, suboptimal health status and teeth condition, uninsurance, and problems getting specialty care; for African Americans, asthma, behavior problems, skin allergies, speech problems, and unmet prescription needs; for Native Americans, hearing or vision problems, no usual source of care, emergency department visits, and unmet medical and dental needs; and for Asians or Pacific Islanders, problems getting specialty care and not seeing a doctor in the past year. Multiracial children also experienced many disparities. CONCLUSIONS. Minority children experience multiple disparities in medical and oral health, access to care, and use of services. Certain disparities are particularly marked for specific racial/ethnic groups, and multiracial children experience many disparities.

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Crossref · 10.1542/peds.2007-1243

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Research works printed but not linked: 2

  1. Elixhauser A, Machlin SR, Zodet MW, et al. Health care for children and youth in the United States: 2001 annual report on access, utilization, quality, and expenditures. Ambul Pediatr. 2002;2(6):419–437 · DOI
  2. Edelstein BL. Disparities in oral health and access to care: findings of national surveys. Ambul Pediatr. 2002;2(2 suppl):141–147 · DOI

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Metadata

Authors
Flores, G., & Tomany-Korman, S. C.
Affiliations
  • Children's Medical Center (US)
  • Signature Science, LLC, Austin, Texas
ORCID
Flores, Glenn
Venue
Pediatrics
Publisher
American Academy of Pediatrics (AAP)
Published
2008-02-01
Volume
121
Issue
2
Pages
e286-e298
ISSN
  • 0031-4005 (ISSN-L)
  • 1098-4275
DOI
10.1542/peds.2007-1243
OpenAlex
W1992059896
Cited by
492
References
36
Citations by year
2026: 9 · 2025: 9 · 2024: 20 · 2023: 25 · 2022: 22 · 2021: 28 · 2020: 32 · 2019: 27 · 2018: 29 · 2017: 32 · 2016: 25 · 2015: 24 · 2014: 30 · 2013: 31 · 2012: 31
FWCI
41.51
Type
journal article
Language
en
Open access
Locations
  • PEDIATRICS (publishedVersion)
  • PubMed (publishedVersion)
  • University Libraries (University of Maryland) (submittedVersion)
  • Digital Repository at the University of Maryland (University of Maryland College Park)
Topics
  • Social Sciences › Health › Health disparities and outcomes
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Child and Adolescent Health
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
Keywords
racial and ethnic disparities, child health, oral health, dental care, health care access, health care utilization, uninsurance, usual source of care, unmet medical needs, unmet dental care needs, Latino children, African American children, Native American children, multiracial children, asthma, emergency department visits, transportation barriers
MeSH terms
Adolescent, Child, Child, Preschool, Dental Care, Ethnicity, Female, Health Services, Health Services Accessibility, Health Surveys, Humans, Infant, Male, Socioeconomic Factors, United States, Multivariate Analysis, Health Care Surveys, Racial Groups, Health Status Disparities, Healthcare Disparities

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