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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Understanding health-care access and utilization disparities among Latino children in the United States
Journal of child health care, v 20(2), pp 133-144
01 Jun 2016
PMCID: PMC4430463
PMID: 25395597
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
It is important to understand the source of health-care disparities between Latinos and other children in the United States. We examine parent-reported health-care access and utilization among Latino, White, and Black children (17 years old) in the United States in the 2006-2011 National Health Interview Survey. Using Blinder-Oaxaca decomposition, we portion health-care disparities into two parts (1) those attributable to differences in the levels of sociodemographic characteristics (e.g., income) and (2) those attributable to differences in group-specific regression coefficients that measure the health-care return' Latino, White, and Black children receive on these characteristics. In the United States, Latino children are less likely than Whites to have a usual source of care, receive at least one preventive care visit, and visit a doctor, and are more likely to have delayed care. The return on sociodemographic characteristics explains 20-30% of the disparity between Latino and White children in the usual source of care, delayed care, and doctor visits and 40-50% of the disparity between Latinos and Blacks in emergency department use and preventive care. Much of the health-care disadvantage experienced by Latino children would persist if Latinos had the sociodemographic characteristics as Whites and Blacks.
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Details
- Title
- Understanding health-care access and utilization disparities among Latino children in the United States
- Creators
- Brent A. Langellier - University of ArizonaJie Chen - Department of Health ServicesArturo Vargas-Bustamante - University of California, Los AngelesMoira Inkelas - University of California, Los AngelesAlexander N. Ortega - University of California, Los Angeles
- Publication Details
- Journal of child health care, v 20(2), pp 133-144
- Publisher
- Sage
- Number of pages
- 12
- Grant note
- P50HL105188 / NATIONAL HEART, LUNG, AND BLOOD INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI) P50 HL105188 / National Heart, Lung and Blood Institute at the National Institutes of Health (NIH)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Health Management and Policy
- Web of Science ID
- WOS:000376306500002
- Scopus ID
- 2-s2.0-84967144031
- Other Identifier
- 991019296799304721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Nursing
- Pediatrics