Understanding health-care access and utilization disparities among Latino children in the United States.
Understanding health-care access and utilization disparities among Latino children in the United States.
复制标题
了解美国拉丁裔儿童的医疗保健访问和利用差异。
DOI：
10.1177/1367493514555587
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发表时间：
2016-06
期刊：
影响因子：
--
通讯作者：
Ortega AN
中科院分区：
文献类型：
--
作者：
Langellier BA;Chen J;Vargas-Bustamante A;Inkelas M;Ortega AN
重要的是要了解拉丁美洲人和美国其他儿童之间的医疗差距的来源。我们在2006-2011年全国健康访谈调查中检查了美国拉丁裔，白色和黑人儿童（≤17岁）的父母报告的医疗保健获得和利用情况。使用Blinder-Oaxaca分解，我们将卫生保健差异分为两部分：（1）可归因于社会人口特征水平差异的部分（例如，收入）和（2）那些归因于群体特定回归系数的差异，这些回归系数测量了拉丁美洲、白色和黑人儿童在这些特征上获得的医疗保健“回报”。在美国，拉丁裔儿童不太可能比白人有一个通常的护理来源，接受至少一次预防性护理访问，并访问医生，更有可能有延迟护理。社会人口特征的回报解释了拉丁美洲和白色儿童在通常的护理来源、延迟护理和医生就诊方面的20-30%的差异，以及拉丁美洲和黑人在急诊室使用和预防护理方面的40-50%的差异。如果拉美裔人具有白人和黑人的社会人口特征，那么拉美裔儿童所经历的大部分医疗保健劣势将持续存在。
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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影响因子：
8
作者：
Flores, Glenn;Tomany-Korman, Sandra C.
通讯作者：
Tomany-Korman, Sandra C.
影响因子：
3
作者：
Perez, Victor H;Fang, Hai;Ortega, Alexander N
通讯作者：
Ortega, Alexander N
影响因子：
8
作者：
Flores, G;Olson, L;Tomany-Korman, SC
通讯作者：
Tomany-Korman, SC
影响因子：
5
作者：
ANDERSEN, RM
通讯作者：
ANDERSEN, RM
影响因子：
3.1
作者：
Berdahl, Terceira A.;Friedman, Bernard S.;Simpson, Lisa
通讯作者：
Simpson, Lisa