Racial/Ethnic Disparities in Health and Health Care among U.S. Adolescents
Article first published online: 14 MAR 2012
© Health Research and Educational Trust
Health Services Research
Volume 47, Issue 5, pages 2031–2059, October 2012
How to Cite
Lau, M., Lin, H. and Flores, G. (2012), Racial/Ethnic Disparities in Health and Health Care among U.S. Adolescents. Health Services Research, 47: 2031–2059. doi: 10.1111/j.1475-6773.2012.01394.x
- Issue published online: 17 SEP 2012
- Article first published online: 14 MAR 2012
- Network for Multicultural Research on Health and Healthcare
To examine racial/ethnic disparities in medical and oral health status, access to care, and use of services in U.S. adolescents.
Secondary data analysis of the 2003 National Survey of Children's Health. The survey focus was children 0–17 years old.
Bivariate and multivariable analyses were conducted for white, African American, Latino, Asian/Pacific Islander, American Indian/Alaskan Native, and multiracial adolescents 10–17 years old (n = 48,742) to identify disparities in 40 measures of health and health care.
Certain disparities were especially marked for specific racial/ethnic groups and multiracial youth. These disparities included suboptimal health status and lack of a personal doctor or nurse for Latinos; suboptimal oral health and not receiving all needed medications in the past year for African Americans; no physician visit or mental health care in the past year for Asian/Pacific Islanders; overweight/obesity, uninsurance, problems getting specialty care, and no routine preventive visit in the past year for American Indian/Alaska Natives; and not receiving all needed dental care in multiracial youth.
U.S. adolescents experience many racial/ethnic disparities in health and health care. These findings indicate a need for ongoing identification and monitoring of and interventions for disparities for all five major racial/ethnic groups and multiracial adolescents.