Disparities in Pediatric Preventive Care in the United States, 1993-2002

Abstract

By physician report in a nationally representative sample, black and Latino children received less counseling at WCVs than did white children. These disparities were unexplained by the competing demands of other secondary diagnoses or medications prescribed or dispensed.

Underuse of Effective Measures to Prevent and Manage Pediatric Tuberculosis in the United States

“…The children in this study were predominantly from minority groups, reflecting the health disparity in this country. In agreement with a recent study showing that black and Hispanic children are less likely to receive counseling for preventive care, 35 we report on failures to test children for LTBI and, surprisingly, have found that children with TB were more likely to be born in the United States. One explanation is that children in the United States are more likely to be recently infected, especially those identified through a contact investigation, and disease tends to occur relatively rapidly in children.…”

Efficacy of a Web-Based Intervention to Improve and Sustain Knowledge and Screening for Amblyopia in Primary Care Settings

“…The National Ambulatory Medical Care Survey (NAMCS) recruited a nationally representative sample averaging 2,500 physicians and 24,000 patient visits per year, and reported that 11% to 17% of children were screened with a test of acuity over a 10-year period. 2 These data are in close agreement with studies using Medicaid billing data 3,4 although other studies report lower 5 or higher 6 rates. "Quantitative" vision screening is usually performed by medical staff using a test of visual acuity or, less commonly, using photo-or autorefraction.…”

Disparities in Pediatric Scoliosis: The Impact of Race and Insurance Type on Access to Nonoperative Treatment for Adolescent Idiopathic Scoliosis

“…Recent literature has sought to elucidate racial/ethnic disparities in the care of pediatric patients. 4 In a study assessing racial/ethnic discrepancies between the frequency of clinician-reported delivery of obesity-prevention counseling (OPC) at well-child visits, Branner et al 18 conducted a retrospective, database review of nearly 56 million pediatric clinic visits. The study showed that only 15.4% of Hispanic patients received OPC compared to 28.8% of non-Hispanics.…”