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Table 5 Multivariable analysesaof racial/ethnic disparities in access to medical and dental care and use of services among US children 0-17 years old (N = 90,117), 2007 NSCH

From: Trends in racial/ethnic disparities in medical and oral health, access to care, and use of services in US children: has anything changed over the years?

 

Odds ratio (95% confidence interval) vs. white children

Measure

Latino

African-American

Asian/Pacific Islander

American Indian/Alaska Native

Multiracial

No health insuranceb

1.55 (1.24, 1.95)

1.33 (1.07, 1.65)

0.47 (0.33, 0.67)

1.97 (1.40, 2.79)

1.08 (0.82, 1.41)

Sporadically insured in past yearb

1.72 (1.4, 2.11) Z = 1.79 (P = .04)

1.55 (1.31, 1.83)

0.96 (0.71, 1.3)

1.51 (1.07, 2.13)

1.11 (0.82, 1.51)

No personal doctor or nurse

1.71 (1.33, 2.21)

2.07 (1.73, 2.48)

1.42 (0.91, 2.21)

3.52 (1.91, 6.5)

1.55 (1.19, 2.01)

PCP never/sometimes spends enough time with child

2.2 (1.85, 2.61)

2.53 (2.25, 2.85)

2.46 (1.85, 3.26)

2.3 (1.75, 3.03)

1.28 (1.02, 1.62)

Did not receive all needed medical care

1.39 (0.95, 2.02)

1.23 (0.95, 1.6)

0.69 (0.45, 1.06)

1.43 (0.89, 2.3) Z = -2.4 (P = .01)

1.4 (0.82, 2.4) Z = -2.34 (P = .01)

Did not receive all needed dental care

1.15 (0.74, 1.8)

0.9 (0.64, 1.26) Z = -4.34 (P < .01)

0.42 (0.25, 0.72) Z = -2.45 (P = .01)

1.69 (1.05, 2.72)

1.5 (1.04, 2.18)

Any problem getting specialty care

1.43 (1.07, 1.92)

1.83 (1.45, 2.32) Z = 3.43 (P < .01)

1.48 (1.00, 2.19)c

2.34 (1.44, 3.79)

1.53 (1.01, 2.32)

No physician visit in last 12 months

1.01 (0.81, 1.25)

0.61 (0.51, 0.72) Z = -8.2 (P < .01)

1.28 (0.88, 1.85) Z = -2.53 (P = .01)

0.89 (0.61, 1.3) Z = -2.77 (P = .003)

1.0 (0.75, 1.34)

No routine preventive dental visit in last 12 months

1.05 (0.89, 1.25) Z = -1.76 (P = .04)

1.04 (0.9, 1.2) Z = -5.7 (P < .01)

1.08 (0.86, 1.35) sZ = -1.66 (P = .048)

0.7 (0.49, 1.0) Z = -3.5 (P < .01)

0.96 (0.77, 1.19) Z = -2.07 (P = .02)

Received no specialty care in last 12 months

1.14 (0.96, 1.35)

1.36 (1.20, 1.54)

1.59 (1.21, 2.07)

1.41 (1.04, 1.92)

1.12 (0.92, 1.36) Z = 1.93 (P = .03)

Received no mental healthcare in past 12 months

1.27 (1.00, 1.62)d

1.62 (1.33, 1.97)

2.83 (1.95, 4.1)

0.90 (0.59, 1.38)

0.9 (0.72, 1.14)

  1. Data source: non-public data set of 2007 National Survey of Childhood Health.
  2. aExcept as noted below, adjusted for primary language spoken at home, child’s age and health insurance coverage, caregiver’s educational attainment and employment status, number of children in the household, number of adults in the household, and poverty level. NS = not statistically significant. Z-scores and P values provided for ORs and 95% CIs which significantly differed for same indicator in multivariable analyses of 2003 NSCH (see Additional file 1: Appendices 1 and 2 for 2003 NSCH data).
  3. bAdjusted for primary language spoken at home, child’s age, caregiver’s educational attainment and employment status, number of children in the household, number of adults in the household, and poverty level.
  4. cNot statistically significant, but trending towards significance, with P = .0504.
  5. dNot statistically significant, but trending towards significance, with P = .0503.
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International Journal for Equity in Health

ISSN: 1475-9276

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