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Table 5 Racial/ethnic differences in health status, special healthcare needs, access to healthcare, unmet healthcare needs, use of health services, parental out-of-pocket costs of health services, parental satisfaction with pediatric care, and parental-reported financial burden of child’s healthcare among uninsured minority children eligible for but not insured by Medicaid or CHIP (N = 267)a

From: A cross-sectional study of parental awareness of and reasons for lack of health insurance among minority children, and the impact on health, access to care, and unmet needs

Measure

Latinos (N = 174)

African-Americans (N = 93)

P

Health status

 Worry about child’s health more than other people

89 %

73 %

<.01

Special healthcare need

 Asthma

10 %

25 %

<.01

 ADHD

4 %

12 %

.02

Access to healthcare

 Has no PCP

70 %

52 %

<.01

 No usual source of preventive care

51 %

23 %

<.01

 Source of sick care and preventive care different

60 %

45 %

.02

 Usual source of care has no night or weekend office hours

93 %

79 %

<.01

 Doesn’t have 24-hour phone coverage for sick care

95 %

75 %

<.01

 No access to same-day sick-care visit without appointment

27 %

43 %

.01

 Never/sometimes receive help or advice over phone

3 %

11 %

.01

Unmet healthcare needs

 Didn’t receive all needed acute care

5 %

18 %

.01

 Didn’t receive all needed prescription medications

7 %

15 %

.03

Use and out-of-pocket costs of health services

 Mean out-of-pocket cost per doctor visitb

$153.2

$119.5

<.01

 Mean out-of-pocket cost per preventive-care visitc

$50.0

$40.4

.03

 Mean out-of-pocket cost per sick visitd

210.3

160.5

.01

 Mean number of sick visits in past year

1.8

1.7

.04

 Mean number of ED visits in past year

0.5

1.5

.03

Parental satisfaction with care

 Doctor never/sometimes understands how I prefer to raise my child

21 %

37 %

.01

Parental-reported financial burden

 Need additional income to cover child’s medical expenses

39 %

55 %

.02

  1. aThere were no significant racial/ethnic differences for any measure not listed in the table
  2. bAmong children who made any doctor visit
  3. cAmong children who made any preventive-care visit
  4. dAmong children who made any sick visit