To compare the health, behavior and school problems, and use of medical, mental health, and special education services of privately insured, middle class black and white children in the United States.
Analyses of the Child Health Supplement to the 1988 National Health Interview Survey, with a nationally representative sample of 17 110 children age 0-17 years.
Privately insured middle class black children had fewer chronic health conditions, but were less likely to be reported to be in excellent health (46.2% vs 57.3%) and more likely to have had asthma (8.5% vs 5.8%) or to have been of low birth weight (10.7% vs 5.6%). There were no differences in rates of having a usual source of routine care (92.2% vs 93.8%) or of being up to date with well-child care (79.3% vs 78.2%), but black children made fewer physician visits, were less likely to use physicians'offices, were more likely to lack continuity of care, and were twice as likely to use emergency departments.
These differences in use of medical services persisted in multivariate analyses and analyses restricted to more affluent children.
Despite similar rates of behavior problems, black children were more likely to repeat a grade (20.0% vs 12.3%) and to have been suspended from school (11.3% vs 5.0%). (...)
Mots-clés Pascal : Santé, Morbidité, Enfant, Homme, Etats Unis, Amérique du Nord, Amérique, Epidémiologie, Assurance maladie
Mots-clés Pascal anglais : Health, Morbidity, Child, Human, United States, North America, America, Epidemiology, Health insurance
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0430590
Code Inist : 002B30A01A2. Création : 22/03/2000.