Arthur B. Elster|Julie Jarosik|Jonathan B. VanGeest|Missy Fleming
Racial and Ethnic Disparities in Health Care for Adolescents
American Medical Association
h3objectiveh3 identify extent racial ethnic disparities primary care mental health care reproductive health care asthma care adolescents independent socioeconomic status ses h3data sourcesh3 systematic review scientific literature using standard bibliographic databases h3study selectionh3 inclusion criteria 1 studies published past 12 years 2 analyses included children adolescents aged 17 years younger 3 data analyzed racialethnic groups accounting ses total 203 studies reviewed 31 met criteria inclusion 14 65 studies primary care 11 61 studies mental health care 2 50 studies reproductive health 4 27 studies asthma services h3data extractionh3 data tables selected studies used determine whether minority children adolescents received fewer greater health care services white children youth taking account ses h3data synthesish3 black youth received fewer primary care services 8 studies whereas 4 studies disparity noted hispanic youth received fewer primary care services 6 studies whereas disparity noted 5 one study include hispanic subjects 2 studies minority youth combined single category received fewer services white youth total 6 studies black youth received fewer mental health services whereas 3 studies disparity noted 1 study black youth received greater number services 3 studies hispanic youth received fewer mental health services 3 studies group differences 1 study racial ethnic groups combined single category minority children youth received fewer mental health services white subjects three studies include hispanic subjects studies reproductive asthma care available draw conclusions h3conclusionsh3 results suggest racial ethnic disparities independent ses exist selected areas adolescent health care studies needed better understand extent causes findings