Nicole Richmond1, Tri Tran, Susan Berry. 1. Louisiana State University Health Sciences Center, School of Medicine, Department of Pediatrics/Louisiana Office of Public Health, Children's Special Health Services Program, 1010 Common Street Suite 610, New Orleans, LA 70112, USA. Nicole.Richmond@la.gov
Abstract
OBJECTIVES: (1) Rank states and southern region by racial disparity between black and white Youth with Special Health Care Needs (YSHCN) for Healthcare Transition receipt; (2) Determine if a racial and geographic disparity exists after control of characteristics. METHODS: The 05/06 National Survey of Children with Special Health Care Needs data were used. A composite of Medical Home and Transition Outcome Measures captured Healthcare Transition. If both were met, Healthcare Transition was received; otherwise, if neither were met, it was not received. Race was grouped as Non-Hispanic black or white. Census Bureau regions defined geography. South was categorized as Deep South or remaining southern states. Characteristics included sex, age, health condition effect, education, poverty, adequate insurance, and metropolitan status. Observations were limited to YSHCN. Chi-square and logistic regression were conducted. Alpha was set to .05. RESULTS: A national 42% healthcare transition rate, and 25% racial gap was calculated (higher rate among white YSHCN). White YSHCN had more than twice, and Midwestern had 44% higher Healthcare Transition odds in regression analysis; sex, health condition effect, insurance, and education remained significant. For the Southern region, the Healthcare Transition rate was 38% with a 26% racial gap. White YSHCN had about 2.6 higher odds, and southern geography was not associated in regression analysis. Education, poverty, adequate insurance, and health condition effect remained significant. CONCLUSIONS: A low Healthcare Transition rate was found, and disparities are poignant. Culturally salient intervention programs to address racial and geographic disparities are needed for Healthcare Transition eligible YSHCN.
OBJECTIVES: (1) Rank states and southern region by racial disparity between black and white Youth with Special Health Care Needs (YSHCN) for Healthcare Transition receipt; (2) Determine if a racial and geographic disparity exists after control of characteristics. METHODS: The 05/06 National Survey of Children with Special Health Care Needs data were used. A composite of Medical Home and Transition Outcome Measures captured Healthcare Transition. If both were met, Healthcare Transition was received; otherwise, if neither were met, it was not received. Race was grouped as Non-Hispanic black or white. Census Bureau regions defined geography. South was categorized as Deep South or remaining southern states. Characteristics included sex, age, health condition effect, education, poverty, adequate insurance, and metropolitan status. Observations were limited to YSHCN. Chi-square and logistic regression were conducted. Alpha was set to .05. RESULTS: A national 42% healthcare transition rate, and 25% racial gap was calculated (higher rate among white YSHCN). White YSHCN had more than twice, and Midwestern had 44% higher Healthcare Transition odds in regression analysis; sex, health condition effect, insurance, and education remained significant. For the Southern region, the Healthcare Transition rate was 38% with a 26% racial gap. White YSHCN had about 2.6 higher odds, and southern geography was not associated in regression analysis. Education, poverty, adequate insurance, and health condition effect remained significant. CONCLUSIONS: A low Healthcare Transition rate was found, and disparities are poignant. Culturally salient intervention programs to address racial and geographic disparities are needed for Healthcare Transition eligible YSHCN.
Authors: Jeffrey Goldhagen; Radley Remo; Thomas Bryant; Peter Wludyka; Amy Dailey; David Wood; Graham Watts; William Livingood Journal: Pediatrics Date: 2005-11-01 Impact factor: 7.124
Authors: Cindy Brach; Eugene M Lewit; Karen VanLandeghem; Janet Bronstein; Andrew W Dick; Kim S Kimminau; Barbara LaClair; Elizabeth Shenkman; Laura P Shone; Nancy Swigonski; Peter G Szilagyi Journal: Pediatrics Date: 2003-12 Impact factor: 7.124
Authors: Alaina M Davis; Rebekah F Brown; Julie Lounds Taylor; Richard A Epstein; Melissa L McPheeters Journal: Pediatrics Date: 2014-10-06 Impact factor: 7.124
Authors: Natalie B Stollon; Christine W Paine; Matthew S Lucas; Lauren D Brumley; Erika S Poole; Tamara Peyton; Anne W Grant; Sophia Jan; Symme Trachtenberg; Miriam Zander; Christopher P Bonafide; Lisa A Schwartz Journal: J Pediatr Hematol Oncol Date: 2015-11 Impact factor: 1.289
Authors: Natalie Stollon; Yi Zhong; Maria Ferris; Suneet Bhansali; Brian Pitts; Eniko Rak; Maureen Kelly; Sandra Kim; Miranda A L van Tilburg Journal: World J Gastroenterol Date: 2017-05-14 Impact factor: 5.742