Weinick R M, Krauss N A
Center for Primary Care Research, Agency for Healthcare Research and Quality, Rockville, MD 20852, USA.
Am J Public Health. 2000 Nov;90(11):1771-4. doi: 10.2105/ajph.90.11.1771.
This study explored reasons for racial and ethnic differences in children's usual sources of care.
Data from the 1996 Medical Expenditure Panel Survey were examined by means of logistic regression techniques.
Black and Hispanic children were substantially less likely than White children to have a usual source of care. These differences persisted after control for health insurance and socioeconomic status. Control for language ability, however, eliminated differences between Hispanic and White children.
Results suggest that the marked Hispanic disadvantage in children's access to care noted in earlier studies may be related to language ability.
本研究探讨了儿童常规就医来源存在种族和民族差异的原因。
采用逻辑回归技术对1996年医疗支出小组调查的数据进行分析。
与白人儿童相比，黑人和西班牙裔儿童拥有常规就医来源的可能性要低得多。在控制了医疗保险和社会经济地位之后，这些差异依然存在。然而，在控制了语言能力之后，西班牙裔和白人儿童之间的差异消失了。
结果表明，早期研究中提到的西班牙裔儿童在获得医疗服务方面明显的劣势可能与语言能力有关。
