The impact of ethnicity, family income, and parental education on children's health and use of health services

Glenn Flores, Howard Bauchner, Alvan R. Feinstein, Uyen Sa D T Nguyen

Research output: Contribution to journalArticle

175 Citations (Scopus)

Abstract

Objectives. This study characterized ethnic disparities for children in demographics, health status, and use of services; explored whether ethnic sub-groups (Puerto Rican, Cuban, and Mexican) have additional distinctive differences; and determined whether disparities are explained by differences in family income and parental education. Methods. Bivariate and multivariate analyses of data on 99 268 children from the 1989-91 National Health Interview. Surveys were conducted. Results. Native American, Black, and Hispanic children are poorest (35%-41% below poverty level vs 10% of Whites), least healthy (66%-74% in excellent or very good health vs 85% of Whites), and have the least well educated parents. Compared with Whites, non-White children average fewer doctor visits and are more likely to have excessive intervals between visits. Hispanic subgroup differences in demographics, health, and use of services equal or surpass differences among major ethnic groups. In multivariate analyses, almost all ethnic group disparities persisted after adjustment for family income, parental education, and other relevant covariates. Conclusions. Major ethnic groups and subgroups of children differ strikingly in demographics, health, and use of services; subgroup differences are easily overlooked; and most disparities persist even after adjustment for family income and parental education.

Original languageEnglish (US)
Pages (from-to)1066-1071
Number of pages6
JournalAmerican Journal of Public Health
Volume89
Issue number7
StatePublished - Jul 1999

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Health Services
Ethnic Groups
Education
Demography
Hispanic Americans
Multivariate Analysis
North American Indians
Health
Poverty
Health Status
Parents
Child Health
Interviews

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Flores, G., Bauchner, H., Feinstein, A. R., & Nguyen, U. S. D. T. (1999). The impact of ethnicity, family income, and parental education on children's health and use of health services. American Journal of Public Health, 89(7), 1066-1071.

The impact of ethnicity, family income, and parental education on children's health and use of health services. / Flores, Glenn; Bauchner, Howard; Feinstein, Alvan R.; Nguyen, Uyen Sa D T.

In: American Journal of Public Health, Vol. 89, No. 7, 07.1999, p. 1066-1071.

Research output: Contribution to journalArticle

Flores, Glenn ; Bauchner, Howard ; Feinstein, Alvan R. ; Nguyen, Uyen Sa D T. / The impact of ethnicity, family income, and parental education on children's health and use of health services. In: American Journal of Public Health. 1999 ; Vol. 89, No. 7. pp. 1066-1071.
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