04 May 2010 ~ Comments Off on Changes in access to care, 1977-1996: the role of health insurance

Changes in access to care, 1977-1996: the role of health insurance

OBJECTIVE: To describe changes in Americans’ access to care over the last 20 years focusing on the uninsured, Hispanic American, and young adult populations, and to analyze the factors underlying these changes with a particular focus on the role of health insurance. DATA SOURCES/STUDY SETTING: Data from the 1977 National Medical Care Expenditure Survey, the […]

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04 May 2010 ~ Comments Off on Effect of Medicaid eligibility category on racial disparities in the use of psychotropic medications among youths

Effect of Medicaid eligibility category on racial disparities in the use of psychotropic medications among youths

OBJECTIVE: This study sought to determine the degree to which Medicaid eligibility categories modify disparities between black and white youths in the prevalence of psychotropic medication. METHODS: Computerized claims for 189,486 youths aged two to 19 years who were continuously enrolled in a mid-Atlantic state Medicaid program for the year 2000 were analyzed to determine […]

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04 May 2010 ~ Comments Off on Improving health insurance coverage for Latino children: a review of barriers, challenges and State strategies

Improving health insurance coverage for Latino children: a review of barriers, challenges and State strategies

OBJECTIVES: To summarize key findings on disparities in health insurance coverage for latino children, to present selected socioeconomic and healthcare access indicators for the nine states with latino populations over 500,000, and to recommend state strategies to increase public health insurance coverage for latino children. METHODS: Literature review performed on latino children and health insurance […]

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04 May 2010 ~ Comments Off on Latino child health: need for inclusion in the US national discourse

Latino child health: need for inclusion in the US national discourse

The “rediscovery” of poverty, as echoed in concepts of social inequality, has contributed to the goal of eliminating racial/ethnic and social class disparities in the United States. This commentary focuses on what we know about the pressing health care needs and issues relevant to Latino children and families and how extant knowledge can be linked […]

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04 May 2010 ~ Comments Off on Changes in fatal and near-fatal asthma in an urban area of South Africa from 1980-1997

Changes in fatal and near-fatal asthma in an urban area of South Africa from 1980-1997

Over the past two decades, changes in the health services designed to improve access to and quality of asthma care have occurred in South Africa. The aim of this study was to investigate the incidence of fatal and near-fatal asthma (NFA) from 1980-1997 in an urban part of South Africa. A retrospective analysis of fatal […]

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04 May 2010 ~ Comments Off on Factors associated with use of preventive dental and health services among U.S. adolescents

Factors associated with use of preventive dental and health services among U.S. adolescents

PURPOSE: To examine adolescents’ use of preventive medical and dental services and its relationship to demographic characteristics and other variables reflecting access to and need for care. METHODS: Self- and parent-reported data from a sample of 5644 adolescents aged 11 to 21 years from the National Longitudinal Study of Adolescent Health (Add Health). Variables studied […]

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04 May 2010 ~ Comments Off on Parent’s language of interview and access to care for children with special health care needs

Parent’s language of interview and access to care for children with special health care needs

OBJECTIVE: To examine the association between the parent’s language of interview and the access to care for children with special health care needs (CSHCN). METHODS: We used the 2001 National Survey of Children with Special Health Care Needs to compare socio-demographic characteristics and health care access variables among CSHCN with parents who interviewed in English […]

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04 May 2010 ~ Comments Off on Effect of ethnicity and race on the use of pain medications in children with long bone fractures in the emergency department

Effect of ethnicity and race on the use of pain medications in children with long bone fractures in the emergency department

STUDY OBJECTIVES: We characterize the use of analgesics among children of different race and ethnicity who had isolated long bone fractures that were treated in emergency departments (EDs) across the United States. METHODS: According to ED survey data from the National Hospital Ambulatory Medical Care Survey for 1992 through 1998, patients younger than 19 years […]

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04 May 2010 ~ Comments Off on Who gets diagnosed with asthma? Frequent wheeze among adolescents with and without a diagnosis of asthma

Who gets diagnosed with asthma? Frequent wheeze among adolescents with and without a diagnosis of asthma

OBJECTIVE: 1). To describe the factors associated with not receiving an asthma diagnosis among children with frequent wheezing symptoms and 2). to determine risk factors for frequent wheezing in the population. METHODS: The North Carolina School Asthma Survey provided self-reported questionnaire data on respiratory health from 122 829 children ages 12 to 18 years enrolled […]

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04 May 2010 ~ Comments Off on An examination of the dental utilization practices of adult survivors of childhood cancer: a report from the Childhood Cancer Survivor Study

An examination of the dental utilization practices of adult survivors of childhood cancer: a report from the Childhood Cancer Survivor Study

OBJECTIVES: This study characterized the self-reported dental utilization practice of long-term survivors of childhood cancer, a group at increased risk for treatment-induced dental abnormalities. METHODS: 9,434 survivors and a comparison group of 3,858 siblings completed a 289-item survey that included a question on when their last dental visit occurred. RESULTS: Within the last year 60.4 […]

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