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National Healthcare Disparities Report, 2003

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Racial and Ethnic Differences in Effectiveness of Care: Maternal and Child Health

Measure Racial Difference[1] Ethnic Difference[2]
  Black Asian NHOPI AI/AN >1 Race NHB Hispanic
Maternity Care[3]
Pregnant women receiving prenatal care in first trimester Selected population receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population   Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population
Live born infants with low birth weight (<2500 grams) Selected population receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care   Selected population receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care
Live born infants with very low birth weight (<1500 grams) Selected population receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care Selected population receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care   Selected population receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care
Infant mortality per 1000 live births, all Selected population receives worse quality care than the comparison population Selected population receives better quality care than the comparison population Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population   Selected population receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care
Infant mortality per 1000 live births, birth weight >2499 grams Selected population receives worse quality care than the comparison population Selected population receives better quality care than the comparison population Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population   Selected population receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care
Infant mortality per 1000 live births, birth weight 1500-2499 grams Selected population and comparison population receive about same quality of health care Selected population receives better quality care than the comparison population Data are collected but do not meet criteria for statistical reliability Selected population receives worse quality care than the comparison population   Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care
Infant mortality per 1000 live births, birth weight <1500 grams Selected population receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population   Selected population receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care
Maternal deaths per 100,000 live births Selected population receives worse quality care than the comparison population Data are collected but do not meet criteria for statistical reliability Data are collected but do not meet criteria for statistical reliability Data are collected but do not meet criteria for statistical reliability   Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population
Immunization, Childhood[4]
Children 19-35 months who received all recommended vaccines Selected population receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care Data are collected but do not meet criteria for statistical reliability Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care Selected population receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care
Children 19-35 months who received 4 doses of diphtheria-pertussis-tetanus vaccine Selected population receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care Data are collected but do not meet criteria for statistical reliability Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care Selected population receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care
Children 19-35 months who received 3 doses of polio vaccine Selected population receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care Selected population receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care
Children 19-35 months who received 1 dose of measles-mumps-rubella vaccine Selected population receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care Selected population receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care
Children 19-35 months who received 3 doses of Haemophilus influenzae type B vaccine Selected population receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population
Children 19-35 months who received 3 doses of hepatitis B vaccine Selected population receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care Selected population receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care
Children 19-35 months who received 1 dose of varicella vaccine Selected population and comparison population receive about same quality of health care Selected population receives better quality care than the comparison population Data are collected but do not meet criteria for statistical reliability Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care Selected population receives better quality care than the comparison population
Immunization, Adolescent[5]
Adolescents (13-15) who received 3 or more doses of hepatitis B vaccine Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care Data are collected but do not meet criteria for statistical reliability Data are collected but do not meet criteria for statistical reliability Data are collected but do not meet criteria for statistical reliability Selected population and comparison population receive about same quality of health care Selected population receives better quality care than the comparison population
Adolescents (13-15) who received 2 or more doses of measles-mumps-rubella vaccine Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care Data are collected but do not meet criteria for statistical reliability Data are collected but do not meet criteria for statistical reliability Data are collected but do not meet criteria for statistical reliability Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care
Adolescents (13-15) who received 1 or more doses of diphtheria-tetanus booster Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care Data are collected but do not meet criteria for statistical reliability Data are collected but do not meet criteria for statistical reliability Data are collected but do not meet criteria for statistical reliability Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care
Adolescents (13-15) who received 1 or more doses of varicella vaccine Selected population and comparison population receive about same quality of health care Data are collected but do not meet criteria for statistical reliability Data are collected but do not meet criteria for statistical reliability Data are collected but do not meet criteria for statistical reliability Data are collected but do not meet criteria for statistical reliability Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care
Childhood Dental Care
Children 2-17 with a dental visit[6] Selected population receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care6 Data are collected but do not meet criteria for statistical reliability   Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population

Racial and Ethnic Differences in Effectiveness of Care: Maternal and Child Health (continued)

Measure Racial Difference[7] Ethnic Difference[8]
  Black Asian NHOPI AI/AN >1 Race NHB Hispanic
Treatment of Pediatric Gastroenteritis
Hospital admissions for pediatric gastroenteritis per 100,000 population[9] *3 Selected population receives better quality care than the comparison population3     Selected population and comparison population receive about same quality of health care Selected population receives worse quality care than the comparison population
Key to Quality of Health Care Tables
Selected population and comparison population receive about same quality of health care: Selected population and comparison population receive about same quality of health care
Selected population receives better quality care than the comparison population: Selected population receives better quality care than the comparison population
Selected population receives worse quality care than the comparison population: Selected population receives worse quality care than the comparison population
Data are collected but do not meet criteria for statistical reliability: Data are collected but do not meet criteria for statistical reliability

[1] Compared with whites.

[2] Compared with non-Hispanic whites.

[3] Source: NVSS, 2000. This source did not collect information for >1 race.

[4] Source: NIS, 2001.

[5] Source: NHIS, 2000.

[6] Source: MEPS, 1999. This source did not collect information on Asians and NHOPIs separately but in aggregate. This source did not collect information for >1 race.

[7] Compared with whites.

[8] Compared with non-Hispanic whites.

[9] Source: HCUP SID 16 state database, 2000. This source categorizes race/ethnicity very differently from other sources. Race/ethnicity information is categorized as a single item: Non-Hispanic white, Non-Hispanic black, Hispanic, Asian or Pacific Islander. These contrasts compare each group with non-Hispanic whites. An * is inserted in the Black column to indicate that estimates for this group could not be produced.

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