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National Healthcare Disparities Report, 2003

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Socioeconomic Differences in Effectiveness of Care: Maternal and Child Health

Measure Income Difference[1] Educational Difference[2] Insurance Difference[3]
  <100% 100-199% 200-399% <HS HS Grad Uninsured
Maternity Care[4]
Pregnant women receiving prenatal care in first trimester       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 receives worse quality care than the comparison population  
Live born infants with very low birth weight (<1500 grams)       Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population  
Infant mortality per 1000 live births, all       Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population  
Infant mortality per 1000 live births, birth weight >2499 grams       Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population  
Infant mortality per 1000 live births, birth weight 1500-2499 grams       Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population  
Infant mortality per 1000 live births, birth weight <1500 grams       Selected population and comparison population receive about same quality of health care Selected population receives worse quality care than the comparison population  
Maternal deaths per 100,000 live births       Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population  
Immunization, Childhood[5]
Children 19-35 months who received all recommended vaccines 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      
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 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 polio vaccine 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      
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 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 Haemophilus influenzae type B vaccine 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      
Children 19-35 months who received 3 doses of hepatitis B vaccine 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      
Children 19-35 months who received 1 dose of varicella vaccine 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      
Immunization, Adolescent[6]
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 Selected population and comparison population receive about same quality of health care     Selected population receives worse 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 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 tetanus-diptheria 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 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 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
Childhood Dental Care
Children 2-17 with dental visit in past year[7] 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
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 persons with family incomes 400% of federal poverty thresholds or above.

[2] Compared with mothers with any college education.

[3] Compared with person under 65 with any private health insurance.

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

[5] Source: NIS, 2001.

[6] Source: NHIS, 2000.

[7] Source: MEPS, 1999.

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