Racial and ethnic disparities in pediatric XXXX rate.

@entity1 @entity397 @entity698 @entity697
OBJECTIVES: To determine if there are racial/ethnic differences in the rates of @entity397 among the @entity1 of two large states. Because @entity397 is primarily due to delayed diagnosis, differences would suggest disparities in timely access to quality emergency care. METHODS: This was an observational, cross-sectional analysis of full-year samples of @entity697 cases from California and New York @entity1 4 to 18 years old. Racial/ethnic groups were compared for risk of @entity397 adjusted for biological factors both before and after adjustment for the following socioeconomic, hospital, and admission characteristics: income, insurance, hospital type, and admission source. Results were interpreted in light of census data on the proportion of immigrants in each racial/ethnic group. RESULTS: Compared with white @entity1 with @entity697 , Hispanic and Asian @entity1 have higher odds of @entity397 in California, whereas Asian and black/African American @entity1 have higher odds in New York. These differences roughly parallel the within-state proportion of immigrant @entity1 in these groups. Adjustments for family, socioeconomic, and hospital characteristics attenuate but do not eliminate disparities. CONCLUSIONS: The authors found evidence of significant racial/ethnic disparities in rate of @entity397 , an important and preventable outcome, in two large but dissimilar states. Immigrant groups may be most at risk for delayed emergency care. Future research should focus on immigration and acculturation as risk factors for @entity698 in @entity1 .
