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Racial/Ethnic Differences in Childhood Eczema Care

J Am Acad Dermatol; 2017 Dec; Fischer, et al

There are disparities in health care utilization for eczema among non-Hispanic black children despite utilization patterns suggestive of more severe disease, a recent study found. Researchers performed a cohort study of non-Hispanic white, non-Hispanic black, and Hispanic white individuals aged <18 years with caregiver-reported eczema (n= 2,043) pooled from the 2-year longitudinal cohorts of the 2001-2013 Medical Expenditure Panel Surveys. Health care utilization outcomes were evaluated over the 2-year follow-up period by race/ethnicity using multivariable regression. They found:

  • Among all children with eczema, non-Hispanic blacks were less likely than whites to report an ambulatory visit for eczema.
  • Among those with ≥1 ambulatory visit for eczema, non-Hispanic blacks reported more visits and prescriptions than whites and were more likely than whites to report a dermatology visit for eczema.

Citation:

Fischer AH, Shin DB, Margolis DJ, Takeshita J. Racial and ethnic differences in health care utilization for childhood eczema: An analysis of the 2001-2013 Medical Expenditure Panel Surveys. J Am Acad Dermatol. 2017;77(6):1060-1067. doi:10.1016/j.jaad.2017.08.035.

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