Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Racial Disparities in Healthcare Utilization for AD

J Invest Dermatol; ePub 2019 Mar 13; Wan, et al

Black and Hispanic children are nearly 3-fold more likely that white children to receive medical care for atopic dermatitis (AD), a new study found. The longitudinal cohort study of US children with AD was performed to evaluate the association between race/ethnicity and healthcare utilization for AD. AD control and healthcare utilization were assessed biannually. Researchers found:

  • The study population included 7,522 children (34.2% white, 54.2% black, 11.5% Hispanic) who were followed for a median of 4 years.
  • Black and Hispanic children were up to 3-fold more likely than white children to receive medical care for AD across almost all levels of AD control, after adjusting for sociodemographic factors.
  • Black and Hispanic children had higher odds of primary care and emergency visits vs white children.
  • Black children with poorly controlled AD were significantly less likely to see a dermatologist than white children with similarly poorly controlled AD.


Wan J, Oganisian A, Spieker AJ, et al. Racial/ethnic variation in use of ambulatory and emergency care for atopic dermatitis among U.S. children. [Published online ahead of print March 13, 2019]. J Invest Dermatol. doi:10.1016/j.jid.2019.02.024.