A new systematic review of hundreds of research studies finds pervasive inequality by race/ethnicity in health and health care among children in the U.S. The report, by Glenn Flores and the Committee on Pediatric Research, was published online by the journal Pediatrics.
After collecting more than 700 articles, they selected 111 that met their review criteria. Their conclusion:
Disparities were noted across the spectrum of health and health care, including in mortality rates, access to care and use of services, prevention and population health, health status, adolescent health, chronic diseases, special health care needs, quality of care, and organ transplantation. Mortality-rate disparities were noted for children in all 4 major US racial/ethnic minority groups, including substantially greater risks than white children of all-cause mortality; death from drowning, from acute lymphoblastic leukemia, and after congenital heart defect surgery; and an earlier median age at death for those with Down syndrome and congenital heart defects.