Non-Hispanic black children reported less health care utilization for eczema
Non-Hispanic black children in the United States were less likely to report ambulatory health care visits to treat eczema than non-Hispanic white and Hispanic children.
The cohort study included 2,043 patients aged 18 years or younger with caregiver-reported eczema. Eligible participants from the three racial groups were culled from the 2-year longitudinal Medical Expenditure Panel Surveys 2001 to 2013.
Results showed that non-Hispanic black children were more than 40% less likely than white children to report receiving an ambulatory visit for treatment of eczema (adjusted OR = 0.69).
In an analysis that included children who received at least one ambulatory visit, non-Hispanic black children experienced more visits than white children (adjusted incidence rate ratio = 1.68). Prescriptions (IRR = 1.22) and dermatology visits (OR = 1.82) were also more frequent among non-Hispanic blacks than whites in this subgroup.
The researchers noted the limitation of caregiver- or self-reported data in the analysis. They added that baseline sociodemographic factors, health insurance status and atopic comorbidities failed to impact the findings.
“Our findings suggest disparities in health care utilization for eczema among non-Hispanic black children despite utilization patterns suggestive of more severe disease,” they concluded. – by Rob Volansky
Disclosures: The authors report no relevant financial disclosures.