Racial and ethnic differences in health care utilization for childhood eczema: An analysis of the 2001-2013 Medical Expenditure Panel Surveys. Fischer, A. H., Shin, D. B., Margolis, D. J., & Takeshita, J. Journal of the American Academy of Dermatology, 77(6):1060–1067, December, 2017. Number: 6doi abstract bibtex BACKGROUND: Eczema is a common chronic inflammatory disease of the skin. Studies suggest differences in disease prevalence and severity by race/ethnicity. Our knowledge of health care utilization for eczema among different racial/ethnic groups remains limited. OBJECTIVE: To evaluate health care utilization for childhood eczema among different racial/ethnic groups in the United States. METHODS: We performed a cohort study of non-Hispanic white (reference), non-Hispanic black, and Hispanic white individuals under the age of 18 years with caregiver-reported eczema (N = 2043) 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. RESULTS: Among all children with eczema, non-Hispanic blacks were less likely than whites to report an ambulatory visit for eczema (adjusted odds ratio [ORadj] 0.69; 95% confidence interval [CI] 0.51-0.92). Among those with ≥1 ambulatory visit for eczema, non-Hispanic blacks reported more visits (adjusted incidence rate ratio [IRRadj] 1.68; 95% CI 1.10-2.55) and prescriptions (IRRadj 1.22; 95% CI 1.01-1.46) than whites and were more likely than whites to report a dermatology visit (ORadj 1.82; 95% CI 1.06-3.14) for eczema. LIMITATIONS: We used caregiver- or self-reported data. CONCLUSION: Our findings suggest disparities in health care utilization for eczema among non-Hispanic black children despite utilization patterns suggestive of more severe disease.
@article{fischer_racial_2017,
title = {Racial and ethnic differences in health care utilization for childhood eczema: {An} analysis of the 2001-2013 {Medical} {Expenditure} {Panel} {Surveys}},
volume = {77},
issn = {1097-6787},
shorttitle = {Racial and ethnic differences in health care utilization for childhood eczema},
doi = {10.1016/j.jaad.2017.08.035},
abstract = {BACKGROUND: Eczema is a common chronic inflammatory disease of the skin. Studies suggest differences in disease prevalence and severity by race/ethnicity. Our knowledge of health care utilization for eczema among different racial/ethnic groups remains limited.
OBJECTIVE: To evaluate health care utilization for childhood eczema among different racial/ethnic groups in the United States.
METHODS: We performed a cohort study of non-Hispanic white (reference), non-Hispanic black, and Hispanic white individuals under the age of 18 years with caregiver-reported eczema (N = 2043) 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.
RESULTS: Among all children with eczema, non-Hispanic blacks were less likely than whites to report an ambulatory visit for eczema (adjusted odds ratio [ORadj] 0.69; 95\% confidence interval [CI] 0.51-0.92). Among those with ≥1 ambulatory visit for eczema, non-Hispanic blacks reported more visits (adjusted incidence rate ratio [IRRadj] 1.68; 95\% CI 1.10-2.55) and prescriptions (IRRadj 1.22; 95\% CI 1.01-1.46) than whites and were more likely than whites to report a dermatology visit (ORadj 1.82; 95\% CI 1.06-3.14) for eczema.
LIMITATIONS: We used caregiver- or self-reported data.
CONCLUSION: Our findings suggest disparities in health care utilization for eczema among non-Hispanic black children despite utilization patterns suggestive of more severe disease.},
language = {eng},
number = {6},
journal = {Journal of the American Academy of Dermatology},
author = {Fischer, Alexander H. and Shin, Daniel B. and Margolis, David J. and Takeshita, Junko},
month = dec,
year = {2017},
pmid = {28964540},
pmcid = {PMC5916760. DSI Core (C), Mentoring Sub-Core.},
note = {Number: 6},
keywords = {Admin Core, DSI Core, Mentoring Sub-Core},
pages = {1060--1067},
}
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{"_id":"5vjDX4qpFvJWNyXBc","bibbaseid":"fischer-shin-margolis-takeshita-racialandethnicdifferencesinhealthcareutilizationforchildhoodeczemaananalysisofthe20012013medicalexpenditurepanelsurveys-2017","author_short":["Fischer, A. H.","Shin, D. B.","Margolis, D. J.","Takeshita, J."],"bibdata":{"bibtype":"article","type":"article","title":"Racial and ethnic differences in health care utilization for childhood eczema: An analysis of the 2001-2013 Medical Expenditure Panel Surveys","volume":"77","issn":"1097-6787","shorttitle":"Racial and ethnic differences in health care utilization for childhood eczema","doi":"10.1016/j.jaad.2017.08.035","abstract":"BACKGROUND: Eczema is a common chronic inflammatory disease of the skin. Studies suggest differences in disease prevalence and severity by race/ethnicity. Our knowledge of health care utilization for eczema among different racial/ethnic groups remains limited. OBJECTIVE: To evaluate health care utilization for childhood eczema among different racial/ethnic groups in the United States. METHODS: We performed a cohort study of non-Hispanic white (reference), non-Hispanic black, and Hispanic white individuals under the age of 18 years with caregiver-reported eczema (N = 2043) 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. RESULTS: Among all children with eczema, non-Hispanic blacks were less likely than whites to report an ambulatory visit for eczema (adjusted odds ratio [ORadj] 0.69; 95% confidence interval [CI] 0.51-0.92). Among those with ≥1 ambulatory visit for eczema, non-Hispanic blacks reported more visits (adjusted incidence rate ratio [IRRadj] 1.68; 95% CI 1.10-2.55) and prescriptions (IRRadj 1.22; 95% CI 1.01-1.46) than whites and were more likely than whites to report a dermatology visit (ORadj 1.82; 95% CI 1.06-3.14) for eczema. LIMITATIONS: We used caregiver- or self-reported data. CONCLUSION: Our findings suggest disparities in health care utilization for eczema among non-Hispanic black children despite utilization patterns suggestive of more severe disease.","language":"eng","number":"6","journal":"Journal of the American Academy of Dermatology","author":[{"propositions":[],"lastnames":["Fischer"],"firstnames":["Alexander","H."],"suffixes":[]},{"propositions":[],"lastnames":["Shin"],"firstnames":["Daniel","B."],"suffixes":[]},{"propositions":[],"lastnames":["Margolis"],"firstnames":["David","J."],"suffixes":[]},{"propositions":[],"lastnames":["Takeshita"],"firstnames":["Junko"],"suffixes":[]}],"month":"December","year":"2017","pmid":"28964540","pmcid":"PMC5916760. DSI Core (C), Mentoring Sub-Core.","note":"Number: 6","keywords":"Admin Core, DSI Core, Mentoring Sub-Core","pages":"1060–1067","bibtex":"@article{fischer_racial_2017,\n\ttitle = {Racial and ethnic differences in health care utilization for childhood eczema: {An} analysis of the 2001-2013 {Medical} {Expenditure} {Panel} {Surveys}},\n\tvolume = {77},\n\tissn = {1097-6787},\n\tshorttitle = {Racial and ethnic differences in health care utilization for childhood eczema},\n\tdoi = {10.1016/j.jaad.2017.08.035},\n\tabstract = {BACKGROUND: Eczema is a common chronic inflammatory disease of the skin. Studies suggest differences in disease prevalence and severity by race/ethnicity. Our knowledge of health care utilization for eczema among different racial/ethnic groups remains limited.\nOBJECTIVE: To evaluate health care utilization for childhood eczema among different racial/ethnic groups in the United States.\nMETHODS: We performed a cohort study of non-Hispanic white (reference), non-Hispanic black, and Hispanic white individuals under the age of 18 years with caregiver-reported eczema (N = 2043) 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.\nRESULTS: Among all children with eczema, non-Hispanic blacks were less likely than whites to report an ambulatory visit for eczema (adjusted odds ratio [ORadj] 0.69; 95\\% confidence interval [CI] 0.51-0.92). Among those with ≥1 ambulatory visit for eczema, non-Hispanic blacks reported more visits (adjusted incidence rate ratio [IRRadj] 1.68; 95\\% CI 1.10-2.55) and prescriptions (IRRadj 1.22; 95\\% CI 1.01-1.46) than whites and were more likely than whites to report a dermatology visit (ORadj 1.82; 95\\% CI 1.06-3.14) for eczema.\nLIMITATIONS: We used caregiver- or self-reported data.\nCONCLUSION: Our findings suggest disparities in health care utilization for eczema among non-Hispanic black children despite utilization patterns suggestive of more severe disease.},\n\tlanguage = {eng},\n\tnumber = {6},\n\tjournal = {Journal of the American Academy of Dermatology},\n\tauthor = {Fischer, Alexander H. and Shin, Daniel B. and Margolis, David J. and Takeshita, Junko},\n\tmonth = dec,\n\tyear = {2017},\n\tpmid = {28964540},\n\tpmcid = {PMC5916760. DSI Core (C), Mentoring Sub-Core.},\n\tnote = {Number: 6},\n\tkeywords = {Admin Core, DSI Core, Mentoring Sub-Core},\n\tpages = {1060--1067},\n}\n\n","author_short":["Fischer, A. H.","Shin, D. B.","Margolis, D. 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