PEDIATRICS Vol. 91 No. 5 May 1993, pp. 1031-1039
This Article
Right arrow Full Text (PDF)
Right arrow P3Rs: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when P3Rs are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Newacheck, P. W.
Right arrow Articles by McManus, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Newacheck, P. W.
Right arrow Articles by McManus, M.

Ethnocultural Variations in the Prevalence and Impact of Childhood Chronic Conditions

Paul W. Newacheck DrPH1, Jeffrey J. Stoddard MD1, and Margaret McManus MHS2

1 From the Institute for Health Policy Studies and Department of Pediatrics, School of Medicine, University of California, San Francisco
2 From the McManus Health Policy, Inc, Washington, DC.

Chronic physical and mental illnesses are an important contributor to childhood morbidity. National survey data indicate that childhood chronic illnesses result in more than 35 million bed days and 40 million school absence days annually.1 There is also evidence to suggest that the burden of chronic illness is growing for children.2-4 Specifically, advances in diagnosis and treatment have dramatically changed mortality rates for children with chronic conditions, with the result that many children with life-threatening chronic conditions now survive into adulthood.5,6 In addition, a new class of childhood conditions, often referred to as the "new morbidities," has emerged in recent years.4,7

Despite concern about the welfare of this population, relatively little is known about the prevalence of childhood chronic conditions or their impact, especially for minority youth. Past studies have often categorized minority populations into the general and nonspecific category of "nonwhite." Alternatively some studies have reported results only for white and black children; hence published information is particularly sparse on chronic illness among Hispanic, Asian, and Native American children.

Previous studies that have examined racial and ethnic variations in the prevalence of childhood chronic conditions can be divided into those that are based on household interviews, those based on medical records, and those based on birth-defects-monitoring systems. The results for some of the larger studies are summarized in Table 1. Excluded from this table are disease-specific studies.

Only a few household interview studies have reported results concerning racial and ethnic differences in prevalence of chronic conditions. One of the earliest household interview studies to explore racial differences derived data from a survey of parents in Alamance County, North Carolina.8




This article has been cited by other articles:


Home page
 PediatricsHome page
L. C. Smitherman, J. Janisse, and A. Mathur
The Use of Folk Remedies Among Children in an Urban Black Community: Remedies for Fever, Colic, and Teething
Pediatrics, March 1, 2005; 115(3): e297 - e304.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
A. E. Shields, C. Comstock, and K. B. Weiss
Variations in Asthma Care by Race/Ethnicity Among Children Enrolled in a State Medicaid Program
Pediatrics, March 1, 2004; 113(3): 496 - 504.
[Abstract] [Full Text] [PDF]

Home page
 Arch Pediatr Adolesc MedHome page
P. W. Newacheck, R. E. K. Stein, L. Bauman, Y.-Y. Hung, and for the Research Consortium on Children With Chron
Disparities in the Prevalence of Disability Between Black and White Children
Arch Pediatr Adolesc Med, March 1, 2003; 157(3): 244 - 248.
[Abstract] [Full Text] [PDF]

Home page
 Arch Pediatr Adolesc MedHome page
L. C. Hampers and J. E. McNulty
Professional Interpreters and Bilingual Physicians in a Pediatric Emergency Department: Effect on Resource Utilization
Arch Pediatr Adolesc Med, November 1, 2002; 156(11): 1108 - 1113.
[Abstract] [Full Text] [PDF]

Home page
 West J Nurs ResHome page
L. J. Spence and L. Kaiser
Companion Animals and Adaptation in Chronically Ill Children
West J Nurs Res, October 1, 2002; 24(6): 639 - 656.
[Abstract] [PDF]

Home page
 PediatricsHome page
A. Kempe, B. Beaty, B. P. Englund, R. J. Roark, N. Hester, and J. F. Steiner
Quality of Care and Use of the Medical Home in a State-Funded Capitated Primary Care Plan For Low-Income Children
Pediatrics, May 1, 2000; 105(5): 1020 - 1028.
[Abstract] [Full Text]

Home page
 PediatricsHome page
P. W. Newacheck, M. McManus, H. B. Fox, Y.-Y. Hung, and N. Halfon
Access to Health Care for Children With Special Health Care Needs
Pediatrics, April 1, 2000; 105(4): 760 - 766.
[Abstract] [Full Text]

Home page
 Arch Pediatr Adolesc MedHome page
J. Joseph-Di Caprio, A. W. Garwick, C. Kohrman, and R. W. Blum
Culture and the Care of Children With Chronic Conditions: Their Physicians' Views
Arch Pediatr Adolesc Med, October 1, 1999; 153(10): 1030 - 1035.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
M. Weitzman, R. S. Byrd, and P. Auinger
Black and White Middle Class Children Who Have Private Health Insurance in the United States
Pediatrics, July 1, 1999; 104(1): 151 - 157.
[Abstract] [Full Text]

Home page
 PediatricsHome page
K. S. Kuehl, C. A. Loffredo, and C. Ferencz
Failure to Diagnose Congenital Heart Disease in Infancy
Pediatrics, April 1, 1999; 103(4): 743 - 747.
[Abstract] [Full Text]

Home page
 PediatricsHome page
R. Y. Moon, T. L. Cheng, K. M. Patel, K. Baumhaft, and P. C. Scheidt
Parental Literacy Level and Understanding of Medical Information
Pediatrics, August 1, 1998; 102(2): e25 - 25.
[Abstract] [Full Text] [PDF]

Home page
 J Intellect DisabilHome page
R. Stanley and J. Ng
Primary health care provision for people with learning disabilities: a survey of parents
J Intellect Disabil., June 1, 1998; 2(2): 71 - 78.
[Abstract] [PDF]

Home page
 PediatricsHome page
L. E. Westbrook, E. J. Silver, and R. E. K. Stein
Implications for Estimates of Disability in Children: A Comparison of Definitional Components
Pediatrics, June 1, 1998; 101(6): 1025 - 1030.
[Abstract] [Full Text] [PDF]

Home page
 Arch Pediatr Adolesc MedHome page
A. W. Garwick, C. Kohrman, C. Wolman, and R. W. Blum
Families' Recommendations for Improving Services for Children With Chronic Conditions
Arch Pediatr Adolesc Med, May 1, 1998; 152(5): 440 - 448.
[Abstract] [Full Text] [PDF]