TABLE 6.

Effects of Adding Parental Survey Language (English Versus Spanish) on Adjusted ORs and Mean Differences for Racial/Ethnic Disparities in Health, Health Care, and Interactions With Health Care Providers for Hispanic Children 4 to 35 Months of Age in the United States in 2000

MeasureOR (95% CI)
Without Parental Survey Language in ModelWith Parental Survey Language in Model
Insurance coverage and health status
    Uninsured*3.03 (1.96–4.67)2.16 (1.32–3.52)
    Child's health not excellent or very good2.03 (1.33–3.10)1.19 (0.70–2.01)
Parental satisfaction with child's health care provider
    Parent not very likely to recommend child's well-child care provider2.22 (1.31–3.74)1.87 (1.05–3.35)
    Provider never or only sometimes understands child's specific needs3.02 (2.01–4.55)2.34 (1.45–3.78)
    Provider never or only sometimes understands how parent prefers to rear child1.56 (1.13–2.17)1.50 (1.05–2.15)
    Provider never or only sometimes respects parent as expert on child1.58 (1.03–2.43)1.50 (0.93–2.42)
Child assigned regular care provider2.67 (1.13–6.34)2.33 (1.02–5.32)
Topics discussed with parent by child's health care provider
    Violence in community3.25 (1.83–5.77)2.17 (1.13–4.16)
    Smoking in household1.53 (1.00–2.35)1.37 (0.87–2.17)
    Use of alcohol or drugs in household2.22 (1.58–3.13)1.49 (1.02–2.16)
    Spouse/partner supportive of parenting efforts1.57 (1.13–2.20)1.38 (0.96–1.99)
    Child care arrangements1.49 (1.05–2.10)1.26 (0.86–1.84)
Mean no. of calls to doctor's office in past year§−1.66 (−2.34 to −0.98)−1.00 (−1.79 to −0.21)
Child not referred to specialist by health care provider2.39 (1.51–3.79)1.67 (1.03–2.71)
  • Data are from the 2000 NSECH. Racial/ethnic differences are expressed as the adjusted OR or mean difference for each outcome, compared with white children. All ORs and mean differences are adjusted for health insurance (except when health insurance is the dependent variable), child's health status (by parental report), poverty, child's age, mother's educational attainment and age, number of children in the household, and usual place for medical care.

  • * At any time in the past 12 months.

  • By parental report.

  • Within the past 12 months, or since birth for children <12 months of age.

  • § Expressed as mean difference in the number of calls made in the past year (or since birth for children <12 months of age), compared with whites.