ArticleHealth services research2018
Racial/Ethnic and Gender Disparities in Health Care Use and Access.
Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 191 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
191 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Racial Differences in the Prevalence of Autism Spectrum Disorder: A Systematic Review.Journal of autism and developmental disorders · 2025Pooled it
- Implementing and Delivering Culturally Centred Pharmacy Services Tailored to Ethnically Minoritised Populations: A Qualitative Systematic Review and Meta-Ethnography.Health expectations : an international journal of public participation in health care and health policy · 2025Pooled it
- Community emergency medical services approaches to fall prevention: a systematic review.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2024Pooled it
- Factors affecting women's access to primary care in the United States since the Affordable Care Act: A mixed-methods systematic review.PloS one · 2024Pooled it
- Disparities in Access to Deep Brain Stimulation for Parkinson's Disease and Proposed Interventions: A Literature Review.Stereotactic and functional neurosurgery · 2024Pooled it
- Postpartum Visit Attendance in the United States: A Systematic Review.Women's health issues : official publication of the Jacobs Institute of Women's HealthPooled it
- Comparative Effectiveness of Diabetes Self-Care Interventions in African-American Adults: A Three-Arm Randomized Controlled Trial.Journal of general internal medicine · 2026Trial
- Ontological coaching among nursing undergraduates: a pilot randomized controlled (OCEAN) trial.Medical education online · 2024Trial
- Trial
- Assessment of skin cancer precision prevention materials among Hispanics in Florida and Puerto Rico.Patient education and counseling · 2022Trial
- Relationship Between Social Vulnerability Indicators and Trial Participant Attrition: Findings From the HYVALUE Trial.Circulation. Cardiovascular quality and outcomes · 2022Trial
- A randomized clinical trial of precision prevention materials incorporatingCancer research communications · 2022Trial
- Digital Health Inequalities Among Immigrants in the United States: An Intersectional Analysis Using Nationally Representative Survey Data.Journal of immigrant and minority health · 2026Article
- Improving Inclusion of Ethnically Diverse and Socioeconomically Disadvantaged Populations in Pain Research: A Comprehensive Review and Evidence-Based Recommendations.International journal of environmental research and public health · 2026Review
- How representative are electronic health records? A record linkage study using individual-level census data.Social science & medicine (1982) · 2026Article
- How many children have palliative care needs and which of them are less likely to be actively seen by services? A cross-sectional analysis of survey data.BMJ paediatrics open · 2026Article
- Ethnic differences in healthcare utilisation and diagnosis after first presentation with breathlessness: a retrospective cohort study using UK primary care records.NPJ primary care respiratory medicine · 2026Article
- Primary Care Use and Clinical Outcomes in a Prevalent Cohort of Patients Receiving Hemodialysis.Kidney medicine · 2026Article
- Article
- Factors Influencing Perceived Mental Health Service Needs, Self-reported Utilization, and Barriers to Care Among Health System Faculty and Staff.Journal of occupational and environmental medicine · 2026Article
131 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
Abstract
objectiveTo document racial/ethnic and gender differences in health service use and access after the Affordable Care Act went into effect. DATA SOURCE: Secondary data from the 2006-2014 National Health Interview Survey. STUDY
designLinear probability models were used to estimate changes in health service use and access (i.e., unmet medical need) in two separate analyses using data from 2006 to 2014 and 2012 to 2014. DATA EXTRACTION: Adult respondents aged 18 years and older (N = 257,560). PRINCIPAL
findingsResults from the 2006-2014 and 2012-2014 analyses show differential patterns in health service use and access by race/ethnicity and gender. Non-Hispanic whites had the greatest gains in health service use and access across both analyses. While there was significant progress among Hispanic respondents from 2012 to 2014, no significant changes were found pre-post-health care reform, suggesting access may have worsened before improving for this group. Asian men had the largest increase in office visits between 2006 and 2014, and although not statistically significant, the increase continued 2012-2014. Black women and men fared the worst with respect to changes in health care access.
conclusionsOngoing research is needed to track patterns of health service use and access, especially among vulnerable racial/ethnic and gender groups, to determine whether existing efforts under health care reform reduce long-standing disparities.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.