Evidence map›Paper›PMID 38242597›Full record

ReviewThe Lancet. Child & adolescent health2024

Racial and ethnic inequities in the quality of paediatric care in the USA: a review of quantitative evidence.

Natalie Slopen, Andrew R Chang, Tiffani J Johnson, Ashaunta T Anderson, Aleha M Bate, Shawnese Clark, Alyssa Cohen, Monique Jindal, J'Mag Karbeah, Lee M Pachter and 5 more

Open access · greenAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in The Lancet. Child & adolescent health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
34.0field-weighted citation impact, top 1% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Sociodemographic Determinants of Timely Hip Dysplasia Ultrasound Screening.Journal of the Pediatric Orthopaedic Society of North America · 2026
    Article
  6. Review
  7. Disparities in Pediatric Firearm Injury Care: A Comparison of Chronic Illness Pathways.Prevention science : the official journal of the Society for Prevention Research · 2026
    Article
  8. Review
  9. Article
  10. Article
  11. Social risk factors in pediatric gastroenterology.Journal of pediatric gastroenterology and nutrition · 2026
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 10 institutions in 2 countries.

Natalie SlopenDepartment of Social and Behavioral Sciences, Harvard T H Chan School of Public Health, Harvard University, Boston, MA, USA; Center on the Developing Child, Harvard University, Boston, MA, USA. Electronic address: nslopen@hsph.harvard.edu.
Andrew R ChangHarvard Medical School, Harvard University, Boston, MA, USA.
Tiffani J JohnsonUniversity of California, Davis, CA, USA.
Ashaunta T AndersonKeck School of Medicine, University of Southern California, Los Angeles, CA, USA; Children's Hospital Los Angeles, Los Angeles, CA, USA.
Aleha M BateMilburn Smith Child Health Outcomes, Research, and Evaluation Center, Chicago, IL, USA; Stanely Manne Children's Research Institute, Chicago, IL, USA.
Shawnese ClarkMilburn Smith Child Health Outcomes, Research, and Evaluation Center, Chicago, IL, USA; Stanely Manne Children's Research Institute, Chicago, IL, USA; Department of Pediatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Alyssa CohenMilburn Smith Child Health Outcomes, Research, and Evaluation Center, Chicago, IL, USA; Ann & Robert H Lurie Children's Hospital of Chicago, Chicago, IL, USA; Department of Pediatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Monique JindalDepartment of Clinical Medicine, University of Illinois, Chicago, IL, USA.
J'Mag KarbeahDivision of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, MN, USA.
Lee M PachterInstitute for Research on Equity and Community Health, ChristianaCare, Wilmington, DE, USA; Department of Pediatrics, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA; School of Population Health, Thomas Jefferson University, Philadelphia, PA, USA.
Naomi PriestCentre for Social Research and Methods, Australian National University, Canberra, ACT, Australia; Population Health, Murdoch Children's Research Institute, Parkville, VIC, Australia.
Shakira F SugliaDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Nessa BryceDepartment of Psychology, Harvard University, Boston, MA, USA.
Andrea FawcettDepartment of Clinical and Organizational Development, Chicago, IL, USA.
Nia Heard-GarrisMilburn Smith Child Health Outcomes, Research, and Evaluation Center, Chicago, IL, USA; Department of Pediatrics, Chicago, IL, USA; Department of Pediatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Harvard University · USChildren’s Institute · USNorthwestern University · USEmory University · USInstitute for Community Health · USMinnesota Department of Health · USMurdoch Children's Research Institute · AUUniversity of California, Davis · USUniversity of Illinois Chicago · USUniversity of Southern California · US

Funding

Subproject Title: Clinical Research Education, Mentoring and Career Development CoreU54GM104941 · NIGMS · UNIVERSITY OF DELAWARE · PI Megan M Wenner · 2013 to 2026
$60.5M
Minnesota Population Center Science and Technical CoreP2CHD041023 · NICHD · UNIVERSITY OF MINNESOTA · PI THERESA LOUISE OSYPUK · 2016 to 2026
$4.3M
K Administrative Supplement:ACHiP-ACEs and Cardiometabolic Health in Pediatrics: Using a Coping and Stress Reduction Intervention to Reduce Cardiometabolic Risk in Adolescents with AdversityK01HL147995 · NHLBI · LURIE CHILDREN'S HOSPITAL OF CHICAGO · PI HEARD-GARRIS, NIA JENEE' · 2019 to 2023
$886k
NHLBI NIH HHS K01 HL147995NICHD NIH HHS P2C HD041023NIGMS NIH HHS U54 GM104941
6 · The paper itself

Abstract

Racial and ethnic inequities in paediatric care have received increased research attention over the past two decades, particularly in the past 5 years, alongside an increased societal focus on racism. In this Series paper, the first in a two-part Series focused on racism and child health in the USA, we summarise evidence on racial and ethnic inequities in the quality of paediatric care. We review studies published between Jan 1, 2017 and July 31, 2022, that are adjusted for or stratified by insurance status to account for group differences in access, and we exclude studies in which differences in access are probably driven by patient preferences or the appropriateness of intervention. Overall, the literature reveals widespread patterns of inequitable treatment across paediatric specialties, including neonatology, primary care, emergency medicine, inpatient and critical care, surgery, developmental disabilities, mental health care, endocrinology, and palliative care. The identified studies indicate that children from minoritised racial and ethnic groups received poorer health-care services relative to non-Hispanic White children, with most studies drawing on data from multiple sites, and accounting for indicators of family socioeconomic position and clinical characteristics (eg, comorbidities or condition severity). The studies discussed a range of potential causes for the observed disparities, including implicit biases and differences in site of care or clinician characteristics. We outline priorities for future research to better understand and address paediatric treatment inequities and implications for practice and policy. Policy changes within and beyond the health-care system, discussed further in the second paper of this Series, are essential to address the root causes of treatment inequities and to promote equitable and excellent health for all children.

Indexed as

EthnicityRacismChildChild HealthDelivery of Health CareHumansPalliative CareUnited States

Identifiers

PMID38242597
PMCPMC11841375
OpenAlexW4390959554

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.