We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editorial |

Eliminating Health Care Disparities Is Good for Us All

Alain Joffe, MD, MPH
Arch Pediatr Adolesc Med. 2003;157(9):850-851. doi:10.1001/archpedi.157.9.850.
Text Size: A A A
Published online


AN UNWRITTEN RULE regarding adolescent health care is that one should never assume that what is true for adults or children will also hold true for adolescents. Unfortunately, in one dimension of health care, adolescents may not be so different from other age groups. Although the limited data presented by Elster et al1 in this issue of the ARCHIVES preclude any definitive conclusions, they suggest that teenagers of racial and ethnic minority backgrounds experience disparities in health care. In a systematic review of the literature, Elster and colleagues found that according to the majority of methodologically sound studies, African American youths received fewer primary care and mental health services than white youths. Comparisons between white and Latino youths yielded fewer differences than between white and African American youths, but when differences were noted, Latino youths also received fewer services. Several large studies indicate that after controlling for socioeconomic status, the prevalence of mental health disorders is the same among all 3 groups of youths; therefore, the observed differences cannot be attributed to differential need. Although Elster and colleagues appropriately call for more research in this area, we would not be terribly surprised if these preliminary data are confirmed.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

1 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles