Research Article

Disparities in the Clinical Encounter: Virginia's African American Children with Special Health Care Needs

Table 5

Significant predictors for core outcomes.

PredictorOdds ratioP95% confidence interval

Outcome (1): families partner in decision making and are satisfied

Being African American.57.023.35–.93
Living in a two-parent stepfamily2.23.0121.19–4.18
Living in some other family configuration1.34.035.12–.93
Child’s care caused financial problems.40.000.25–.64
Child has emotional problems.37.000.22–.64
Child’s care delayed/foregone in last 12 months.27.007.10–.69

Outcome (2): coordinated ongoing comprehensive care within a medical home

Being African American.39.000.23–.65
Being Other race/ethnicity2.39.043.15–.97
Being female.66.022.46–.94
Living in some other family configuration.29.036.09–.92
Child has emotional problems.44.005.25–.78
Child has behavior problems.54.019.32–.90
Increased number of ER visits.86.046.74–.99

Outcome (3): adequate private or public health insurance

Being African American.60.029.38–.95
Child’s care caused financial problems.22.000.14–.36
Child’s care delayed/foregone in last 12 months.12.000.05–.29

1Other family configuration meant: not (a) two parent biological/adopted, (b) two parent stepfamily, or (c) single mother, no father present.
2 Other race/ethnicity meant: not (a) White, (b) African American, or (c) Hispanic/Latino.