Racial Health Disparities

Black Non-Hispanic children have an asthma prevalence of 11.6%, well above the US national average of 6.5%. American Indian/Alaska Native Non-Hispanic children have an asthma prevalence of 9.2%, also above the national average. Hispanic patients in the IBD cohort had a fourfold higher incidence of hepatocellular carcinoma compared with white patients. Hispanic patients were more represented in the IBD-CLD group than in the IBD-only group (10.72% vs 8.20%). No statistically significant adjusted differences in MALO odds were found for Hispanic, Asian, Native American, or other racial groups compared with white patients. Hepatocellular carcinoma occurred more frequently among African American patients (1.25%) and Hispanic patients (0.95%) than in other racial groups. Because the review focuses exclusively on US minority populations, findings cannot be generalised to low-SES non-minority children. Prior evidence indicates Hispanic patients with HCC have higher incidence, later-stage diagnosis, and lower likelihood of curative treatment or transplantation. The PNPLA3 rs738409 variant is more frequent among Hispanics (49% in the Dallas Heart Study) and less common in African Americans,…