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Black Kids Not Receiving Equal Care in ER: Study

Odds of getting pain meds lower than those of white kids

By Matt Cantor,  Newser Staff

Posted Apr 30, 2012 8:37 AM CDT

(Newser) – Black kids don't receive the same emergency-room care that white children do, according to a new study of 2,000 kids who sought treatment for abdominal pain in 550 hospitals. It found that black children were 39% less likely to receive painkillers than their white peers. The racial gap grew even larger amongst kids in more severe pain, rated seven on a scale of 10, ABC News reports. Black and Hispanic kids were also more likely to be in the ER for more than six hours, even when undergoing the same testing as white kids.

It's not yet clear why the disparity exists. Among adults, studies have suggested that black patients are less vocal about their pain than whites. Another study found that doctors were nearly twice as likely to underestimate the severity of pain among black patients versus other ethnicities. As for children, "we need to look at where these differences are coming from," says the study's lead author. "Are they at the patient level, the parent level, or the physician level?"

For black children, odds of getting pain meds in the ER are lower than for white kids.
For black children, odds of getting pain meds in the ER are lower than for white kids.   (Shutterstock)
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COMMENTS
Showing 3 of 36 comments
Bundy714
Apr 30, 2012 2:41 PM CDT
I'm curious, have any of you ever been given pain killers for abdominal pain?
fractal
Apr 30, 2012 2:40 PM CDT
Having worked in both social services and hospitals, I think that squeaky wheels get the grease.  My observation is that poor Black people are more subservient acting when getting "free" services than White people are.  They have learned to bow their heads and nod humbly.  The system "broke" them earlier, and they have no sense of outrage left; and if you don't act suitably humble when getting faith based services, they kick you out the door. And the other thing I have noticed is that some doctors are VERY judgmental, and will give less pain meds if they think the pain is that persons "fault". You can just guess how that would play out with a rich doctor and an inner city black teen... I even saw that tendency with abortion doctors. I worked with one in particular that would under-medicate any woman who came in more than twice, and would be sure to have her screaming before she was off the table... Unfortunately, this is not the right tact when dealing with professionals in the ER.  You have to get their attention, make it clear that you will keep asking questions and making noise---the ER HATES noisy people.  Make it clear you are keeping track of the meds they are getting and make inquiries with the NURSE about getting a copy of the ER charting. Quite often, pain meds are stolen by those who are supposed to dispense it.  Yes it happens, way more than you think.  Why do you think it takes 45 minutes after asking to get your pain pill?  If nurses think no one is watching, some will chart that you got 4 pills, then give you three and pocket 1.  A number of drug addicts go into nursing for that reason.
howdyd44
Apr 30, 2012 1:30 PM CDT
"It's not yet clear why the disparity exists.".....racism?lol
 

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