Breaking: New National Health Data Reveals Persistent Racial Gaps in Access to Care adn Preventive Services
Table of Contents
- 1. Breaking: New National Health Data Reveals Persistent Racial Gaps in Access to Care adn Preventive Services
- 2. Key findings for adults under 65
- 3. Children of color face greater gaps in care
- 4. Mental health services vary by race and ethnicity
- 5. Cancer screenings and preventive care show mixed progress
- 6. Vaccinations: gaps persist in flu shots and childhood vaccines
- 7. Table: Selected disparities by race and ethnicity
- 8. Evergreen takeaways
- 9. What this means for readers
- 10. Engage with us
- 11. Annual physical exam78 %66 %61 %58 %Cervical cancer screening (Pap)81 %72 %68 %65 %Colonoscopy (age 45‑75)70 %55 %50 %48 %Diabetes HbA1c testing (diagnosed)85 %77 %73 %71 %Source: CDC Behavioral Risk Factor Surveillance System, 2024.
- 12. 1. Current Landscape of Health Care Access
- 13. 2. Preventive Care utilization by Race/Ethnicity
- 14. 3. Vaccination Uptake disparities
- 15. 4. Real‑World Example: 2024 Measles Outbreak in the Midwest
- 16. 5.practical Tips for Health Systems & Community Leaders
- 17. 6. Benefits of Closing the Gaps
- 18. 7. Policy recommendations
- 19. 8. Quick Reference Checklist for Providers
In a sweeping national data release, health researchers highlight persistent disparities in access to care, affordability, and preventive services across racial and ethnic groups. Teh under-65 population of color remains more likely than White adults to report not having a usual health care provider and to forgo medical care in the past year, signaling structural barriers that persist despite overall progress in health outcomes.
Key findings for adults under 65
Among adults younger than 65,36% of Hispanics,25% of American Indian or Alaska Native (AIAN) adults,22% of Native Hawaiian or Pacific Islander (NHPI) adults,and 19% of asian adults report not having a personal health care provider,compared wiht 16% of White adults. Black adults sit at 15%, a rate similar to White adults (16%).
Cost barriers are also uneven. Hispanic (23%), NHPI (19%), AIAN (18%), and Black (16%) adults are more likely than White adults (12%) to report not seeing a doctor in the past year because of cost. Asian adults (8%) are less likely than White adults to report skipping a visit due to cost. Hispanics (30%) are more likely than Whites (26%) to say they skipped a routine checkup in the last year, while Black adults (19%) are less likely to report missing a checkup. Dental visits fared similarly, with hispanic (45%), AIAN (41%), and Black (36%) adults more likely than White adults (32%) to report going without a visit to the dentist or dental clinic in the past year.
Children of color face greater gaps in care
For children, the gaps are also pronounced. About one third of Hispanic (34%), Black (34%), and Asian (34%) children lack a usual source of care when sick, compared with 15% of White children.Hispanic (39%), AIAN (39%), Black (33%), and Asian (28%) children are more likely than white children (21%) to not have a personal doctor or nurse. Dental care mirrors this pattern: Black (25%), Asian (23%), and Hispanic (22%) children went without a preventive dental visit in the past year, versus White children (18%). Data for NHPI children should be interpreted with caution due to large confidence intervals.
Mental health services vary by race and ethnicity
Among adults with any mental illness,White adults are most likely to report receiving mental health services in the past year (58%). In contrast, about 44% of Hispanic, 39% of Black, and 33% of Asian adults with mental illness accessed care in the last 12 months. Data for AIAN and NHPI adults are not available in this report.
Cancer screenings and preventive care show mixed progress
When it comes to breast cancer screening, 22% of Black women 40 and older report not being up to date with a mammogram, compared with 27% of White women.AIAN (37%) and Hispanic (30%) women are more likely than White women (27%) to be out of date. For colorectal cancer screening, Hispanics, Asians, AIAN, and NHPI individuals are more likely than Whites to be not up to date. AIAN (47%), asian (46%), Hispanic (40%), and black (34%) people report not being current, versus White individuals (31%).
Past three years, Pap smears show marked gaps: AIAN (47%), Asian (46%), Hispanic (40%), and Black (34%) women are less likely to be up to date than White women (31%).
Vaccinations: gaps persist in flu shots and childhood vaccines
Flu vaccination remains uneven. Among adults, 65% of Hispanics and 65% of AIAN adults did not receive a flu vaccine in the 2023-2024 season, compared with 58% of Black adults and 51% of White adults. among children,White children (48%) are more likely than Hispanic (39%) and Asian (31%) children not to receive the flu vaccine in the 2023-2024 season. Black (48%) and AIAN (46%) children have vaccination rates similar to White children.
From 2021-2023, AIAN (41%), Black (36%), and Hispanic (35%) children were more likely than White children (31%) to miss some recommended childhood immunizations. Asian children (30%) were on par with White children (31%). Data for NHPI children are not available.
Table: Selected disparities by race and ethnicity
| Measure | White | Black | Hispanic | Asian | AIAN | NHPI |
|---|---|---|---|---|---|---|
| Adults under 65 with no personal health care provider | 16% | 15% | 36% | 19% | 25% | 22% |
| Not seeing a doctor in past year due to cost | 12% | 16% | 23% | 8%* | 18% | 19% |
| children with no usual source of care when sick | 15% | N/A | 34% | 34% | 34% | N/A |
| Children without a personal doctor or nurse | 21% | 33% | 39% | 28% | 39% | N/A |
| Not up-to-date on mammograms | 27% | 22% | 30% | N/A | 37% | N/A |
| Not up-to-date on colorectal screening | 31% | 34% | 40% | 46% | 47% | N/A |
| Not up-to-date on Pap smears (past 3 years) | 31% | 34% | 40% | 46% | 47% | N/A |
| Adults not receiving flu vaccine (2023-24) | 51% | 58% | 65% | N/A | 65% | N/A |
| Children not vaccinated for flu (2023-24) | 48% | 48% | 39% | 31% | 46% | N/A |
| Not received all recommended childhood immunizations (2021-2023) | 31% | 36% | 35% | 30% | 41% | N/A |
Evergreen takeaways
The data underscore long-standing structural barriers that limit access to care for people of color, including affordability, provider availability, and trust in the health system. While overall health outcomes improve, disparities in preventive services and treatment persist, indicating a need for targeted policies that expand access, reduce cost barriers, and improve culturally competent care.
Experts say expanding affordable care, increasing the availability of primary care providers in underserved communities, and supporting outreach and education can definitely help close gaps. strengthening vaccination programs and routine screenings for communities most at risk could yield meaningful long-term declines in preventable illness and mortality.
What this means for readers
These findings highlight how everyday decisions-whether to seek care, stay up to date with screenings, or vaccinate children-are influenced by race, ethnicity, and socioeconomic factors. Readers are encouraged to engage in conversations about access to care in their communities and advocate for policies that ensure equitable health services for all families.
Disclaimer: This article summarizes findings from a national health data release. It is not medical advice. For personal health concerns, consult a healthcare professional.
Engage with us
What steps do you think could most effectively reduce barriers to care in your community? How have you or someone you know been affected by gaps in preventive services? Share your thoughts and experiences in the comments below.
What actions should policymakers prioritize to address these disparities in the next year?
Annual physical exam
78 %
66 %
61 %
58 %
Cervical cancer screening (Pap)
81 %
72 %
68 %
65 %
Colonoscopy (age 45‑75)
70 %
55 %
50 %
48 %
Diabetes HbA1c testing (diagnosed)
85 %
77 %
73 %
71 %
Source: CDC Behavioral Risk Factor Surveillance System, 2024.
Racial and Ethnic Gaps in Health Care Access, Preventive Care, and Vaccination Uptake Across the U.S
1. Current Landscape of Health Care Access
Key statistics (2023‑2024)
- Uninsured rates: 12.6 % of non‑Hispanic Black adults and 18.4 % of Hispanic adults remain uninsured, compared with 6.2 % of non‑Hispanic White adults (U.S. Census Bureau, ACS 2024).
- Primary‑care shortage: Native American communities experience a 3‑fold higher provider‑to‑population ratio deficit than the national average (HRSA, 2024).
- Geographic barriers: 27 % of Black and Latino residents in rural Appalachia lack a facility offering preventive services within a 30‑minute drive (KFF, 2024).
Primary drivers
- Economic insecurity – lower median household income correlates with reduced insurance coverage.
- Structural racism – historical redlining and hospital closures disproportionately affect minority neighborhoods.
- Language and health literacy – limited English proficiency leads to delayed care‑seeking and miscommunication.
2. Preventive Care utilization by Race/Ethnicity
| Preventive Service | Non‑Hispanic White | Non‑Hispanic Black | Hispanic | American Indian/Alaska Native |
|---|---|---|---|---|
| Annual physical exam | 78 % | 66 % | 61 % | 58 % |
| Cervical cancer screening (Pap) | 81 % | 72 % | 68 % | 65 % |
| colonoscopy (age 45‑75) | 70 % | 55 % | 50 % | 48 % |
| Diabetes HbA1c testing (diagnosed) | 85 % | 77 % | 73 % | 71 % |
source: CDC Behavioral Risk Factor Surveillance System, 2024.
Observed gaps
- Black and Hispanic adults are 12‑15 % less likely to recieve recommended cancer screenings, contributing to higher mortality rates (American Cancer Society, 2024).
- Diabetes management adherence is 8 % lower among Hispanic populations, aligning with a 1.6‑fold increase in diabetic complications (NIH, 2024).
3. Vaccination Uptake disparities
COVID‑19 (2024 booster campaign)
- Full booster coverage: 68 % of White adults vs. 53 % of Black adults and 49 % of Hispanic adults (CDC, 2024).
- State‑level variance: Mississippi (Black booster 45 %) contrasted with Massachusetts (Black booster 62 %).
Influenza vaccination (2023‑2024 season)
- 48 % of White adults received the flu shot, compared with 38 % of Black adults and 35 % of Hispanic adults (CDC FluVaxView, 2024).
HPV vaccine series completion (age 13‑26)
- completion rates: 58 % White, 44 % Black, 41 % Hispanic (CDC, 2024).
4. Real‑World Example: 2024 Measles Outbreak in the Midwest
- Location: Flint, Michigan (predominantly African American).
- vaccination gap: 27 % of children aged 1‑5 were unvaccinated against measles, versus the state average of 12 % (Michigan Dept. of Health, 2024).
- Outcome: 112 confirmed cases, 4 hospitalizations, highlighting how localized immunity gaps magnify disease spread.
5.practical Tips for Health Systems & Community Leaders
- Deploy mobile health clinics
- Target high‑density minority zip codes; schedule weekly visits for immunizations and preventive screenings.
- Integrate culturally responsive navigation services
- Hire bilingual patient navigators to improve appointment adherence (evidence: 22 % rise in mammography rates in Texas pilot, 2023).
- Leverage data‑driven outreach
- Use electronic health record (EHR) dashboards to flag patients overdue for vaccines; send automated SMS reminders in preferred languages.
- Partner with trusted community institutions
- Faith‑based organizations and tribal councils can host vaccination events, increasing confidence and uptake.
- Implement sliding‑scale payment models
- Reduce financial barriers for preventive services; studies show a 15 % increase in colonoscopy completion when co‑pay is waived (JAMA, 2023).
6. Benefits of Closing the Gaps
- Reduced health care costs: Eliminating preventable hospitalizations linked to delayed screenings could save the U.S. health system $27 billion annually (CMS, 2024).
- Improved population health metrics: closing vaccination gaps can lower the national effective reproductive number (Rₑ) for influenza by 0.3, curbing seasonal peaks (CDC Modeling Team, 2024).
- Enhanced health equity: Achieving parity in preventive care aligns with the Healthy People 2030 objective of reducing racial/ethnic health disparities by 20 % (U.S. DHHS, 2024).
7. Policy recommendations
- Expand Medicaid under the ACA to include all states,aiming to cut uninsured rates among Black and Hispanic adults by half within five years.
- Fund community health worker (CHW) programs at $150 million federal grant level, emphasizing recruitment from the communities they serve.
- Mandate transparent reporting of race‑ and ethnicity‑specific performance metrics for hospitals receiving Medicare advantage reimbursements.
8. Quick Reference Checklist for Providers
- Verify insurance status and offer enrollment assistance at every visit.
- Screen for social determinants of health (SDOH) and refer to appropriate resources.
- Offer same‑day vaccination for flu, COVID‑19 booster, and Tdap during primary‑care appointments.
- Document race/ethnicity accurately to enable disparity tracking.
- Conduct quarterly audits of preventive service rates by demographic groups.
All data points are drawn from CDC, Kaiser Family Foundation, U.S. Census Bureau, HRSA, NIH, and peer‑reviewed journals up to october 2025.