Socioeconomic status and utilization of health care services among asthmatic children
Socioeconomic status and utilization of health care services among asthmatic children
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DOI：
10.1081/jas-120014927
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发表时间：
2002-01-01
影响因子：
1.9
通讯作者：
Malo, JL
中科院分区：
文献类型：
--
作者：
Amre, DK;Infante-Rivard, C;Malo, JL
我们评估了社会经济因素与哮喘儿童住院和急诊科就诊的关系，这些儿童普遍可以获得医疗保健。对3~4岁初诊哮喘儿童进行为期6年的随访。有关住院和急诊科就诊的信息是通过访问父母获得的。社会经济地位(SES)通过父亲的职业、种族、居住类型和拥挤指数来衡量。在调整哮喘严重程度后，Logistic回归分析显示，父亲从事经济条件最差职业的儿童更容易因哮喘住院[父亲职业3组，OR=2.1，95%可信区间(95%CI)=0.2~19.8；父亲职业4组，OR=13.9，95%CI=1.1~181.4]。急诊科就诊的概率根据研究变量的不同没有显著差异。急诊科就诊不受SES变量的影响，可能是因为没有获得医疗保健的经济障碍。然而，SES在住院方面的差异可能意味着急诊科根据社会经济状况的不同管理和/或治疗做法。
We evaluated the relation between socioeconomic factors and hospitalization as well as emergency department (ED) visits among asthmatic children who had universal access to health care. Newly diagnosed asthmatic children 3-4 years of age were followed up for a period of 6 years. Information on hospitalization and ED visits was obtained by interviewing parents. Socioeconomic status (SES) was measured by paternal occupation, race, type of dwelling, and an index of crowding. After adjusting for asthma severity, logistic regression analysis showed that children with fathers in the economically least advantaged occupations were more likely to be hospitalized due to their asthma [father's occupation group 3 (FOG3), odds ratio (OR)=2.1, 95% confidence interval (95% CI)=0.2-19.8; father's occupation group 4 (FOG4), OR=13.9, 95% CI=1.1-181.4]. The probability of emergency department visits was not significantly different according to the studied variables. Emergency department visits were not influenced by SES variables, probably due to the absence of financial barriers to access health care. However, SES differences in hospitalization may suggest differential management and/or treatment practices according to socioeconomic status at the emergency departments.