Social exclusion, deprivation and child health: a spatial analysis of ambulatory care sensitive conditions in children aged 0–4 years in Victoria, Australia

Butler, Danielle; Thurecht, Linc; Brown, Laurie; Konings, Paul

doi:10.1016/j.socscimed.2013.06.029

Cited by 21 publications

(27 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Children born into social and health disadvantage were more likely to have experienced a PPH by age 5. This is consistent with previous studies demonstrating higher PPH admission rates among Aboriginal or Torres Strait Islander children, 12 Pacific and Maori children7 and children experiencing deprivation7 21 or social exclusion 21 22…”

Section: Discussionsupporting

confidence: 92%

Potentially preventable hospitalisations in children: a comparison of definitions

et al. 2019

View full text Add to dashboard Cite

ObjectiveTo compare admission rate, cumulative incidence and social distribution of potentially preventable hospitalisations (PPHs) among children according to the current Australian adult definition, and the child definition developed in New Zealand.Design, setting, participantsDeidentified, linked public hospital, births registry and perinatal data of children aged 0–10 years born 2002–2012 in South Australia (n=1 91 742).Main outcome measuresPPH admission rates among 0–10 year olds and cumulative incidence by age 5 under the adult and child definitions. Cumulative incidence was assessed across indicators of social and health disadvantage.ResultsPPH admission rates among 0–10 year olds were 25.6 (95% CI 25.3 to 25.9) and 59.9 (95% CI 59.5 to 60.4) per 1000 person-years for the adult and child definitions, respectively. Greater absolute differences in admission rates between definitions were observed at younger ages (age <1 difference: 75.6 per 1000 person-years; age 10 difference: 1.4 per 1000 person-years). Cumulative incidence of PPHs among 0–5 year olds was higher under the child (25.0%, 95% CI 24.7 to 25.2) than the adult definition (12.8%, 95% CI 12.6 to 13.0). Higher PPH incidence was associated with social and health disadvantage. Approximately 80% of the difference in admission rate between definitions was due to five conditions.ConclusionsRespiratory conditions and gastroenteritis were key contributors to the higher PPH admission rate and cumulative incidence among children when calculated under the child definition compared to the adult definition. Irrespective of definition, higher PPH cumulative incidence was associated with social and health disadvantage at birth.

show abstract

Section: Discussionsupporting

confidence: 92%

Potentially preventable hospitalisations in children: a comparison of definitions

et al. 2019

View full text Add to dashboard Cite

show abstract

“…However, the fact that there was a reduction in overall admissions raises a question regarding the increase in the proportion of ACSCs in this age group in the State of Paraná. Possible explanations include barriers to primary health care and lack of capacity of health facilities, which are factors that negatively affect children's health (15) . Another factor worth noting is the approach to child health care in this age group adopted by health professionals, who tend to focus on children under the age of one.…”

Section: Discussionmentioning

confidence: 99%

“…A discussion of the causes of this increase is important given the expansion of coverage of PHC in the State Paraná, principally through the implementation and expansion of the coverage of the ESF (13) . The increase in the proportion of ACSC admissions, despite the increase in coverage of PHC, suggests possible difficulties in accessing healthcare services and the lack of adequate and timely child health care, both of which are essential elements of admission prevention (7,15) . Conversely, a study carried out in the Northeast of Brazil observed an increase in coverage and reduction in ACSC admissions among children under five years of age (10) , suggesting that the expansion of PHC contributes to a reduction in ACSC admissions.…”

Section: Discussionmentioning

confidence: 99%

Hospital admissions due to ambulatory care sensitive conditions among children by age group and health region

Prezotto

Chaves

Mathias

2015

Rev. esc. enferm. USP

View full text Add to dashboard Cite

Objective: to describe hospital admissions for ambulatory care sensitive conditions in children under five years of age in the State of Paraná, Brazil by condition type, age group and health region. Method: a temporal ecological study was conducted using data from the Unified Health System Hospital Information System for the period 2000 to 2011. Conditions were grouped in accordance with the list of ambulatory care sensitive conditions in Brazil. Results: there was an increase in the rate of admissions for ambulatory care sensitive conditions in all age groups in 50% of the health regions, with a marked increase in children under the age of one. Pneumonia, gastroenteritis and asthma were the main causes of admissions. There was an increase in the proportion of overall admissions accounted for by pneumonia and gastroenteritis. Conclusion: the increase in admissions reveals the need for actions to improve access to primary healthcare and provide effective treatment of the main ambulatory care sensitive conditions in order to prevent hospital admissions among children.

show abstract

“…This result can be explained by their immature development and specific health conditions related to physical growth and neurophychomotor development, resulting in a physiological vulnerability for illness [ 8 , 11 , 12 ]. Focusing in early childhood years is beneficial because it is the opportune time to intervene and prevent the long-term consequences of poor health [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

Factors associated with avoidable hospitalisation of children younger than 2 years old: the 2006 Brazilian National Demographic Health Survey

Konstantyner

Mais

Taddei

2015

Int J Equity Health

View full text Add to dashboard Cite

IntroductionAmbulatory Care Sensitive Conditions (ACSC) are conditions for which hospitalisation is thought to be avoidable with the use of effective preventive care and early disease management. The objective of this study was to estimate the rate of avoidable hospitalisations in children younger than 24 months of age participating in a Brazilian national representative survey and to identify the risk factors for such hospitalisations.MethodsWe analysed data from a cross-sectional study of 1901 children from the 2006 Brazilian National Demographic Health Survey of Women and Children (NDHS). The children’s socioeconomic, biological and maternal characteristics, nutritional status, and access to healthcare were tested; variables with p < 0.20 were selected to fit a Poisson regression.ResultsThe prevalence of avoidable hospitalisation was 11.8 % (95 % Confidence Interval [CI], 9.0, 15.2); the prevalence was higher in the Southeast (40.1 %) and Northwest (21.7 %) macro-regions. The multivariate model identified five risk factors for avoidable hospitalisation: male gender (Prevalence Ratio [PR] = 1.48, p = 0.004), low socioeconomic level (PR = 1.51, p = 0.005), children from mothers younger than 20 years of age (PR = 1.41, p = 0.031), not breastfed within the first hour of life (PR = 1.29, p = 0.034), and neonatal hospitalisation (PR = 1.66, p = 0.043).ConclusionsTo decrease the costs associated with avoidable hospitalisations, health managers and professionals should focus their efforts on providing effective primary healthcare to families of low socioeconomic levels, particularly prenatal and paediatric care, as well as encouraging breastfeeding and supporting young mothers. Strategies to improve children’s health by controlling such hospitalisations in Brazil should consider all residence areas and geopolitical macro-regions.

show abstract

Social exclusion, deprivation and child health: a spatial analysis of ambulatory care sensitive conditions in children aged 0–4 years in Victoria, Australia

Cited by 21 publications

References 25 publications

Potentially preventable hospitalisations in children: a comparison of definitions

Potentially preventable hospitalisations in children: a comparison of definitions

Hospital admissions due to ambulatory care sensitive conditions among children by age group and health region

Factors associated with avoidable hospitalisation of children younger than 2 years old: the 2006 Brazilian National Demographic Health Survey

Contact Info

Product

Resources

About