Socioeconomic position and prediagnostic health care contacts in children with cancer in Denmark: a nationwide register study

Autor: Gitte Lerche Aalborg, Jeanette Falck Winther, Friederike Erdmann, Susanne Oksbjerg Dalton, Hanne Bækgaard Larsen, Lisa Lyngsie Hjalgrim, Line Hjøllund Pedersen, Kjeld Schmiegelow
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Stage
Male
Parents
Cancer Research
Maternal Health
Denmark
Disease
Health Services Needs and Demand/statistics & numerical data
Fathers
Neoplasms
Diagnosis
Health care
Odds Ratio
Medicine
Registries
Child
Depression (differential diagnoses)
RC254-282
Childhood Cancer Registry
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Register study
Socioeconomic position
Oncology
Child
Preschool
Emergency Service
Hospital/statistics & numerical data
language
Educational Status
Female
Emergency Service
Hospital
Childhood cancer
Maternal Age
Adolescent
Social inequality
Paternal Age
Danish
Prediagnostic contacts
Genetics
Humans
Socioeconomic status
Health Services Needs and Demand
business.industry
Research
Infant
Newborn
Infant
Odds ratio
Childhood
language.human_language
Socioeconomic Factors
business
Demography
Neoplasms/diagnosis
Zdroj: BMC Cancer, Vol 21, Iss 1, Pp 1-15 (2021)
Pedersen, L H, Erdmann, F, Aalborg, G L, Hjalgrim, L L, Larsen, H B, Schmiegelow, K, Winther, J F & Dalton, S O 2021, ' Socioeconomic position and prediagnostic health care contacts in children with cancer in Denmark : a nationwide register study ', BMC Cancer, vol. 21, no. 1, pp. 1104 . https://doi.org/10.1186/s12885-021-08837-x
BMC Cancer
Pedersen, L H, Erdmann, F, Aalborg, G L, Hjalgrim, L L, Larsen, H B, Schmiegelow, K, Winther, J F & Dalton, S O 2021, ' Socioeconomic position and prediagnostic health care contacts in children with cancer in Denmark : a nationwide register study ', BMC Cancer, vol. 21, 1104 . https://doi.org/10.1186/s12885-021-08837-x
ISSN: 1471-2407
Popis: Background While underlying mechanisms and pathways of social inequalities in cancer survival have been extensively examined in adults, this is less so for children with cancer. Hypothesized mechanisms include prediagnostic utilization of and navigation through the health care system, which may differ by socioeconomic resources of the families. In this nationwide register-based study we investigated the association between measures of family socioeconomic position in relation to prediagnostic health care contacts and stage of disease at diagnosis in children with cancer in Denmark. Methods We identified all children diagnosed with a cancer at ages 0–15 years in 1998–2016 (N = 3043) from the Danish Childhood Cancer Registry. We obtained comprehensive information on measures of socioeconomic position, parental health and prediagnostic contacts to both general practitioners and hospitals 24 months prior to diagnosis from various national registries. We fitted multivariable conditional logistic regression models for the association of family socioeconomic and health-related variables with firstly, frequent health care contacts and secondly, advanced stage. Results We found higher odds ratios (OR) of frequent both overall and emergency health care contacts in the last 3 months before diagnosis in children from households with short parental education and mixed affiliation to work market, when compared to children with high family socioeconomic position. Further, children of parents with depression or of non-Western origin, respectively, had higher OR for frequent overall and emergency contacts. We found no association between socioeconomic position, parental health and stage of disease. Conclusion Families with socioeconomic disadvantage, non-Western origin or depression more frequently utilize prediagnostic health care services, both generally and in the acute setting, indicating that some disadvantaged families may struggle to navigate the health care system when their child is sick. Reassuringly, this was not reflected in disparities in stage at diagnosis. In order to improve the diagnostic process and potentially reduce health care contacts, attention and support should be given to families with a high number of health care contacts over a short period of time.
Databáze: OpenAIRE
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