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 |
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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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