The influence of migratory background and parental education on health care utilisation of children
| Autor: | Klaus Simon, Nicole Rosenkötter, Martien C. J. M. van Dongen, Wolfgang Hellmeier, Pieter C. Dagnelie |
|---|---|
| Přispěvatelé: | Epidemiologie, International Health, RS: CAPHRI School for Public Health and Primary Care |
| Rok vydání: | 2012 |
| Předmět: |
Male
Parents Child health care Health service usage Population Ethnic group Logistic regression Nursing Parental education Migration and health Germany Health care Complaint Medicine Humans Mass Screening Social determinants of health Pediatrics Perinatology and Child Health education Child Language School Health Services Child health Social differences Transients and Migrants education.field_of_study business.industry Vaccination Logistic Models Pediatrics Perinatology and Child Health Educational Status Female business Delivery of Health Care Demography |
| Zdroj: | European Journal of Pediatrics, 171(10), 1533-1540. Springer, Cham |
| ISSN: | 1432-1076 0340-6199 |
| Popis: | School-entry screening data from North Rhine-Westphalia (NRW), Germany from 2007 were used to investigate child health care utilisation. We focussed on the influence of migratory background and parental education on children’s (1) participation in regularly scheduled early recognition examinations, (2) immunisation uptake and (3) referrals due to a school-entry screen-detected complaint. The study sample consisted of 52,171 children out of 17 NRW districts. Bivariable, stratified and multivariable analyses were performed to identify relevant associations between social determinants and health care utilisation outcome parameters. Multivariable logistic regression showed that children belonging to families with a migratory background or low parental education were more likely to have an incomplete documentation of early recognition examinations and to be referred due to a new diagnosis. Children with migratory background were more likely to be sufficiently immunised than children with parents of German ethnicity. For all studied health care utilisation outcomes, kindergarten visit had a supportive effect. Conclusion: In general, the results of our regional study were in line with the results from national population-based studies. Additionally, a larger likelihood of referrals due to school-screen-detected deficits in children with migratory background or low parental education was detected. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|