The influence of migratory background and parental education on health care utilisation of childrenReport as inadecuate




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European Journal of Pediatrics

, Volume 171, Issue 10, pp 1533–1540

First Online: 23 June 2012Received: 03 January 2012Accepted: 05 June 2012

Abstract

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.

KeywordsChild health Health service usage Migration and health Social differences Some results of this study were presented during the annual joint conference of the German Society for Epidemiology and the German Society for Social Medicine and Prevention in Berlin, Germany August 22, 2010.

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Author: Nicole Rosenkötter - Martien C. J. M. van Dongen - Wolfgang Hellmeier - Klaus Simon - Pieter C. Dagnelie

Source: https://link.springer.com/







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