Social and family-related correlates of medical care utilization by asthmatic children in Upper Silesia, Poland

Jan E. Zejda 1, Grzegorz M. Brożek 1, Małgorzata Farnik 2, Irena Smółka 1
1 - Department of Epidemiology, Medical University of Silesia, Katowice, Poland
2 - Department of Pneumonology, Medical University of Silesia, Katowice, Poland
Ann Agric Environ Med
2012; 19 (1):
ICID: 988598
Article type: Original article
 
 
Background: Studies on childhood asthma demonstrate socioeconomic disparities in medical care utilization. A lack of information for Poland prompted our investigation into this question. Its goal was to discover if the utilization of medical services by asthmatic children depends on social and family factors.
Methods: Subjects were 186 children with physician-diagnosed asthma, identified through a questionnaire survey of 4,535 school children in Katowice District, Poland. Utilization of medical care was assessed by such past year events as medical visits (44.0%), any diagnostic test (35.4%) and spirometry (30.6%). Association of those events with socioeconomic variables was explored by means of logistic regression, according to the criterion p< 0.1.
Results: After adjustment for disease severity and gender medical visits were related to younger age (p=0.009), family history of respiratory diseases (p=0.08) and rural residence (p=0.09), any diagnostic tests to younger age (p=0.08), smaller number of siblings (p=0.01) and rural residence (p=0.004); spirometry to smaller number of siblings (p=0.09) and rural residence (p=0.006).
Conclusion: Clinical status and age are important determinants of utilization of medical services by asthmatic children. The effects of rural residence and family size may reflect a more attentive response to the needs of a sick child.

PMID 22462459 - click here to show this article in PubMed
  FULL TEXT STATS

Recommend this article to:

Name:
E-mail:
From:
Language:


Related articles in IndexCopernicus™
     Asthma [652 related records]
     Child [31040 related records]
     medical services [23 related records]
     Population-based Study [3 related records]
     Questionnaire [206 related records]



 

Related articles

S Ferreira, D Fin,
 An unusual presentation of oral mucocele in...
 the lower lip. Although etiology is uncertain, mucocele are usually caused by local trauma. Cases involving infants are rarely reported in the literature. The objective of this study is to report an unusual case of mucocele in the fi rst year...
ABSTRACT
J Tys, A Szopa,
A botanical and pharmacological description of pet...
The objective of this review was to evaluate the botanical and pharmacological description of Petasites species. Petasides (butterbur) as a perennial shrub which was found in Europe and also in a parts of Asia and North America, has been widely used ...
ABSTRACT
F Aktar, K Karaman,
Magnetic Resonance Spectroscopy in Sjögren-Larsso...
Sjögren-Larsson syndrome (SLS) is a rare neurocutane­ous disease showing an autosomal recessive transmis­sion due to a lack of fatty acid aldehyde dehydrogenase. Spastic diplegia or triplegia, mental retardation and con­genital lamellar ichthyos...
ABSTRACT