University of Stirling    STORRE: Stirling Online Research Repository University Circle Images   Research Led, Student Focused  
 

STORRE >
School of Nursing, Midwifery and Health >
School of Nursing, Midwifery and Health Journal Articles >

Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/3096

Appears in Collections:School of Nursing, Midwifery and Health Journal Articles
Peer Review Status: Refereed
Title: Childhood disadvantage and emergency admission rates for common presentations in London: an exploratory analysis
Author(s): Kyle, Richard G
Kukanova, Marina
Campbell, Malcolm
Wolfe, Ingrid
Powell, Peter
Callery, Peter
Contact Email: richard.kyle@stir.ac.uk
Keywords: Children
Disadvantage
Respiratory
Housing
Environment
Hospital Episode Statistics
London
Child Well-being Index
Index of Multiple Deprivation
Issue Date: Mar-2011
Publisher: BMJ Publishing Group
Citation: Kyle RG, Kukanova M, Campbell M, Wolfe I, Powell P & Callery P (2011) Childhood disadvantage and emergency admission rates for common presentations in London: an exploratory analysis, Archives of Disease in Childhood, 96 (3), pp. 221-226.
Abstract: Aim: To determine whether emergency hospital admission rates (EAR) for common paediatric conditions in Greater London are associated with measures of child well-being and deprivation. Design: Retrospective analysis of hospital episode statistics and secondary analysis of the Index of Multiple Deprivation (IMD) 2007 and Local Index of Child Well-Being (CWI) 2009. Setting: 31 Greater London primary care trusts (PCTs). Outcome measures: EAR in PCTs for breathing difficulty, feverish illness and/or diarrhoea. Results: 24,481 children under 15 years of age were discharged following emergency admission for breathing difficulty, feverish illness and/or diarrhoea during 2007/2008. The EAR for breathing difficulty was associated with the IMD (Spearman’s rho 0.59, p < 0.001) and IMD indicators of: overcrowding (Spearman’s rho 0.62, p < 0.001), houses in poor condition (Spearman’s rho 0.55, p=0.001), air quality (Spearman’s rho 0.53, p=0.002), homelessness (Spearman’s rho 0.44, p=0.013), and domains of the CWI: housing (Spearman’s rho 0.64, p < 0.001), children in need (Spearman’s rho 0.62, p < 0.001), material (Spearman’s rho 0.58, p=0.001) and environment (Spearman’s rho 0.53, p=0.002). There were no statistically significant relationships between the EAR of children admitted for feverish illness and diarrhoea or aged under 1 year for any condition, and the IMD, either IMD indicators or CWI domains. Conclusions: Housing and environmental factors are associated with children’s demand for hospital admission for breathing difficulty. Some associations are stronger with the CWI than the IMD. The CWI has potential to identify priority PCTs for housing and environment interventions that could have specific public health benefits for respiratory conditions.
Type: Journal Article
URI: http://hdl.handle.net/1893/3096
URL: http://adc.bmj.com/content/96/3/221
DOI Link: http://dx.doi.org/10.1136/adc.2009.180125
Rights: Published in Archives of Disease in Childhood. Copyright © 2011 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.; The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author; you can only request a copy if you wish to use this work for your own research or private study.
Affiliation: NMH Health - Highland
London School of Hygiene and Tropical Medicine
University of Manchester
London School of Hygiene and Tropical Medicine
West Suffolk Hospital
University of Manchester

Files in This Item:

File Description SizeFormat
Kyle et al (2011) ADC.pdf169.85 kBAdobe PDFUnder Embargo until 31/12/2999 Restricted Access. Click to Request a copy from the author!

Note: If any of the files in this item are currently embargoed, you can request a copy directly from the author by clicking the padlock icon above. However, this facility is dependant on the depositor still being contactable at their original email address.

This item is protected by original copyright

Recommend this item

Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

If you believe that any material held in STORRE infringes copyright, please contact library@stir.ac.uk providing details and we will remove the Work from public display in STORRE and investigate your claim.

 

Valid XHTML 1.0! Repository Service Operated by Information Services, University of Stirling
Powered by DSpace Software Copyright © 2002-2010  Duraspace - Feedback