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Appears in Collections:Faculty of Health Sciences and Sport 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
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Keywords: Children
Hospital Episode Statistics
Child Well-being Index
Index of Multiple Deprivation
Issue Date: Mar-2011
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.
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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.

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