Traduction en anglais : Hospital admissions and social status of children and adolescents after accidents : Analysis of data from a statutory health assurance body in North-Rhine Westphalia.
This paper review examines whether there are health inequalities in terms of hospital admissions due to accidents in children and adolescents in Germany, and whether the social gradient varies according to age and gender.
Analyses are based on information from a statutory health insurance North-Rhine Westphalia.
The social structure of these insured persons does not correspond to the German population.
Lower social positions are predominant while persons holding higher positions are underrepresented and professionals are virtually absent.
Data were compiled from hospitals, routinely transmitted from employers and from data collections by the insurance for accounting purposes. 47427 records of children and adolescents below the age of 17 were included ; altogether 4246 accidents were recorded.
Hospital admissions following accidents showed a clear social gradient.
The odds-ratio (OR) of children with an unskilled/semi-skilled background as compared to the highest occupational position considered was OR=1.4. Social gradients differed by gender and age.
The respective odds-ratio for the group below 6 years was OR=0.9, for ages 6 to 10 OR=2.2, and OR=1.4 for ages 11 to 16.
The interpretation of age-specific odds-ratios is impaired by low numbers of events in the highest status group.
Girls had a lower rate than boys. (...)
Mots-clés Pascal : Accident corporel, Admission hôpital, Hospitalisation, Statut socioéconomique, Epidémiologie, Facteur risque, Enfant, Homme, Adolescent, Allemagne, Europe, Assurance maladie, Source information, Traumatisme, Donnée
Mots-clés Pascal anglais : Personal injury, Hospital admission, Hospitalization, Socioeconomic status, Epidemiology, Risk factor, Child, Human, Adolescent, Germany, Europe, Health insurance, Information source, Trauma, Data
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0476631
Code Inist : 002B16N. Création : 19/02/1999.