Objective To establish how consultation rates in children for episodes of illness, preventive activities, and home visits vary by social class.
Design Analysis of prospectively collected data from the fourth national survey of morbidity in general practice, carried out between September 1991 and August 1992.
Setting 60 general practices in England and Wales.
Subjects 106 102 children aged 0 to 15 years registered with the participating practices.
Main outcome measures Mean overall consultation rates for any reason, illness by severity of underlying disease, preventive episodes, home visits, and specific diagnostic category (infections, asthma, and injuries).
Results Overall consultation rates increased from registrar general's social classes I-II to classes IV-V in a linear pattern (for IV-V v I-II rate ratio 1.18 ; 95% confidence interval 1.14 to 1.22).
Children from social classes IV-V consulted more frequently than children from classes I-II for illnesses (rate ratio 1.23 ; 1.15 to 1.30), including infections, asthma, and injuries and poisonings.
They also had significantly higher consultation rates for minor, moderate, and serious illnesses and higher home visiting rates (rate ratio 2.00 ; 1.81 to 2.18).
Consultations for preventive activities were lower in children from social classes IV-V than in children from social classes I-II (rate ratio 0.95 : 0.86 to 1.05). (...)
Mots-clés Pascal : Consultation, Médecin généraliste, Etude cohorte, Impact socioéconomique, Enfant, Homme, Fréquence différence, Angleterre, Grande Bretagne, Royaume Uni, Europe, Pays de Galles, Prévention, Organisation santé
Mots-clés Pascal anglais : Consultation, General practitioner, Cohort study, Socioeconomic impact, Child, Human, Difference frequency, England, Great Britain, United Kingdom, Europe, Wales, Prevention, Public health organization
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0167910
Code Inist : 002B30A03B. Création : 16/11/1999.