Document Detail


Socioeconomic inequalities in neonatal intensive care admission rates.
MedLine Citation:
PMID:  19457877     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To examine socioeconomic inequalities in neonatal intensive care (NIC) admissions relating to preterm birth, intrauterine growth restriction (IUGR), multiple births and other conditions. METHODS: Retrospective review of all NIC admissions from 1996 to 2001 throughout a geographically defined region. Area deprivation indices were grouped into quintiles from least (1) to most (5) deprived. Admissions were classified by predefined hierarchical criteria. RESULTS: The rate of admissions was 31.4 per 1000 births. There was a J-shaped relation with socioeconomic group (28.1 NIC admissions per 1000 in quintile 1, 34.0 in quintile 5 and below 28 in the other quintiles). The most deprived areas had a rate 19% above the regional average. The relation with socioeconomic group differed significantly according to primary reason for admission. The rates of admissions with significant prematurity (34% of all admissions) and IUGR as primary reason were highest in quintile 5 (18% and 41% above the regional average, respectively). This contrasted with the rate of admission for multiple birth which was highest in quintile 1 (45% above average). These differences provided the main explanation for the J-shaped overall curve. CONCLUSIONS: Measures to alleviate deprivation and to improve the preterm birth and IUGR rates in deprived groups would have the greatest potential to reduce inequality in need for NIC admission. Efforts to achieve targets for reduction in infant mortality need to take account of the different effects of socioeconomic inequalities for different conditions and groups of infants.
Authors:
J Jenkins; E McCall; E Gardner; K Casson; H Dolk
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-05-19
Journal Detail:
Title:  Archives of disease in childhood. Fetal and neonatal edition     Volume:  94     ISSN:  1468-2052     ISO Abbreviation:  Arch. Dis. Child. Fetal Neonatal Ed.     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-10-22     Completed Date:  2009-12-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9501297     Medline TA:  Arch Dis Child Fetal Neonatal Ed     Country:  England    
Other Details:
Languages:  eng     Pagination:  F423-8     Citation Subset:  AIM; IM    
Affiliation:
Queen's University Belfast, Paediatric Department, Antrim Hospital, Antrim BT41 2RL, Northern Ireland, UK. j.jenkins@qub.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Cesarean Section / statistics & numerical data
Congenital Abnormalities / epidemiology
Fetal Growth Retardation / epidemiology
Humans
Infant, Newborn
Infant, Newborn, Diseases / epidemiology
Infant, Premature
Infant, Small for Gestational Age
Intensive Care, Neonatal / statistics & numerical data*
Multiple Birth Offspring / statistics & numerical data
Northern Ireland / epidemiology
Patient Admission / economics,  statistics & numerical data*
Poverty Areas
Premature Birth / epidemiology
Retrospective Studies
Risk Factors
Socioeconomic Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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