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[Ethnic difference in attendance at emergency departments. An approximation to the gypsy reality]

F J Sánchez Serrano1, A Zubiaur Cantalapiedra, A Herrero Galiana

  • 1Servicio de Urgencias de Pediatría, Hospital General Universitario, Alicante.

Anales Espanoles De Pediatria
|January 17, 2002
PubMed

Insights

Gypsy children face significant healthcare disparities compared to Caucasian children, including lower vaccination rates and higher emergency room use. This highlights a vulnerable population requiring targeted health interventions.

Area of Science:

  • Pediatric Emergency Medicine
  • Public Health
  • Sociomedical Sciences

Background:

  • Emergency service demand is rising, with a notable increase among non-Caucasian pediatric populations.
  • Significant healthcare and social disparities exist between ethnic groups, particularly the gypsy and Caucasian populations.

Purpose of the Study:

  • To quantify and analyze the healthcare and social differences between gypsy and Caucasian pediatric populations.
  • To identify specific risk factors and healthcare utilization patterns within these groups.

Main Methods:

  • A descriptive, observational study was conducted in a tertiary care hospital's Pediatric Emergency Unit.
  • Systematic sampling selected 420 children, with data collected via questionnaire on demographics, healthcare compliance, and familial characteristics.

Main Results:

  • Gypsy children (16.4% of study population) were more likely to attend local centers (68.1% vs 34.8%) and less likely to attend for regular check-ups (58% vs 96.7%).
  • Vaccination rates were significantly lower in the gypsy population (18.8% unvaccinated) compared to Caucasians (0%).
  • Gypsy children had higher hospitalization rates from the emergency unit (11.6% vs 1.9%) and their mothers exhibited higher illiteracy rates (30.4% vs 0.6%).

Conclusions:

  • The study identifies significant healthcare and social disparities between gypsy and Caucasian pediatric populations.
  • Gypsy children represent a high-risk group requiring targeted health and social support interventions.
Abstract

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