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[Influence of postcode on paediatric admissions in Seville]

Sebastián Tornero Patricio1, Liliana Charris-Castro2, Mercedes Granero Asencio3

  • 1Pediatría Atención Primaria, Distrito Sevilla de Atención Primaria, Servicio Andaluz de Salud, Sevilla, España.

Anales De Pediatria (Barcelona, Spain : 2003)
|January 9, 2017
PubMed

Insights

Children from lower socioeconomic status neighborhoods in Seville experienced higher pediatric hospital admission rates for common conditions. These children were admitted younger and more frequently through the emergency department.

Area of Science:

  • Pediatric Health
  • Public Health
  • Socioeconomic Determinants of Health

Background:

  • Postcodes serve as indicators of socioeconomic status (SES).
  • SES is linked to health outcomes, healthcare utilization, and disparities.
  • Geographic disparities in health outcomes are a significant public health concern.

Purpose of the Study:

  • To investigate the impact of postcode-based SES on pediatric hospital admissions in Seville.
  • To identify common causes of pediatric admissions and their association with SES.

Main Methods:

  • An observational, cross-sectional study analyzed 2,660 pediatric admissions (under 15) in Seville public hospitals.
  • Admissions were categorized based on whether patients resided in designated "areas with social transformation needs" (lower SES).
  • Statistical analyses included Chi-squared, Fisher's exact, and Student's t-tests; crude and specific admission rates and rate ratios were calculated.

Main Results:

  • Children from lower SES districts were admitted at an average age 7 months younger (P<.001) and were significantly more likely to be admitted via the emergency department (P<.001).
  • No significant differences were found in hospital length of stay or mortality rates.
  • Higher crude admission rates (ratio 1.8) and specific rates for asthma, respiratory infections, inguinal hernia, and epilepsy/convulsions were observed in lower SES districts.

Conclusions:

  • Pediatric hospital admission rates for major diagnoses are elevated in lower SES districts.
  • Children residing in disadvantaged areas are admitted at younger ages and more frequently through emergency services, highlighting significant health inequities.
Abstract

Keywords:
Desigualdades en saludDeterminantes sociales de la saludEstancia hospitalariaFactores socioeconómicosHealth resourcesHealthcare disparitiesHospital mortalityHospitalised childIngresos pediátricosLength of stayMortalidad hospitalariaPoverty areasRecursos sanitariosSocial determinants of healthSocioeconomic factorsÁreas de pobreza

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