[Children at social risk and the utilization of health services]

G Cirillo1, S Manetti, P Siani

  • 1Ospedale SS. Annunziata di Napoli, Italia.

Insights

Children facing social risks are twice as likely to need emergency health services. This study highlights the impact of social determinants on pediatric emergency care access for young children.

Area of Science:

  • Pediatric Emergency Medicine
  • Social Determinants of Health
  • Public Health

Background:

  • Social risk factors significantly impact child health outcomes.
  • Access to emergency health services is crucial for pediatric care.
  • Understanding disparities in healthcare access is a public health priority.

Purpose of the Study:

  • To examine the relationship between social risk factors and emergency health service utilization in children.
  • To quantify the association between social risks and access to emergency care.

Main Methods:

  • A cohort of 333 children (mean age 39.1 months) was recruited.
  • Social risk factors were assessed at baseline.
  • Emergency service access was tracked via phone calls over 12 months.

Main Results:

  • 31.2% of children had at least one social risk factor.
  • Children with social risks demonstrated more than double the access to emergency services compared to those without.
  • A relative risk factor exceeding double was observed for emergency service use.

Conclusions:

  • Social risk factors are strongly associated with increased utilization of emergency health services in children.
  • Findings underscore the need to address social determinants to improve equitable access to pediatric emergency care.

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