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Geographic Inequalities of Respiratory Health Services Utilization during Childhood in Edmonton and Calgary, Canada

A Tale of Two Cities

Bibliographic Data

ID15501567
AuthorsJesús Serrano-Lomelin (0000-0003-1627-3647, University of Alberta), Charlene C Nielsen (0000-0002-4407-0479, University of Alberta), Anne Hicks (0000-0001-6553-3826, University of Alberta), Susan Crawford (0009-0000-7652-4394, Alberta Health Services), Jeffrey A Bakal (0000-0002-3658-2554, Alberta Health Services), Maria B Ospina (0000-0001-9305-7521, University of Alberta, corresponding author)
Year2020
Volume17
Issue23
Pages8973-8973
Publication date2020-12-02
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph17238973
PMID33276583
OpenAlexW3107830196
LanguageEN
Citations received4
References cited44

Young children are susceptible to respiratory diseases. Inequalities exist across socioeconomic groups for paediatric respiratory health services utilization in Alberta. However, the geographic distribution of those inequalities has not been fully explored. The aim of this study was to identify geographic inequalities in respiratory health services utilization in early childhood in Calgary and Edmonton, two major urban centres in Western Canada. We conducted a geographic analysis of data from a retrospective cohort of all singleton live births occurred between 2005 and 2010. We aggregated at area-level the total number of episodes of respiratory care (hospitalizations and emergency department visits) that occurred during the first five years of life for bronchiolitis, pneumonia, lower/upper respiratory tract infections, influenza, and asthma-wheezing. We used spatial filters to identify geographic inequalities in the prevalence of acute paediatric respiratory health services utilization in Calgary and Edmonton. The average health gap between areas with the highest and the lowest prevalence of respiratory health services utilization was 1.5-fold in Calgary and 1.4-fold in Edmonton. Geographic inequalities were not completely explained by the spatial distribution of socioeconomic status, suggesting that other unmeasured factors at the neighbourhood level may explain local variability in the use of acute respiratory health services in early childhood

Asthma · Bronchiolitis · Environmental health · Inequality · Population · Respiratory system · Respiratory tract infections · Socioeconomic status · Demography · Emergency and Acute Care Studies · Health disparities and outcomes · Healthcare Policy and Management · Medicine · Pediatrics

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Unique citing works4
Citations per year0.8
Citation span2021 - 2025 (5)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 4

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