[Social inequalities in health in 4 year-old children in the Hauts-de-Seine (France)]. / Inégalités sociales de santé à quatre ans dans les Hauts-de-Seine (France).
Rev Epidemiol Sante Publique
; 61 Suppl 2: S47-59, 2013 Jun.
Article
em Fr
| MEDLINE
| ID: mdl-23684857
ABSTRACT
The social effects on health described in France on newborn and 5- to 6-year-old children suggest the existence of a social gradient among the youngest children. The favoured, though unequal, social situation of the department of the Hauts-de-Seine (France), makes it particularly adapted to this study. A survey, conducted in 2010 by the departmental service of maternal and infantile protection (PMI) on a representative sample of 1227 children, who received check-ups in their first or second year of nursery school, reveals a significant increase of overweight (from 4.6 to 16.5%), of language disorders (from 8.3 to 25.3%), of the orientations to specialized consultations (from 20.6 to 36.6%), according to the socioprofessional category of the father or the social affiliation of the children in the following subgroups children speaking or understanding a foreign language (36.6% of the sample), children schooled in priority educational zones (equivalent to education achievement zones in UK, 13.6%), children with limited social health coverage (13.4%). In contrast, the BCG and hepatitis B vaccinal coverage is systematically higher in these various groups. The multivariate analysis investigates for each health problem its links with these various subgroups, and with previous child care experiences, and PMI medical consultations. This study suggests therefore further prospects for different actions according to health problems or regarding vaccinal strategy. The development of such routine indicators of disadvantage should allow territorial health services to target their actions towards the decrease of social disparities in health and to check a posteriori the efficiency of the public systems, which have been implemented.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Disparidades nos Níveis de Saúde
Limite:
Child, preschool
/
Female
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Humans
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Male
País/Região como assunto:
Europa
Idioma:
Fr
Revista:
Rev Epidemiol Sante Publique
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
França