uu.seUppsala University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Child health care uptake among low-income and immigrant families in a Swedish county
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. (Allmänpediatrisk forskning/Nordvall)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. (Allmänpediatrisk forskning/Nordvall)
2011 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 100, no 11, 1495-1503 p.Article in journal (Refereed) Published
Abstract [en]

AIM: To study the uptake of child health care among low-income and immigrant families in the county of Uppsala, Sweden, to investigate whether these families received extra attention as proposed in the Swedish Child Health Services (CHS) state-of-the-art consensus document from the year 2000.

METHODS: Data were collected for 25,024 infants born 1998-2006 from the database of statistics of the Child Health Care Unit in Uppsala and socio-demographic indicators from Swedish national registers. Disposable income was divided into quartiles. Country of birth of the mother was categorized into four regions with two subgroups each, mothers with or without a Swedish-born partner. Analysis was conducted by Cox regression and linear regression models.

RESULTS: Small differences between Swedish vs. immigrant and high vs. low-income families were detected. Low-income mothers (RR 0.78) as well as mothers born in all country of birth regions with an immigrant partner (RR 0.28-0.95) had lower rates of participation in parental groups.

CONCLUSION: The CHS provided basic child health care to almost all infants including children in immigrant and low-income Swedish families. However, the results did not indicate that disadvantaged families received the extra attention proposed in the consensus document.

Place, publisher, year, edition, pages
2011. Vol. 100, no 11, 1495-1503 p.
National Category
Public Health, Global Health, Social Medicine and Epidemiology Pediatrics
Identifiers
URN: urn:nbn:se:uu:diva-163016DOI: 10.1111/j.1651-2227.2011.02344.xISI: 000296421300027PubMedID: 21535134OAI: oai:DiVA.org:uu-163016DiVA: diva2:462427
Available from: 2011-12-07 Created: 2011-12-07 Last updated: 2017-12-08Bibliographically approved
In thesis
1. Lika för alla?: Social position och etnicitet som determinanter för amning, föräldrars rökvanor och kontakter med BVC
Open this publication in new window or tab >>Lika för alla?: Social position och etnicitet som determinanter för amning, föräldrars rökvanor och kontakter med BVC
2012 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Child Health Services (CHS) in Sweden are offered free of charge to all Swedish parents with children 0-5 years of age.  The regular service schedule includes home visits, health examinations, vaccinations and participation in parenting groups. The CHS should pay extra attention to disadvantaged families.

The aim of this thesis was to investigate to what extent the CHS reaches groups of families with special needs, e.g. immigrant families, low income families, young and single mothers, with universal or selective measures, as well as to investigate the variation of two determinants of child health, second hand smoke and breastfeeding, in these groups of families. The thesis also aimed at investigating validity of data in the county CHS quality database (Basta). The thesis is based on data from Basta together with several national registers.

The CHS equally reached all families with infants with the universal program except for participation in parenting group. Foreign born, young, single and low-income mothers had lower participation rates. Smoking rates were lower in foreign-born than in Swedish-born mothers and higher for foreign-born than in Swedish-born fathers. Smoking was more common among single and low income parents and young mothers. Young and single mothers had lower breastfeeding rates at 6 months. At 12 months the breastfeeding rates were higher among foreign-born mothers. The validity test of data in the Basta database showed sensitivity values for immunizations, breastfeeding and smoking at 90-100 % and for any home visit, participation in parenting group at any time, a minimum number of 6 visits at the Child Health Centre (CHC) and a minimum number of 11 visits at the CHC at 88 - 96 %. The sensitivity value for the exact match of number of CHC visits (+/- 3 visits) was 88 %.

Conclusions: The universal programme was equally distributed in different immigrant and socio-demographic populations. However, the results did not indicate equality according to the assumption that some families need more input than others in order to achieve equity of outcome.

Individual data routinely collected from CHS records to a quality database provides data of good quality that can be used for both quality surveillance and research.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2012. 125 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 752
Keyword
Ethnic, infants, smoking, socio-economic status, second hand smoke, breastfeeding, child health services, child health care, health services research, mothers, parent participation, supportive care
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Pediatrics
Identifiers
urn:nbn:se:uu:diva-170037 (URN)978-91-554-8305-0 (ISBN)
Public defence
2012-05-04, Sal IX, Universitetshuset, Övre Slottsgatan 2, Uppsala, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2012-04-12 Created: 2012-03-07 Last updated: 2012-04-19

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Authority records BETA

Wallby, ThomasHjern, Anders

Search in DiVA

By author/editor
Wallby, ThomasHjern, Anders
By organisation
Department of Women's and Children's Health
In the same journal
Acta Paediatrica
Public Health, Global Health, Social Medicine and EpidemiologyPediatrics

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 411 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf