ArticleBMJ (Clinical research ed.)1999
Socioeconomic differences in childhood consultation rates in general practice in England and Wales: prospective cohort study.
Article in BMJ (Clinical research ed.), 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.
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Who cites it
43 citing papers in PubMed.
- Trial
- Engagement in safety practices to prevent home injuries in preschool children among white and non-white ethnic minority families.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2004Trial
- Modelling consultation rates in infancy: influence of maternal and infant characteristics, feeding type and consultation history.The British journal of general practice : the journal of the Royal College of General Practitioners · 2004Trial
- The role of mothers and fathers in children's health care use.International journal of health economics and management · 2026Article
- The protective effect of breastfeeding on infant inflammation: a mediation analysis of the plasma lipidome and metabolome.BMC medicine · 2025Article
- Treatment Harms in Paediatric Primary Care.International journal of environmental research and public health · 2023Article
- The role of area level social deprivation on childhood and adolescent consultation rate in primary care: a population based, cohort study.BMC primary care · 2022Article
- Article
- The familial risk of infection-related hospitalization in children: A population-based sibling study.PloS one · 2021Article
- Mode of birth and risk of infection-related hospitalisation in childhood: A population cohort study of 7.17 million births from 4 high-income countries.PLoS medicine · 2020Article
- What effect do point of care fees have on childhood consultations in general practice?BMC health services research · 2018Article
- Factors associated with consultation rates in general practice in England, 2013-2014: a cross-sectional study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Article
- Article
- Article
- Observational
- Childhood hospitalisation with infection and cardiovascular disease in early-mid adulthood: a longitudinal population-based study.PloS one · 2015Article
- Adolescents who are frequent attenders to primary care: contribution of psychosocial factors.Social psychiatry and psychiatric epidemiology · 2012Article
- Infants' symptoms of illness assessed by parents: impact and implications.Scandinavian journal of primary health care · 2011Article
- Increasing short-stay unplanned hospital admissions among children in England; time trends analysis '97-'06.PloS one · 2009Article
- Deprivation, demography, and the distribution of general practice: challenging the conventional wisdom of inverse care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2008Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectiveTo establish how consultation rates in children for episodes of illness, preventive activities, and home visits vary by social class.
designAnalysis of prospectively collected data from the fourth national survey of morbidity in general practice, carried out between September 1991 and August 1992.
setting60 general practices in England and Wales. SUBJECTS: 106 102 children aged 0 to 15 years registered with the participating practices.
main outcome measuresMean overall consultation rates for any reason, illness by severity of underlying disease, preventive episodes, home visits, and specific diagnostic category (infections, asthma, and injuries).
resultsOverall consultation rates increased from registrar general's social classes I-II to classes IV-V in a linear pattern (for IV-V v I-II rate ratio 1.18; 95% confidence interval 1.14 to 1. 22). Children from social classes IV-V consulted more frequently than children from classes I-II for illnesses (rate ratio 1.23; 1.15 to 1.30), including infections, asthma, and injuries and poisonings. They also had significantly higher consultation rates for minor, moderate, and serious illnesses and higher home visiting rates (rate ratio 2.00; 1.81 to 2.18). Consultations for preventive activities were lower in children from social classes IV-V than in children from social classes I-II (rate ratio 0.95; 0.86 to 1.05).
conclusionsChildhood consultation rates for episodes of illness increase from social classes I-II through to classes IV-V. The findings on severity of underlying illness suggest the health of children from lower social classes is worse than that of children from higher social classes. These results reinforce the need to identify and target children for preventive health care in their socioeconomic context.
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