Evidence map›Paper›PMID 32303594›Full record

ReviewJournal of epidemiology and community health2020

The equity impact of a universal child health promotion programme.

Anni-Maria Pulkki-Brännström, Marie Lindkvist, Eva Eurenius, Jenny Häggström, Anneli Ivarsson, Filipa Sampaio, Inna Feldman

Open access · hybridAbstract readReview
In one paragraph

Review in Journal of epidemiology and community health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Anni-Maria Pulkki-BrännströmDepartment of Epidemiology and Global Health, Umeå University, Umeå, Sweden.
Marie LindkvistDepartment of Epidemiology and Global Health, Umeå University, Umeå, Sweden.
Eva EureniusDepartment of Epidemiology and Global Health, Umeå University, Umeå, Sweden.
Jenny HäggströmDepartment of Statistics, Umeå School of Business and Economics, Umeå University, Umeå, Sweden.
Anneli IvarssonDepartment of Epidemiology and Global Health, Umeå University, Umeå, Sweden.
Filipa SampaioDepartment of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Inna FeldmanDepartment of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Umeå University · SEUppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReal-world evaluations of complex interventions are scarce. We evaluated the effect of the Salut Programme, a universal child health promotion intervention in northern Sweden, on income-related inequalities in positive birth outcomes and healthcare utilisation up to 2 years after delivery.

methodsUsing the mother's place of residence at delivery, the child and the mother were classified as belonging to either the control area (received care-as-usual) or the intervention area (where the intervention was implemented from 2006) and either the premeasure (children born between 2002 and 2004) or the postmeasure (children born between 2006 and 2008) period. Parents' earned income was used as the socioeconomic ranking variable. The Relative Concentration Index was computed for six binary birth outcome indicators and for inpatient and day patient care for children and their mothers. Changes in inequality over time were compared using a difference-in-difference approach.

resultsIncome-related inequalities in birth outcomes and child healthcare utilisation were absent, except that full-term pregnancies were concentrated among the poor at premeasure in the intervention area. In contrast, mothers' healthcare utilisation was significantly pro-poor in the control area. The extent of inequality changed differentially between premeasure and postmeasure for two birth outcomes: full-term pregnancies and infants with normal birth weight. Inequalities in healthcare utilisation did not change significantly in either area over time.

conclusionIn northern Sweden, income-related inequalities in birth outcomes and child healthcare utilisation are largely absent. However, relative inequalities in mothers' healthcare utilisation are large. We found no evidence that the Salut Programme affected changes in inequality over time.

Indexed as

Healthcare DisparitiesChildChild HealthChild, PreschoolFemaleHealth Care SurveysHealth PromotionHealth ServicesHealth Services AccessibilityHumansIncomeInfantMalePatient Acceptance of Health CareResidence CharacteristicsSocioeconomic Factorshealth promotionincomepregnancy outcomepublic healthregistries

Identifiers

PMID32303594
PMCPMC7337232
OpenAlexW3017117403

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.