Evidence map›Paper›PMID 9774288›Full record

ArticleBMJ (Clinical research ed.)1998

Use of health services by children and young people according to ethnicity and social class: secondary analysis of a national survey.

H Cooper, C Smaje, S Arber

Open access · bronzeAbstract read
In one paragraph

Article in BMJ (Clinical research ed.), 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
25.2field-weighted citation impact, top 1% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 117 citations in OpenAlex.

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  14. Revised You're Welcome criteria and future developments in adolescent healthcare.Journal of clinical research in pediatric endocrinology · 2011
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

H CooperDepartment of Sociology, University of Surrey, Guildford, Surrey GU2 5XH. h.cooper@surrey.ac.uk
C Smaje
S Arber
University of Surrey · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess whether equity is achieved in use of general practitioner, outpatient, and inpatient services by children and young people according to their ethnic group and socioeconomic background.

designSecondary analysis of the British general household survey, 1991-94. SUBJECTS: 20 473 children and young people aged between 0 and 19 years.

main outcome measuresConsultations with a general practitioner within a two week period, outpatient attendances within a three month period, and inpatient stays during the past year.

resultsThere were no significant class differences in the use of health services by children and young people, and there was little evidence of variation in use of health services according to housing tenure and parental work status. South Asian children and young people used general practitioner services more than any other ethnic group after controlling for socioeconomic background and perceived health status, but the use of hospital outpatient and inpatient services was significantly lower for children and young people from all minority ethnic groups compared with the white population.

conclusionsOur results differ from previous studies, which have reported significant class differences in use of health services for other age groups. We found no evidence that children and young people's use of health services varied according to their socioeconomic status, suggesting that equity has been achieved. A child or young person's ethnic origin, however, was clearly associated with use of general practitioner and hospital services, which could imply that children and young people from minority ethnic groups receive a poorer quality of health care than other children and young people.

Indexed as

Social ClassAdolescentAdolescent Health ServicesAfricaAmbulatory CareAsiaChildChild Health ServicesChild, PreschoolEthnicityFamily PracticeHealth Care SurveysHumansInfantInfant, NewbornPatient Acceptance of Health Care

Identifiers

PMID9774288
PMCPMC28687
OpenAlexW2152660075

What OpenQuestion holds

Textmetadata
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.