Socio-economic differences in daycare arrangements and use of medical care and antibiotics in Swedish preschool children

Acta Paediatr. 2000 Oct;89(10):1250-6. doi: 10.1080/080352500750027655.

Abstract

In this study we describe socio-economic patterns of daycare enrolment, medical care and antibiotics in children, 0-5 y, whose parents participated in the Swedish Survey of Living Conditions 1996-97. Children in families with low socio-economic status and unemployed parents were less often enrolled in out-of-home care. Multivariate analyses (adjusted for various sociodemographic indicators, type of daycare and chronic morbidity) demonstrated that children 1-5 y in families with low social status (low parental education and/or low SES) were less likely to have paid a visit to a physician because of an acute infection during the previous 3 mo [odds ratio (OR) 0.6 (0.4-0.8)] or to have consumed antibiotics during the previous 12 mo [OR 0.8 (0.6-1.0)] compared to children with a higher social status. Children in out-of-home care more often had paid a visit to a physician because of an acute infection during the previous 3 mo [OR 1.5 (1.2-1.9)] and more often had consumed antibiotics during the previous 12 mo [OR 1.7 (1.3-2.1)] than children in home care. The effect of out-of-home care on use of medical care and antibiotics decreased with increasing age of the child, and deviated from the null hypothesis in children 1-3 y only.

Conclusion: Preschool children in families with a low social status consume less medical care and are less likely to attend out-of-home care compared to children with a higher social status in Swedish society. This inequity needs to be addressed in social and health policy.

MeSH terms

  • Adolescent
  • Adult
  • Anti-Bacterial Agents / economics
  • Anti-Bacterial Agents / therapeutic use*
  • Child Day Care Centers / economics*
  • Child Day Care Centers / statistics & numerical data*
  • Child, Preschool
  • Community Health Services / economics*
  • Community Health Services / statistics & numerical data*
  • Drug Utilization / economics
  • Female
  • Health Policy / economics
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Middle Aged
  • Population Surveillance
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Sweden

Substances

  • Anti-Bacterial Agents