期刊
PAEDIATRICS & CHILD HEALTH
卷 27, 期 SUPPL 1, 页码 S27-S32出版社
OXFORD UNIV PRESS INC
DOI: 10.1093/pch/pxab106
关键词
COVID-19; Health services; Health equity; Socioeconomic status
类别
资金
- Public Health Agency of Canada
This study found that children living in material deprived areas have more than twice the rate of hospitalizations for COVID-19 compared to children living in privileged areas. This indicates the need for special attention to be given to children in disadvantaged areas when protecting them from COVID-19 infection, especially prior to the vaccination of younger children.
Background Although sociodemographic factors have been linked with SARS-CoV-2 infection and hospitalizations in adults, there are little data on the association between sociodemographic characteristics and SARS-CoV-2-related hospitalization in children. The objective of this study was to determine the association between area-level material deprivation and incidence of hospitalization with SARS-CoV-2 among children. Methods We conducted a retrospective cohort study of all children (0 to 17 years of age) with a PCR-confirmed SARS-CoV-2 infection March 1, 2020 through May 31, 2021 at a tertiary-care paediatric hospital, in Montreal, Canada. Data were collected through chart review and included age, sex, and postal code, allowing linkage to dissemination area-level material deprivation, measured with the Pampalon Material Deprivation Index (PMDI) quintiles. We examined the association between PMDI quintiles and hospitalization using Poisson regression. Results During the study period, 964 children had a positive PCR-confirmed SARS-CoV-2 test and 124 were hospitalized. Children living in the most deprived quintile of PMDI represented 40.7% of hospitalizations. Incidence rate ratio of hospitalization for this group compared to the most privileged quintile was 2.42 (95%CI: 1.33; 4.41). Conclusion Children living in the most materially deprived areas had more than twice the rate of hospitalizations for COVID-19 than children living in most privileged areas. Special efforts should be deployed to protect children who live in disadvantaged areas, especially pending vaccination of younger children.
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