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dc.contributor.authorOlsen, Frank
dc.contributor.authorBalteskard, Lise
dc.contributor.authorUleberg, Bård Erling
dc.contributor.authorJacobsen, Bjarne K.
dc.contributor.authorHeuch, Ivar
dc.contributor.authorMoen, Atle
dc.date.accessioned2021-06-28T12:59:18Z
dc.date.available2021-06-28T12:59:18Z
dc.date.issued2021-06-22
dc.description.abstractObjectives To assess the impact of parental educational level on hospital admissions for children, and to evaluate whether differences in parents' educational level can explain geographic variation in admission rates. Design National cohort study. Setting The 18 hospital referral areas for children in Norway. Participants All Norwegian children aged 1–16 years in the period 2008–2016 and their parents. Main outcome measures Age- and gender-adjusted admission rates and probability of admission. Results Of 1 538 189 children, 156 087 (10.2%) had at least one admission in the study period. There was a nearly twofold (1.9) variation in admission rates between the hospital referral areas (3113 per 100 000 children, 95% CI: 3056 to 3169 vs 1627, 95% CI: 1599 to 1654). Area level variances in multilevel analysis did not change after adjusting for parental level of education. Children of parents with low level of education (maternal level of education, low vs high) had the highest admission rates (2016: 2587, 95% CI: 2512 to 2662 vs 1810, 95% CI: 1770 to 1849), the highest probability of being admitted (OR: 1.18, 95% CI: 1.16 to 1.20), the highest number of admissions (incidence rate ratio: 1.05, 95% CI: 1.01 to 1.10) and admissions with lower cost (−0.5%, 95% CI: −1.2% to 0.3%). Conclusions Substantial geographic variation in hospital admission rates for children was found, but was not explained by parental educational level. Children of parents with low educational level had the highest admission probability, and the highest number of admissions, but the lowest cost of admissions. Our results suggest that the variation between the educational groups is not due to differences in medical needs, and may be characterised as unwarranted. However, the manner in which health professionals communicate and interact with parents with different educational levels might play an important role.en_US
dc.identifier.citationOlsen F, Balteskard L, Uleberg BE, Jacobsen bk, Heuch I, Moen A. Impact of parents' education on variation in hospital admissions for children: a population-based cohort study. BMJ Open. 2021;11en_US
dc.identifier.cristinIDFRIDAID 1917862
dc.identifier.doi10.1136/bmjopen-2020-046656
dc.identifier.issn2044-6055
dc.identifier.urihttps://hdl.handle.net/10037/21590
dc.language.isoengen_US
dc.publisherBMJ Publishing Groupen_US
dc.relation.ispartofOlsen, F. (2022). Geographic and socioeconomic variation in the utilisation of specialist health care services in Norway – Three selected health care services. (Doctoral thesis). <a href=https://hdl.handle.net/10037/25374>https://hdl.handle.net/10037/25374</a>.
dc.relation.journalBMJ Open
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2021 The Author(s)en_US
dc.subjectVDP::Medical disciplines: 700::Basic medical, dental and veterinary science disciplines: 710en_US
dc.subjectVDP::Medisinske Fag: 700::Basale medisinske, odontologiske og veterinærmedisinske fag: 710en_US
dc.titleImpact of parents' education on variation in hospital admissions for children: a population-based cohort studyen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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