{"id":21672,"date":"2025-03-18T15:21:52","date_gmt":"2025-03-18T19:21:52","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&#038;p=21672"},"modified":"2025-04-03T15:26:27","modified_gmt":"2025-04-03T19:26:27","slug":"inequalities-in-paediatric-hospitalisations-for-costly-and-prevalent-conditions-in-ontario-canada","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/inequalities-in-paediatric-hospitalisations-for-costly-and-prevalent-conditions-in-ontario-canada\/","title":{"rendered":"Inequalities in paediatric hospitalisations for costly and prevalent conditions in Ontario, Canada: a population-based cohort study"},"content":{"rendered":"<p><strong>Background<\/strong> \u2014 Identifying inequalities is important for informing research, and policy efforts to reduce health disparities. This study measured the inequalities in hospitalisations for the costly and prevalent conditions in hospitalised children using association estimates.<\/p>\n<p><strong>Methods<\/strong> \u2014 Population-based cohort study using health administrative databases in Ontario, Canada between 2014 and 2019. The hospitalisation rate was determined for the costly and prevalent conditions in children. Hospitalisation inequalities by four equity stratifiers (material resources, rurality, sex, and immigrant status) were quantified using rate difference (RD), rate ratio (RR), and ratio of excess to total hospitalisation rate. Multivariable logistic regression analyses were also conducted.<\/p>\n<p><strong>Findings<\/strong> \u2014 In a population of 3\u00b77 million children (median age 7\u00b70 years, Interquartile range: 1\u00b70\u201312\u00b70), there were 612,597 hospitalisations. Large inequalities comparing children among least versus most resourced quintile was observed in low birth weight (RD: 1,823\u00b73 hospitalisations per 100,000 children, 95% CI: 1,662\u00b77, 1,983\u00b79). Conditions with large inequalities comparing rural versus urban areas included low birth weight (RD: \u22121,833\u00b72 hospitalisations per 100,000, 95% CI: \u22122,012\u00b78, \u22121,653\u00b76); and drug withdrawal syndrome in newborn (RR: 1\u00b79, 95% CI: 1\u00b77, 2\u00b71; adjusted odds ratio (aOR): 1\u00b74, 95% CI: 1\u00b72, 1\u00b75). Conditions with large inequalities comparing males versus females included low birth weight (RD: \u2212888\u00b73 hospitalisations per 100,000, 95% CI: \u2212992\u00b75, \u2212784\u00b702); and anorexia nervosa (RR: 0\u00b708, 95% CI: 0\u00b707, 0\u00b710; aOR: 0\u00b71, 95% CI: 0.1, 0.1). Conditions with large inequalities comparing non-refugee immigrants versus non-immigrants included major depressive disorder (RR: 2\u00b78, 95% CI: 2\u00b77, 2\u00b79), and comparing refugees versus non-immigrants included drug withdrawal syndrome in newborn (RR: 0\u00b709, 95% CI: 0\u00b705, 0\u00b715). Results from multivariable analyses were similar.<\/p>\n<p><strong>Interpretation<\/strong> \u2014 Newborn and mental health conditions had the largest inequalities in hospitalisations by the equity stratifiers. Findings from this study can be used to prioritise future health equity research to reduce health inequalities.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background \u2014 Identifying inequalities is important for informing research, and policy efforts to reduce health disparities. This study measured the inequalities in hospitalisations for the costly and prevalent conditions in hospitalised children using association estimates. Methods \u2014 Population-based cohort study using health administrative databases in Ontario, Canada between 2014 and 2019. The hospitalisation rate was [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[16,20,19],"migration-helper-qa-sample-set":[],"class_list":["post-21672","journal_article","type-journal_article","status-publish","hentry","topic-children-and-young-people","topic-health-and-health-care-inequality","topic-marginalized-populations"],"acf":{"citation":"Gill PJ, Thavam T, Zhu J, Borkhoff CM, Parkin PC, Cohen E, To T, Mahant S; Ontario Pediatric Hospital Care Study Group (OPHCSG); Canadian Paediatric Inpatient Research Network (PIRN). <em>Lancet Reg Health Am<\/em>. 2025; 45:101056.","source_url":"https:\/\/doi.org\/10.1016\/j.lana.2025.101056","ices_scientist":[1199,1111,23221,23938],"site":[6735],"research_program":[6746],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Inequalities in paediatric hospitalisations for costly and prevalent conditions in Ontario, Canada: a population-based cohort study<\/title>\n<meta name=\"description\" content=\"Background \u2014 Identifying inequalities is important for informing research, and policy efforts to reduce health disparities. 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