IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v94y2013icp9-16.html
   My bibliography  Save this article

Social exclusion, deprivation and child health: a spatial analysis of ambulatory care sensitive conditions in children aged 0–4 years in Victoria, Australia

Author

Listed:
  • Butler, Danielle C.
  • Thurecht, Linc
  • Brown, Laurie
  • Konings, Paul

Abstract

Recent Australian policy initiatives regarding primary health care focus on planning services around community needs and delivering these at the local area. As in many other countries, there has also been a growing concern over social inequities in health outcomes. The aims of the analysis presented here were firstly to describe small area variations in hospital admissions for ambulatory care sensitive conditions (ACSC) among children aged 0–4 years between 2003 and 2009 in the state of Victoria, Australia, and secondly to explore the relationship of ACSC hospitalisations with socio-economic disadvantage using a comparative analysis of the Child Social Exclusion (CSE) index and the Composite Score of Deprivation (CSD). This is a cross sectional secondary data analysis, with data sourced from 2003 to 2009 ACSC data from the Victorian State Government Department of Health; the Australian Standard Geographical Classification of remoteness; the Australian 2006 Census of Population and Housing; and AMPCo General Practitioner data from 2010. The relationship between the indexes and child health outcomes was examined through bivariate analysis and visually through a series of maps. The results show there is significant variation in the geographical distribution of the relationship between ACSCs and socio-economic disadvantage, with both indexes capturing important social gradients in child health conditions. However, measures of access, such as geographical accessibility and workforce supply, detect additional small area variation in child health outcomes. This research has important implications for future primary health care policy and planning of services, as these findings confirm that not all areas are the same in terms of health outcomes, and there may be benefit in tailoring mechanisms for identifying areas of need depending on the outcome intended to be affected.

Suggested Citation

  • Butler, Danielle C. & Thurecht, Linc & Brown, Laurie & Konings, Paul, 2013. "Social exclusion, deprivation and child health: a spatial analysis of ambulatory care sensitive conditions in children aged 0–4 years in Victoria, Australia," Social Science & Medicine, Elsevier, vol. 94(C), pages 9-16.
    • Handle: RePEc:eee:socmed:v:94:y:2013:i:c:p:9-16
    DOI: 10.1016/j.socscimed.2013.06.029
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953613003730
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2013.06.029?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Justin McNamara & Ann Harding, 2009. "Child Social Exclusion: An Updated Index From the 2006 Census," Australian Journal of Labour Economics (AJLE), Bankwest Curtin Economics Centre (BCEC), Curtin Business School, vol. 12(1), pages 41-64.
    2. Peter Congdon, 2011. "The Spatial Pattern of Suicide in the US in Relation to Deprivation, Fragmentation and Rurality," Urban Studies, Urban Studies Journal Limited, vol. 48(10), pages 2101-2122, August.
    3. Subramanian, S. V., 2004. "The relevance of multilevel statistical methods for identifying causal neighborhood effects," Social Science & Medicine, Elsevier, vol. 58(10), pages 1961-1967, May.
    4. Laditka, James N. & Laditka, Sarah B. & Mastanduno, Melanie P., 2003. "Hospital utilization for ambulatory care sensitive conditions: health outcome disparities associated with race and ethnicity," Social Science & Medicine, Elsevier, vol. 57(8), pages 1429-1441, October.
    5. Diez Roux, A.V., 2001. "Investigating neighborhood and area effects on health," American Journal of Public Health, American Public Health Association, vol. 91(11), pages 1783-1789.
    6. Pearce, Jamie R. & Richardson, Elizabeth A. & Mitchell, Richard J. & Shortt, Niamh K., 2011. "Environmental justice and health: A study of multiple environmental deprivation and geographical inequalities in health in New Zealand," Social Science & Medicine, Elsevier, vol. 73(3), pages 410-420, August.
    7. Krieger, N. & Chen, J.T. & Waterman, P.D. & Rehkopf, D.H. & Subramanian, S.V., 2003. "Race/Ethnicity, Gender, and Monitoring Socioeconomic Gradients in Health: Comparison of Area-Based Socioeconomic Measures - The Public Health Disparities Geocoding Project," American Journal of Public Health, American Public Health Association, vol. 93(10), pages 1655-1671.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Jiang, Shan & Ngai, Steven Sek-yum, 2020. "Social exclusion and multi-domain well-being in Chinese migrant children: Exploring the psychosocial mechanisms of need satisfaction and need frustration," Children and Youth Services Review, Elsevier, vol. 116(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Clarke, Christina A. & Miller, Tim & Chang, Ellen T. & Yin, Daixin & Cockburn, Myles & Gomez, Scarlett L., 2010. "Racial and social class gradients in life expectancy in contemporary California," Social Science & Medicine, Elsevier, vol. 70(9), pages 1373-1380, May.
    2. Kamyar Hasanzadeh & Tiina Laatikainen & Marketta Kyttä, 2018. "A place-based model of local activity spaces: individual place exposure and characteristics," Journal of Geographical Systems, Springer, vol. 20(3), pages 227-252, July.
    3. Arcaya, Mariana C. & Tucker-Seeley, Reginald D. & Kim, Rockli & Schnake-Mahl, Alina & So, Marvin & Subramanian, S.V., 2016. "Research on neighborhood effects on health in the United States: A systematic review of study characteristics," Social Science & Medicine, Elsevier, vol. 168(C), pages 16-29.
    4. Subramanian, S.V. & Elwert, Felix & Christakis, Nicholas, 2008. "Widowhood and mortality among the elderly: The modifying role of neighborhood concentration of widowed individuals," Social Science & Medicine, Elsevier, vol. 66(4), pages 873-884, February.
    5. Stafford, Mai & Duke-Williams, Oliver & Shelton, Nicola, 2008. "Small area inequalities in health: Are we underestimating them?," Social Science & Medicine, Elsevier, vol. 67(6), pages 891-899, September.
    6. Weden, Margaret M. & Carpiano, Richard M. & Robert, Stephanie A., 2008. "Subjective and objective neighborhood characteristics and adult health," Social Science & Medicine, Elsevier, vol. 66(6), pages 1256-1270, March.
    7. Alastair H. Leyland & Øyvind Næss, 2009. "The effect of area of residence over the life course on subsequent mortality," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 172(3), pages 555-578, June.
    8. Debrand, Thierry & Pierre, Aurélie & Allonier, Caroline & Lucas-Gabrielli, Véronique, 2012. "Critical urban areas, deprived areas and neighbourhood effects on health in France," Health Policy, Elsevier, vol. 105(1), pages 92-101.
    9. Olsen, Jonathan R. & Thornton, Lukar & Tregonning, Grant & Mitchell, Richard, 2022. "Nationwide equity assessment of the 20-min neighbourhood in the scottish context: A socio-spatial proximity analysis of residential locations," Social Science & Medicine, Elsevier, vol. 315(C).
    10. Chen, Duan-Rung & Wen, Tzai-Hung, 2010. "Socio-spatial patterns of neighborhood effects on adult obesity in Taiwan: A multi-level model," Social Science & Medicine, Elsevier, vol. 70(6), pages 823-833, March.
    11. McNeill, Lorna Haughton & Kreuter, Matthew W. & Subramanian, S.V., 2006. "Social Environment and Physical activity: A review of concepts and evidence," Social Science & Medicine, Elsevier, vol. 63(4), pages 1011-1022, August.
    12. Eleonore M Veldhuizen & Karien Stronks & Anton E Kunst, 2013. "Assessing Associations between Socio-Economic Environment and Self-Reported Health in Amsterdam Using Bespoke Environments," PLOS ONE, Public Library of Science, vol. 8(7), pages 1-10, July.
    13. Agee, Mark D. & Atkinson, Scott E. & Crocker, Thomas D., 2010. "The Effects of Children's Time Use and Home and Neighborhood Quality on their Body Weight and Cognitive/Behavioral Development," 2010 Annual Meeting, July 25-27, 2010, Denver, Colorado 91713, Agricultural and Applied Economics Association.
    14. Kendrick, Denise & Mulvaney, Caroline & Burton, Paul & Watson, Michael, 2005. "Relationships between child, family and neighbourhood characteristics and childhood injury: A cohort study," Social Science & Medicine, Elsevier, vol. 61(9), pages 1905-1915, November.
    15. Erica Ann Felker-Kantor & Colette Cunningham-Myrie & Lisa-Gaye Greene & Parris Lyew-Ayee & Uki Atkinson & Wendel Abel & Pernell Clarke & Simon G Anderson & Katherine P Theall, 2019. "Neighborhood crime, disorder and substance use in the Caribbean context: Jamaica National Drug Use Prevalence Survey 2016," PLOS ONE, Public Library of Science, vol. 14(11), pages 1-15, November.
    16. M. Kamrul Islam & Egil Kjerstad, 2019. "Co-ordination of health care: the case of hospital emergency admissions," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(4), pages 525-541, June.
    17. Kendzor, Darla E. & Reitzel, Lorraine R. & Mazas, Carlos A. & Cofta-Woerpel, Ludmila M. & Cao, Yumei & Ji, Lingyun & Costello, Tracy J. & Vidrine, Jennifer Irvin & Businelle, Michael S. & Li, Yisheng , 2012. "Individual- and area-level unemployment influence smoking cessation among African Americans participating in a randomized clinical trial," Social Science & Medicine, Elsevier, vol. 74(9), pages 1394-1401.
    18. Brewer, Mackenzie & Kimbro, Rachel Tolbert, 2014. "Neighborhood context and immigrant children's physical activity," Social Science & Medicine, Elsevier, vol. 116(C), pages 1-9.
    19. Regidor, Enrique & Lostao, Lourdes & Pascual, Cruz & Martinez, David & Calle, M Elisa & Dominguez, Vicente, 2005. "Income in large residential areas and premature mortality in six countries of the European Union," Health Policy, Elsevier, vol. 75(1), pages 99-108, December.
    20. Jill Furzer & Boriana Miloucheva, 2020. "The Long Arm of the Clean Air Act: Pollution Abatement and COVID-19 Racial Disparities," Working Papers tecipa-668, University of Toronto, Department of Economics.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:94:y:2013:i:c:p:9-16. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.