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Geographic Inequalities of Respiratory Health Services Utilization during Childhood in Edmonton and Calgary, Canada: A Tale of Two Cities

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  • Jesus Serrano-Lomelin

    (Department of Obstetrics and Gynecology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2S2, Canada)

  • Charlene C. Nielsen

    (School of Public Health, University of Alberta, Edmonton, AB T6G 1C9, Canada)

  • Anne Hicks

    (Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 1C9, Canada)

  • Susan Crawford

    (Alberta Perinatal Health Program, Alberta Health Services, Calgary, AB T2N 2T9, Canada)

  • Jeffrey A. Bakal

    (Provincial Research Data Services, Alberta Health Services, Edmonton, AB T6G 2C8, Canada)

  • Maria B. Ospina

    (Department of Obstetrics and Gynecology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2S2, Canada)

Abstract

Young children are susceptible to respiratory diseases. Inequalities exist across socioeconomic groups for paediatric respiratory health services utilization in Alberta. However, the geographic distribution of those inequalities has not been fully explored. The aim of this study was to identify geographic inequalities in respiratory health services utilization in early childhood in Calgary and Edmonton, two major urban centres in Western Canada. We conducted a geographic analysis of data from a retrospective cohort of all singleton live births occurred between 2005 and 2010. We aggregated at area-level the total number of episodes of respiratory care (hospitalizations and emergency department visits) that occurred during the first five years of life for bronchiolitis, pneumonia, lower/upper respiratory tract infections, influenza, and asthma-wheezing. We used spatial filters to identify geographic inequalities in the prevalence of acute paediatric respiratory health services utilization in Calgary and Edmonton. The average health gap between areas with the highest and the lowest prevalence of respiratory health services utilization was 1.5-fold in Calgary and 1.4-fold in Edmonton. Geographic inequalities were not completely explained by the spatial distribution of socioeconomic status, suggesting that other unmeasured factors at the neighbourhood level may explain local variability in the use of acute respiratory health services in early childhood.

Suggested Citation

  • Jesus Serrano-Lomelin & Charlene C. Nielsen & Anne Hicks & Susan Crawford & Jeffrey A. Bakal & Maria B. Ospina, 2020. "Geographic Inequalities of Respiratory Health Services Utilization during Childhood in Edmonton and Calgary, Canada: A Tale of Two Cities," IJERPH, MDPI, vol. 17(23), pages 1-17, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:23:p:8973-:d:455119
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    References listed on IDEAS

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    Cited by:

    1. Laura A. Rodriguez-Villamizar & Diana Marín & Juan Gabriel Piñeros-Jiménez & Oscar Alberto Rojas-Sánchez & Jesus Serrano-Lomelin & Victor Herrera, 2023. "Intraurban Geographic and Socioeconomic Inequalities of Mortality in Four Cities in Colombia," IJERPH, MDPI, vol. 20(2), pages 1-19, January.
    2. Shehzad Kassam & Jesus Serrano-Lomelin & Anne Hicks & Susan Crawford & Jeffrey A. Bakal & Maria B. Ospina, 2021. "Geography as a Determinant of Health: Health Services Utilization of Pediatric Respiratory Illness in a Canadian Province," IJERPH, MDPI, vol. 18(16), pages 1-17, August.

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