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CT scan exposure in Spanish children and young adults by socioeconomic status: Cross-sectional analysis of cohort data
- Source :
- Recercat. Dipósit de la Recerca de Catalunya, instname, Dipòsit Digital de la UB, Universidad de Barcelona, Repositorio Abierto de la UdL, Universitad de Lleida, PLoS ONE, PLoS ONE, Vol 13, Iss 5, p e0196449 (2018)
- Publisher :
- Public Library of Science (PLoS)
-
Abstract
- Recent publications reported that children in disadvantaged areas undergo more CT scanning than others. The present study is aimed to assess the potential differences in CT imaging by socioeconomic status (SES) in Spanish young scanned subjects and if such differences vary with different indicators or different time point SES measurements. The associations between CT scanning and SES, and between the CT scan rate per patient and SES were investigated in the Spanish EPI-CT subcohort. Various SES indicators were studied to determine whether particular SES dimensions were more closely related to the probability of undergoing one or multiple CTs. Comparisons were made with indices based on 2001 and 2011 censuses. We found evidence of socio-economic variation among young people, mainly related to autonomous communities of residence. A slightly higher rate of scans per patient of multiple body parts in the less affluent categories was observed, possibly reflecting a higher rate of accidents and violence in these groups. The number of CT scans per patient was higher both in the most affluent and the most deprived categories and somewhat lower in the intermediate groups. This relation varied with the SES indicator used, with lower CT scans per patients in categories of high unemployment and temporary work, but not depending on categories of unskilled work or illiteracy. The relationship between these indicators and number of CTs in 2011 was different than that seen with the 2001 census, with the number of CTs increasing with higher unemployment. Overall we observed some differences in the SES distribution of scanned patients by Autonomous Community in Spain. There was, however, no major differences in the frequency of CT scans per patient by SES overall, based on the 2001 census. The use of different indicators and of SES data collected at different time points led to different relations between SES and frequency of CT scans, outlining the difficulty of adequately capturing the social and economic dimensions which may affect health and health service utilisation. This work was partly supported by the European Community’s Seventh Framework Programme (FP7/2007-2013) (https://ec.europa. eu/research/fp7/index_en.cfm) [grant number 269912 - EPI-CT: Epidemiological study to quantify risks for paediatric computerized tomography and to optimise doses]. Complementary funding was received from the Consejo de Seguridad Nuclear (https://www.csn.es/home). M. Bosch de Basea was the recipient of a fellowship of the Centro de Investigacio´n Biome´dica en Red de Epidemiolog´ıa y Salud Pu´blica (CIBERESP) (http://www.ciberesp. es/) Instituto de Salud Carlos III (ES) for a short stay abroad at Newcastle University. ISGlobal is part of the CERCA Programme / Generalitat de Catalunya (http://cerca.cat/).
- Subjects :
- Male
European People
Spanish People
Cross-sectional study
Tomografia
lcsh:Medicine
Social Sciences
Academic Skills
Diagnostic Radiology
Cohort Studies
Families
0302 clinical medicine
Sociology
Medicine and Health Sciences
Psychology
Ethnicities
Medicine
Public and Occupational Health
Salut
030212 general & internal medicine
Young adult
lcsh:Science
Child
Hispanic People
Children
Functional illiteracy
Tomography
media_common
Multidisciplinary
Sociologia de l'economia
Radiology and Imaging
Socioeconomic Aspects of Health
3. Good health
Research Design
Health
Child, Preschool
030220 oncology & carcinogenesis
8. Economic growth
Cohort
population characteristics
Female
Research Article
Census
Adolescent
Imaging Techniques
media_common.quotation_subject
Neuroimaging
Research and Analysis Methods
Affect (psychology)
Young Adult
03 medical and health sciences
Literacy
Diagnostic Medicine
Humans
Social Stratification
Socioeconomic status
Sociology of economics
Survey Research
business.industry
lcsh:R
Infant, Newborn
Cognitive Psychology
Infant
Biology and Life Sciences
social sciences
Computed Axial Tomography
Health Care
Young Adults
Cross-Sectional Studies
Social Class
Spain
Unemployment
Age Groups
People and Places
Cognitive Science
lcsh:Q
Population Groupings
Residence
Tomography, X-Ray Computed
business
Neuroscience
Demography
Subjects
Details
- Database :
- OpenAIRE
- Journal :
- Recercat. Dipósit de la Recerca de Catalunya, instname, Dipòsit Digital de la UB, Universidad de Barcelona, Repositorio Abierto de la UdL, Universitad de Lleida, PLoS ONE, PLoS ONE, Vol 13, Iss 5, p e0196449 (2018)
- Accession number :
- edsair.doi.dedup.....661f29343dcde098a1517e24442486f9