Pediatra, ASL Napoli 5; 2Pediatra, ASL Napoli 1
Key words: Social risk, Risk factors, Prevention, Social services
A number of social and psychosocial conditions such as poverty, family dysfunction, low parental education etc. put children at increased risk for disease or inadequate use of health services. The identification of simple and valid markers of these conditions can be useful to define subgroups of population for a more effective preventive effort in interventions aimed at reducing the risk. The Authors carried out a cohort retrospective study to evaluate the use of social services as a risk indicator for ill health and inappropriate use of health services, by comparing risk for unfavourable events in users and non users of health services. Bivariate, multivariate and regression methods were used to analyse the findings. Results showed that children from families that are users of social services have significantly higher risk for a number of unfavourable events ranging from poor antenatal care (RR 2.0), to missed immunizations (RR 1.3), accidents and admissions to hospital (RR 1.8). On the basis of these findings a project aimed at improving the effectiveness of health services with respect to these children and their families is proposed.
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