Health service use among children with and without eczema, asthma, and hay fever

TY - JOUR

T1 - Health service use among children with and without eczema, asthma, and hay fever

AU - Hammer-Helmich, Lene

AU - Linneberg, Allan

AU - Thomsen, Simon Francis

AU - Tang, Line

AU - Glümer, Charlotte

PY - 2016/9/13

Y1 - 2016/9/13

N2 - BACKGROUND: Atopic diseases, for example, eczema, asthma, and hay fever, are among the most common chronic diseases of childhood. Knowledge on health service use among children with atopic disease is limited. This study aimed to investigate the total use and costs of health services for children with and without eczema, asthma, and hay fever in a Danish general population.METHODS: We conducted a health survey with four complete birth cohorts from the City of Copenhagen. Individual questionnaire data on eczema, asthma, and hay fever for children aged 3, 6, 11, and 15 years were linked to register information on use and costs of health services and prescribed medication and parental education. In total 9,720 children participated (50.5%).RESULTS: We found increased health service use (number of additional consultations per year [95% confidence interval]) among children with current eczema symptoms (1.77 [1.29-2.26]), current asthma symptoms (2.53 [2.08-2.98]), and current hay fever symptoms (1.21 [0.74-1.67]), compared with children without these symptoms. We also found increased use of prescribed medication and most subtypes of health services. Current asthma symptoms and current eczema symptoms, but not current hay fever symptoms, increased the health service costs with at least €300 per year per child.CONCLUSION: Children with eczema, asthma, and hay fever used health services and prescribed medication more than children without these diseases.

AB - BACKGROUND: Atopic diseases, for example, eczema, asthma, and hay fever, are among the most common chronic diseases of childhood. Knowledge on health service use among children with atopic disease is limited. This study aimed to investigate the total use and costs of health services for children with and without eczema, asthma, and hay fever in a Danish general population.METHODS: We conducted a health survey with four complete birth cohorts from the City of Copenhagen. Individual questionnaire data on eczema, asthma, and hay fever for children aged 3, 6, 11, and 15 years were linked to register information on use and costs of health services and prescribed medication and parental education. In total 9,720 children participated (50.5%).RESULTS: We found increased health service use (number of additional consultations per year [95% confidence interval]) among children with current eczema symptoms (1.77 [1.29-2.26]), current asthma symptoms (2.53 [2.08-2.98]), and current hay fever symptoms (1.21 [0.74-1.67]), compared with children without these symptoms. We also found increased use of prescribed medication and most subtypes of health services. Current asthma symptoms and current eczema symptoms, but not current hay fever symptoms, increased the health service costs with at least €300 per year per child.CONCLUSION: Children with eczema, asthma, and hay fever used health services and prescribed medication more than children without these diseases.

U2 - 10.2147/CLEP.S111960

DO - 10.2147/CLEP.S111960

M3 - Journal article

C2 - 27695364

SN - 1179-1349

VL - 8

SP - 341

EP - 349

JO - Clinical Epidemiology

JF - Clinical Epidemiology

ER -