Nazratun N Monalisa, Edward A Frongillo, Christine E Blake, Susan E Steck, Robin B DiPietro
Strategies elementary school children use to influence mothers' food purchasing decisions
Maternal & child nutrition
pluriprofessional coordinated healthcare use recommended alzheimers disease related diseases adrd despite protective health system france characterized persistent significant social inequalities health although social health inequalities well documented less known social disparities healthcare use adrd especially france therefore study aimed describe healthcare use according socioeconomic deprivation among adrd subjects possible potentiating role deprivation age studied subjects identified incident adrd 2017 french health insurance database snds described large extent healthcare use year following adrd identification deprivation assessed french deprivation index fdep measured municipality level categorized quintiles compared healthcare use according fdep quintiles chisquare tests stratified description certain healthcare uses age groups 4064 years 6574 years 7584 years 85 years older number comorbidities 0 1 23 4 comorbidities presence psychiatric comorbidity total 124441 subjects included deprived subjects less use physiotherapy 2856 vs 3824 ambulatory specialists 2724 vs 3407 ambulatory speech therapy 635 vs 1664 preventive consultations 6234 vs 6965 less institutionalized 2809 vs 3133 less deprived ones conversely exposed antipsychotics 1116 vs 843 benzodiazepines 2434 vs 1907 hospital emergency care 6384 vs 5757 potentially avoidable hospitalizations 1204 vs 1095 less deprived ones healthcare use subjects adrd france differed according deprivation index suggesting potential health renunciation diseases social inequalities may driven financial barriers lower education levels contribute health literacy especially preventive care studies may explore