Madeleine Didsbury|Siah Kim|Meredith Medway|Allison Tong|Steven McTaggart|Amanda Walker|Sarah White|Fiona Mackie|Tonya Kara|Jonathan C. Craig|Germaine Wong
Socio?economic status and quality of life in children with chronic disease: A systematic review
Children's Hospital at Westmead|Children's Hospital at Westmead|Children's Hospital at Westmead|Children's Hospital at Westmead|Queensland Children’s Hospital|University of Melbourne|Royal Children's Hospital|University of Sydney|Sydney Children's Hospital|Starship Children's Health|Children's Hospital at Westmead|University of Sydney|Children's Hospital at Westmead|University of Sydney|Westmead Hospital
abstract reduced quality life qol known consequence chronic disease children association may evident socioeconomically disadvantaged aims systematic review assess association socioeconomic disadvantage qol among children chronic disease identify specific socioeconomic factors influential medline embase psycinfo searched march 2015 observational studies reported association least one measure social disadvantage caregivers least one qol measure children young people age 221 years debilitating noncommunicable childhood disease asthma chronic kidney disease type 1 diabetes mellitus epilepsy eligible total 30 studies involving 6957 patients included asthma six studies n 576 chronic kidney disease four studies n 796 epilepsy 14 studies n 2121 type 1 diabetes mellitus six studies n 3464 total 22 73 studies reported statistically significant association least one socioeconomic determinant qol parental education occupation marital status income health insurance coverage associated reduced qol children chronic disease quality included studies varied widely high risk reporting bias children chronic disease lower socioeconomic backgrounds experience reduced qol compared wealthier counterparts initiatives improve access usage medical psychological services children families socioeconomically disadvantaged may help mitigate disparities improve outcomes children chronic illnesses