Changing contexts of child health: an assessment of unmet physical, psychological and social needs of children with common chronic childhood illness

Raghu Lingam*, Nan Hu, Elizabeth Cecil, Julia Forman, James Newham, Rose-Marie Satherley, Marina Soley Bori, Simon Cousens, Julia Fox-Rushby, Ingrid Wolfe

*Corresponding author for this work

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Abstract

Background: We assessed the biopsychosocial needs and key health drivers among children living with a common chronic illness, as baseline for a cluster randomised controlled trial of a child health system strengthening intervention. Methods: Cross-sectional data were analysed from a large population sample of children from South London with asthma, eczema or constipation, as exemplar tracer conditions of a new integrated care service. Descriptive and regression analyses, accounting for sociodemographic factors, investigated social needs, psychosocial outcomes and quality of life associated with poor symptom control. Results: Among 7779 children, 4371 children (56%) had at least one uncontrolled physical health condition. Across the three domains of physical health, mental health and social needs, 77.5% of children (n=4304 of 5554) aged 4–15 years had at least one unmet need, while 16.3% of children had three unmet needs. Children from the most socioeconomically disadvantaged quintile had a 20% increased risk of at least one poorly controlled physical condition (risk ratio (RR)=1.20, 95% CI: 1.11 to 1.31, p
Original languageEnglish
Pages (from-to)1-9
Number of pages9
JournalArchives of Disease in Childhood
Early online date21 Feb 2024
DOIs
Publication statusE-pub ahead of print - 21 Feb 2024

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