JAC Advance Access published online on February 11, 2003
Journal of Antimicrobial Chemotherapy, doi:10.1093/jac/dkg118
© 2003 by The British Society for Antimicrobial Chemotherapy
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Original article
1 Department of Clinical
Epidemiology, Aalborg Hospital and University of Aarhus, Vennelyst
Boulevard 6,
DK 8000 Aarhus C; Danish
Epidemiology Science Centre, Department of Epidemiology and Social
Medicine, University of Aarhus, Aarhus; Department of Pediatrics, Herning Central Hospital,
Herning
* Corresponding author. E-mail: n.thrane{at}dadlnet.dk.
Received 25 June 2002
; revised 11 September 2002
; accepted 6 December 2002
Objectives: The aim was to examine
the impact of socioeconomic factors on the use of systemic antibiotics
during the first 2 years of life. Methods: This was a population-based cohort
study of 5024 Danish children born in 1997. The study was conducted
by linking records drawn from public administrative registries.
The main predictor variables were mother's education level,
household income and cohabitation status. The outcome was the number
of antibiotic courses (0, 1-5, Results: A total of 3273 children (65.1%)
received 1-5 antibiotic courses, and 337 (6.7%)
received Conclusions: Socioeconomic factors have some
impact on antibiotic prescription in young children. Children of
mothers with only basic schooling were at highest risk of receiving
multiple prescriptions, whereas children of mothers with a high
education, and/or high household income, had the lowest risk.
Keywords: socioeconomic factors, systemic antibiotics,
infectious diseases, children
Socioeconomic factors and prescription of antibiotics
in 0- to 2-year-old Danish children
2 Department of Clinical
Epidemiology, Aalborg Hospital and University of Aarhus, Vennelyst
Boulevard 6,
DK 8000 Aarhus C
3 Department of Clinical
Epidemiology, Aalborg Hospital and University of Aarhus, Vennelyst
Boulevard 6,
DK 8000 Aarhus C; Department of Clinical Microbiology,
Aalborg Hospital, Aalborg, Denmark
4 Department of Clinical
Epidemiology, Aalborg Hospital and University of Aarhus, Vennelyst
Boulevard 6,
DK 8000 Aarhus C; Danish
Epidemiology Science Centre, Department of Epidemiology and Social
Medicine, University of Aarhus, Aarhus
6)
during the first 2 years of life.6 courses of antibiotics during
the first 2 years of life. The risk of receiving 6
courses of antibiotics was increased in children of mothers with
a low educational level (
10 years)
compared with vocational education [OR 1.3 (95% CI
1.0-1.7)]. Children of mothers with a higher education >4
years had a reduced risk of receiving 6
courses [OR 0.3 (95% CI 0.1-0.7)].
Children from high-income families had a reduced risk (not statistically
significant) of receiving antibiotics, compared with children from
middle-income families [1-5 and 6
courses: adjusted OR 0.6 (95% CI 0.3-1.2)].
Children of single mothers had an increased risk of receiving antibiotics,
particularly if the child did not attend day care.
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