Disparities in resource utilisation by families of children with cardiac conditions

• Published in: Cardiology in the young Vol. 34; no. 2; p. 325
• Main Authors: Chou, Francisca L, Donovan, Denis J, Weller, Rachel J, Fremed, Michael A, Glickstein, Julie S, Krishnan, Usha S
• Format: Journal Article
• Language: English
• Published: England 01.02.2024
• Subjects: Child; Educational Status; Health Personnel; Heart Diseases; Heart Failure - therapy; Humans; Surveys and Questionnaires; Social determinants of health; health equity; social justice; CHD; digital divide
• ISSN: 1467-1107
• DOI: 10.1017/S1047951123001634

There are limited data documenting sources of medical information that families use to learn about paediatric cardiac conditions. Our study aims to characterise these resources and to identify any disparities in resource utilisation. We hypothesise there are significant variations in the resources utilised by families from different educational and socio-economic backgrounds. A survey evaluating what resources families use (websites, healthcare professionals, social media, etc.) to better understand paediatric cardiac conditions was administered to caretakers and paediatric patients at Morgan Stanley Children's Hospital. Patients with a prior diagnosis of CHD, cardiac arrhythmia, and/or heart failure were included. Caretakers' levels of education (fewer than 16 years vs. 16 years or more) and patients' medical insurance types (public vs. private) were compared with regard to the utilisation of resources. Surveys completed by 137 (91%) caretakers and 27 (90%) patients were analysed. Websites were utilised by 72% of caretakers and 56% of patients. Both private insurance and higher education were associated with greater reported utilisation of websites, healthcare professionals, and personal networks (by insurance p = 0.009, p = 0.001, p = 0.006; by education p = 0.022, p < 0.001, p = 0.018). They were also more likely to report use of electronic devices (such as a computer) compared to those with public medical insurance and fewer than 16 years of education (p < 0.001, p < 0.001, respectively). Both levels of education and insurance status are associated with the utilisation of informative resources and digital devices by families seeking to learn more about cardiac conditions in children.