title: [Families of the economic crisis in paediatric Primary Care clinics: descriptive observational study].
abstract: OBJECTIVE
  To study the impact of the economic crisis on the families of the children who attend Primary Health Care and its relationship with their socioeconomic status.
  
  
  METHODS
  Observational descriptive study was conducted by analysing the results of 453 questionnaires, given to the parents of children between 1 and 7 years old who attended 4 paediatric clinics in Madrid. The raw data was analysed, and comparisons between groups and multivariate analysis were performed.
  
  
  RESULTS
  In the multivariate analysis, the variables related to the non-acquisition of prescribed medication are: lower income level OR=0.118, p<.0001 and lower educational level OR=0.464, p<.001; the variables related to the reduction of food expenditure are: lower income level OR=0.100, p<.0001 and a higher number of family members OR=1.308, p=.045; the variables related to anti-pneumococcal vaccination without public funding are: higher income level OR=2.170, p=.0001, higher educational level OR=1.835, p=.013, and not being an immigrant OR=0.532, p=.037. The presence of health problems from the beginning of the economic crisis is related to unemployment OR=4.079, p=.032, lower educational level R=0.678, p=.042, and income level OR=0.342, p<.0001. In all cases, the models achieved a statistical significance of p<.0001.
  
  
  CONCLUSIONS
  The economic crisis has greater impact on the group with the lowest income level in all analysed variables. The lower educational level and higher number of family members has an impact on the reduction in food expenditure. The fact of being an immigrant has an impact on not receiving the anti-pneumococcal and rotavirus vaccination. Unemployment leads to an increase in health problems in the family. To sum up, the economic crisis has increased inequalities according to socioeconomic status.
authors.affiliation: Centro de Salud Reina Victoria, Madrid, España.
authors.forename: R
authors.initials: R
authors.lastname: Martín Martín
authors.affiliation: Fundación para la Investigación, Estudio y Desarrollo de la Salud Pública, Madrid, España. Electronic address: msanba@terra.com.
authors.forename: M
authors.initials: M
authors.lastname: Sánchez Bayle
authors.affiliation: Centro de Salud Infanta Mercedes, Madrid, España.
authors.forename: C
authors.initials: C
authors.lastname: Gancedo García
authors.affiliation: Centro de Salud Cea Bermúdez, Madrid, España.
authors.forename: M C
authors.initials: MC
authors.lastname: Teruel de Francisco
authors.affiliation: Centro de Salud Reina Victoria, Madrid, España.
authors.forename: A
authors.initials: A
authors.lastname: Coullaut López
mesh_terms: D002648:Child; D002675:Child, Preschool; D057172:Economic Recession; D006297:Health Services Accessibility / Q000191:economics*; D006801:Humans; D007182:Income; D007223:Infant; D010290:Parents; D010372:Pediatrics / Q000191:economics*; D011320:Primary Health Care / Q000191:economics*; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires
keywords: Childhood; Crisis económica; Economic crisis; Infancia; Paediatric Primary Care; Pediatría Atención Primaria