Marsh G N, Channing D M
Arch Dis Child. 1987 Apr;62(4):392-6. doi: 10.1136/adc.62.4.392.
Two hundred and twenty eight deprived children were compared with a matched sample of more endowed children living in the same urban area. Both groups were served by the same experienced primary health care team. The deprived group had a significantly higher number of general practitioner consultations and admissions to hospital (aged under 5) and a significantly higher recorded prevalence of mental and psychological disturbance (aged 5-15). Accident and emergency attendances were significantly higher for the deprived group throughout childhood, as were non-attendances for medical care appointments. The deprived group had much worse rates of immunisation and significantly later immunisations; practical measures subsequently adopted to improve this uptake of immunisation are described.
对228名贫困儿童与生活在同一市区的条件较好的配对儿童样本进行了比较。两组儿童均由同一位经验丰富的初级卫生保健团队提供服务。贫困组儿童看全科医生的次数以及（5岁以下儿童）住院次数显著更多，记录的精神和心理障碍患病率（5 - 15岁）也显著更高。贫困组儿童在整个童年期因意外事故和急诊就诊的次数显著更多，未按预约就诊接受医疗护理的情况也是如此。贫困组儿童的免疫接种率低得多，且免疫接种时间显著延迟；文中描述了随后为提高免疫接种率而采取的实际措施。
