# name
CT scan exposure in Spanish children and young adults by
                socioeconomic status: Cross-sectional analysis of cohort data

# metadata.dc.description.abstract[].value
Recent publications reported that children in disadvantaged
                areas undergo more CT scanning than others. The present study is
                aimed to assess the potential differences in CT imaging by
                socioeconomic status (SES) in Spanish young scanned subjects and
                if such differences vary with different indicators or different
                time point SES measurements. The associations between CT
                scanning and SES, and between the CT scan rate per patient and
                SES were investigated in the Spanish EPI-CT subcohort. Various
                SES indicators were studied to determine whether particular SES
                dimensions were more closely related to the probability of
                undergoing one or multiple CTs. Comparisons were made with
                indices based on 2001 and 2011 censuses. We found evidence of
                socio-economic variation among young people, mainly related to
                autonomous communities of residence. A slightly higher rate of
                scans per patient of multiple body parts in the less affluent
                categories was observed, possibly reflecting a higher rate of
                accidents and violence in these groups. The number of CT scans
                per patient was higher both in the most affluent and the most
                deprived categories and somewhat lower in the intermediate
                groups. This relation varied with the SES indicator used, with
                lower CT scans per patients in categories of high unemployment
                and temporary work, but not depending on categories of unskilled
                work or illiteracy. The relationship between these indicators
                and number of CTs in 2011 was different than that seen with the
                2001 census, with the number of CTs increasing with higher
                unemployment. Overall we observed some differences in the SES
                distribution of scanned patients by Autonomous Community in
                Spain. There was, however, no major differences in the frequency
                of CT scans per patient by SES overall, based on the 2001
                census. The use of different indicators and of SES data
                collected at different time points led to different relations
                between SES and frequency of CT scans, outlining the difficulty
                of adequately capturing the social and economic dimensions which
                may affect health and health service utilisation.

# metadata.dc.relation.isformatof[].value
Reproducció del document publicat a:
                http://dx.doi.org/10.1371/journal.pone.0196449

# metadata.dc.source[].value
Articles publicats en revistes (ISGlobal)

# metadata.dc.title[].value
CT scan exposure in Spanish children and young adults by
                socioeconomic status: Cross-sectional analysis of cohort data