Socioeconomic status, asthma and chronic bronchitis in a large community-based study
Socioeconomic status, asthma and chronic bronchitis in a large community-based study
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DOI：
10.1183/09031936.00101606
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发表时间：
2007-05-01
影响因子：
24.3
通讯作者：
Kogevinas, M.
中科院分区：
文献类型：
--
作者：
Ellison-Loschmann, L.;Sunyer, J.;Kogevinas, M.
本研究采用欧洲共同体呼吸健康调查（ECRHS）的数据，调查了社会经济地位、职业类别和教育水平与哮喘（伴和不伴特应性）和慢性支气管炎患病率和发病率之间的关系。发生率分析包括基线时无哮喘或支气管炎病史的受试者。支气管炎风险与低教育水平（患病率比值比（POR）1.9; 95%可信区间（CI）1.4-2.8）和职业类别（1.8; 1.2-2.7）相关。支气管炎的发病率也随受教育程度的降低而增加（风险比（RR）2.8; 95%CI 1.5-5.4）。无特应性哮喘的患病率和发病率与低教育水平有关。低职业组（发病风险比（IRR）1.4; 95%CI 1.2-1.7）和受教育组（IRR 1.3; 95%CI 1.1-1.6）的受试者平均哮喘评分高于高社会经济组。较低的社会经济群体往往有较高的哮喘患病率和发病率，特别是较高的平均哮喘评分。调整与哮喘和支气管炎相关的变量几乎不能解释所观察到的社会经济地位的健康差异。
The present study investigated the relationship between socioeconomic status, using measures of occupational class and education level, and the prevalence and incidence of asthma (with and without atopy) and chronic bronchitis using data from the European Community Respiratory Health Survey (ECRHS).Asthma and chronic bronchitis were studied prospectively within the ECRHS (n=9,023). Incidence analyses comprised subjects with no history of asthma or bronchitis at baseline. Asthma symptoms were also assessed as a continuous score.Bronchitis risk was associated with low educational level (prevalence odds ratio (POR) 1.9; 95% confidence interval (CI) 1.4-2.8) and occupational class (1.8; 1.2-2.7). Incident bronchitis also increased with low educational level (risk ratio (RR) 2.8; 95%CI 1.5-5.4). Prevalent and incident asthma with no atopy were associated with low educational level. Subjects in the low occupational class (incident risk ratio (IRR) 1.4; 95%CI 1.2-1.7) and education group (IRR 1.3; 95% CI 1.1-1.6) had higher mean asthma scores than those in higher socioeconomic groups.Lower educational level was associated with increased risk of prevalent and incident chronic bronchitis and asthma with no atopy. Lower socioeconomic groups tended to have a higher prevalence and incidence of asthma, particularly higher mean asthma scores. Adjustment for variables associated with asthma and bronchitis explained little of the observed health differences by socioeconomic status.