The relationship between asthma admission rates, routes of admission, and socioeconomic deprivation.
The relationship between asthma admission rates, routes of admission, and socioeconomic deprivation.
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DOI：
10.1183/09031936.96.09102087
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发表时间：
1996-10
期刊：
影响因子：
--
通讯作者：
JP Watson;P. Cowen;RA Lewis
中科院分区：
文献类型：
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作者：
JP Watson;P. Cowen;RA Lewis
本研究旨在探讨气喘住院与社经剥夺之关系。一项回顾性研究调查了英格兰西米德兰地区（n = 10，044）和该地区较富裕地区之一伍斯特（n = 251）因哮喘住院一年的情况。哮喘的年龄标准化入院率（SAR）和入院途径与居住地的城镇终点延迟指数进行比较。哮喘SAR与居住区城镇末端指数测量的剥夺密切相关（斯皮尔曼等级相关系数rho = 0.65; p = 0.004）。除65岁以上的人外，所有年龄组的哮喘入院率在贫困地区都较高。在较贫困地区，急诊入院的比例明显更大，而不是全科医生转诊（rho = 0.76; p < 0.001）。在伍斯特地区，SAR与居住区的汤森指数相关（rho = 0.39; p < 0.001）。在排除重复入院后，这仍然是显著的（rho = 0.45; p < 0.001）。我们的结论是，哮喘入院与社区中的贫困密切相关。不同经济背景的哮喘患者在急性加重期接受的医疗保健的差异可能是这种关系的一个重要因素。
This study aimed to explore the relationship between hospital admissions for asthma and socioeconomic deprivation. A retrospective study examined one year of hospital admissions for asthma in the West Midlands region of England (n = 10,044), and in one of the region's wealthier districts, Worcester (n = 251). Age standardized admission ratios (SARs) for asthma, and the routes of hospital admission, were compared with the Towns- end Deprivation Index for the place of residence. Asthma SAR was strongly associated with deprivation as measured by the Towns end Index for the district of residence (Spearman rank correlation coefficient rho = 0.65; p = 0.004). Asthma admission rates for all age groups, except those aged over 65 yrs, were higher in poorer districts. A significantly greater proportion of emergency admissions in poorer districts came via Accident and Emergency departments, rather than general practitioner referrals (rho = 0.76; p < 0.001). Within Worcester District, SAR was associated with Townsend Index for the ward of residence (rho = 0.39; p < 0.001). This remained significant after excluding repeat admissions (rho = 0.45; p < 0.001). We conclude that asthma admissions are strongly associated with deprivation in the community. Differences in the health care received during acute exacerbations by asthma patients from different economic backgrounds is likely to be an important factor in this relationship.