Social deprivation and hospital admission for respiratory infection: an ecological study
Social deprivation and hospital admission for respiratory infection: an ecological study
复制标题
DOI：
10.1016/s0954-6111(03)00252-x
复制
发表时间：
2003-11-01
影响因子：
4.3
通讯作者：
Wilson, RC
中科院分区：
文献类型：
--
作者：
Hawker, JI;Olowokure, B;Wilson, RC
研究目的：探讨社会剥夺与呼吸道感染住院风险之间的关系。方法和主题：采用医院事件统计和人口普查数据进行生态学研究。病例是西米德兰兹卫生区的居民，在5年内被诊断为呼吸道感染、急性呼吸道感染、肺炎或流感而住院。案件的邮政编码被用来分配汤森剥夺分数，然后这些被排名，并分为五个剥夺类别。Poisson回归分析被用来估计剥夺类别和住院年龄和入院诊断之间的关联的影响程度。主要结果：有136755例因呼吸道感染入院，相当于年入院率为27.1/1000人口（95%CI = 26.9-27.2）。去甲肾上腺素与所有呼吸道感染的入院率增加相关（P < 0.0001），并影响所有年龄组。影响最大的是0-4岁年龄组，最贫困儿童的入学率比最贫困儿童高91%。因急性呼吸道感染和肺炎住院与剥夺显著相关（P < 0.0001）。结论：呼吸道感染与所有年龄组的社会不平等有关，尤其是儿童。预防呼吸道感染可为减少健康不平等做出重要贡献。(C)2003爱思唯尔有限公司。保留所有权利。
Study objective: To examine the relationship between social deprivation and risk of hospital admission for respiratory infection.Methods and subjects: Ecological study using hospital episode statistics and population census data. Cases were residents of the West Midlands Health Region admitted to hospital with a diagnosis of respiratory infection, acute respiratory infection, pneumonia or influenza over a 5-year period. Postcodes of cases were used to assign Townsend deprivation scores; these were then ranked and divided into five deprivation categories. Poisson regression analysis was used to estimate the magnitude of effect for associations between deprivation category and hospital admission by age and admitting diagnosis. Main results: There were 136 755 admissions for respiratory infection, equivalent to an annual admission rate of 27.1 per 1000 population (95% CI = 26.9-27.2). Deprivation was associated with increased admission rates for all respiratory infection (P < 0.0001) and affected all age-groups. The greatest effect was in the 0-4 years age-group with admission rates 91% higher in the most deprived children compared to the least deprived. Hospital admissions for acute respiratory infection and pneumonia were both significantly associated with deprivation (P < 0.0001). Conclusions: Respiratory infection is associated with social inequalities in all age-groups, particularly in children. Prevention of respiratory infection could make an important contribution to reducing health inequalities. (C) 2003 Elsevier Ltd. All rights reserved.