Social deprivation and hospital admission for respiratory infection: an ecological study

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Social deprivation and hospital admission for respiratory infection: an ecological study. / Hawker, Jeremy; Olowokure, Babatunde; Sufi, F; Weinberg, J; Gill, N; Wilson, Richard.

In: Respiratory Medicine, Vol. 97, No. 11, 01.11.2003, p. 1219-24.

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Hawker, Jeremy ; Olowokure, Babatunde ; Sufi, F ; Weinberg, J ; Gill, N ; Wilson, Richard. / Social deprivation and hospital admission for respiratory infection: an ecological study. In: Respiratory Medicine. 2003 ; Vol. 97, No. 11. pp. 1219-24.

Bibtex

@article{7ed13471b10747f8b84b551e6f0ba983,
title = "Social deprivation and hospital admission for respiratory infection: an ecological study",
abstract = "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 136755 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.",
keywords = "deprivation, hospital admission, respiratory infection",
author = "Jeremy Hawker and Babatunde Olowokure and F Sufi and J Weinberg and N Gill and Richard Wilson",
year = "2003",
month = nov,
day = "1",
doi = "10.1016/S0954-6111(03)00252-X",
language = "English",
volume = "97",
pages = "1219--24",
journal = "Respiratory Medicine",
issn = "0954-6111",
publisher = "Elsevier",
number = "11",

}

RIS

TY - JOUR

T1 - Social deprivation and hospital admission for respiratory infection: an ecological study

AU - Hawker, Jeremy

AU - Olowokure, Babatunde

AU - Sufi, F

AU - Weinberg, J

AU - Gill, N

AU - Wilson, Richard

PY - 2003/11/1

Y1 - 2003/11/1

N2 - 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 136755 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.

AB - 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 136755 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.

KW - deprivation

KW - hospital admission

KW - respiratory infection

U2 - 10.1016/S0954-6111(03)00252-X

DO - 10.1016/S0954-6111(03)00252-X

M3 - Article

C2 - 14635977

VL - 97

SP - 1219

EP - 1224

JO - Respiratory Medicine

JF - Respiratory Medicine

SN - 0954-6111

IS - 11

ER -