Socioeconomic status is associated with symptom severity and sickness absence in people with infectious intestinal disease in the UK
| Autor: | Jeremy Hawker, Sarah J. O'Brien, Tanith C. Rose, Benjamin Barr, Mara Violato, Natalie L. Adams, Margaret Whitehead, David Taylor-Robinson |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Ethnic group Disease Socioeconomic factors Symptom severity Odds lcsh:Infectious and parasitic diseases Cohort Studies Young Adult 03 medical and health sciences 0302 clinical medicine Medical microbiology Surveys and Questionnaires Sick leave medicine Humans lcsh:RC109-216 030212 general & internal medicine Child Psychiatry Socioeconomic status Aged Occupation 030505 public health business.industry Confounding Middle Aged United Kingdom Diarrhoea Intestinal Diseases Cross-Sectional Studies Infectious Diseases Social Class Child Preschool Income Female Self Report 0305 other medical science business Infectious intestinal disease Research Article Demography |
| Zdroj: | BMC Infectious Diseases, Vol 17, Iss 1, Pp 1-9 (2017) BMC INFECTIOUS DISEASES BMC Infectious Diseases |
| ISSN: | 1471-2334 |
| Popis: | Background The burden of infectious intestinal disease (IID) in the UK is substantial. Negative consequences including sickness absence are common, but little is known about the social patterning of these outcomes, or the extent to which they relate to disease severity. Methods We performed a cross-sectional analysis using IID cases identified from a large population-based survey, to explore the association between socioeconomic status (SES) and symptom severity and sickness absence; and to assess the role of symptom severity on the relationship between SES and absence. Regression modelling was used to investigate these associations, whilst controlling for potential confounders such as age, sex and ethnicity. Results Among 1164 cases, those of lower SES versus high had twice the odds of experiencing severe symptoms (OR 2.2, 95%CI;1.66–2.87). Lower SES was associated with higher odds of sickness absence (OR 1.8, 95%CI;1.26–2.69), however this association was attenuated after adjusting for symptom severity (OR 1.4, 95%CI;0.92–2.07). Conclusions In a large sample of IID cases, those of low SES versus high were more likely to report severe symptoms, and sickness absence; with greater severity largely explaining the higher absence. Public health interventions are needed to address the unequal consequences of IID identified. Electronic supplementary material The online version of this article (doi:10.1186/s12879-017-2551-1) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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