Socioeconomic status is associated with symptom severity and sickness absence in people with infectious intestinal disease in the UK

BMC Infectious Diseases

Research Article

Sarah J. O’Brien¹  Benjamin Barr¹  David C. Taylor-Robinson¹  Margaret Whitehead¹  Tanith C. Rose²  Natalie L. Adams³  Mara Violato⁴  Jeremy Hawker⁵ 

[1] NIHR Health Protection Research Unit in Gastrointestinal Infections, Liverpool, UK;Department of Public Health and Policy, University of Liverpool, Liverpool, UK;NIHR Health Protection Research Unit in Gastrointestinal Infections, Liverpool, UK;Department of Public Health and Policy, University of Liverpool, Liverpool, UK;Department of Public Health and Policy Institute of Psychology, Health and Society, University of Liverpool, Whelan Building, L69 3GB, Liverpool, UK;NIHR Health Protection Research Unit in Gastrointestinal Infections, Liverpool, UK;Department of Public Health and Policy, University of Liverpool, Liverpool, UK;National Infection Service, Public Health England, London/Birmingham, UK;NIHR Health Protection Research Unit in Gastrointestinal Infections, Liverpool, UK;Health Economics Research Centre, University of Oxford, Oxford, UK;NIHR Health Protection Research Unit in Gastrointestinal Infections, Liverpool, UK;National Infection Service, Public Health England, London/Birmingham, UK;

关键词: Socioeconomic factors;    Occupation;    Infectious intestinal disease;    Diarrhoea;    Sick leave;    Symptom severity;   

DOI  :  10.1186/s12879-017-2551-1

 received in 2017-03-14, accepted in 2017-06-15,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundThe 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.MethodsWe 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.ResultsAmong 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).ConclusionsIn 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.

【 授权许可】

CC BY   
© The Author(s). 2017