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  1. The relationship between asthma admission rates, routes of admission, and socioeconomic deprivation.

    Article - En anglais

    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 Townsend Deprivation Index for the place of residence.

    Asthma SAR was strongly associated with deprivation as measured by the Townsend Index for the district of residence (Spearman rank correlation coefficient p=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 (rhô=0.76 ; p<0.001).

    Within Worcester District, SAR was associated with Townsend Index for the ward of residence (rhô=0.39 ; p<0.001).

    This remained significant after excluding repeat admissions (rhô=0.45 ; p<0.001).

    We conclude that asthma admissions are strongly associated with deprivation in the community.

    Differences in the heath care received during acute exacerbations by asthma patients from different economic backgrounds is likely to be an important factor in this relationship.

    Mots-clés Pascal : Asthme, Taux, Admission hôpital, Statut économique, Malade, Exploration, Relation, Homme, Appareil respiratoire pathologie, Bronchopneumopathie obstructive

    Mots-clés Pascal anglais : Asthma, Rate, Hospital admission, Economic status, Patient, Exploration, Relation, Human, Respiratory disease, Obstructive pulmonary disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0449953

    Code Inist : 002B11B. Création : 10/04/1997.