Persistent variations in national asthma mortality, hospital admissions and prevalence by socioeconomic status and region in England

Thorax
Ramyani P GuptaDavid P Strachan

Abstract

The UK-wide National Review of Asthma Deaths sought to identify avoidable factors from the high numbers of deaths, but did not examine variation by socioeconomic status (SES) or region. We used asthma deaths in England over the period 2002-2015 obtained from national deaths registers, summarised by quintiles of Index of Multiple Deprivation (IMD) and Government Office Region. Emergency asthma admissions were obtained from Hospital Episode Statistics for England 2001-2011. The prevalence of asthma was derived from the Health Survey for England 2010. Associations of mortality, admissions and prevalence with IMD quintile and region were estimated cross-sectionally using incidence rate ratios (IRRs) adjusted for age and sex and, where possible, smoking. Asthma mortality decreased among more deprived groups at younger ages. Among 5-44 year olds, those in the most deprived quintile, mortality was 19% lower than those in the least deprived quintile (IRR 0.81 (95% CI 0.69 to 0.96). In older adults, this pattern was reversed (45-74 years: IRR 1.37 (1.24-1.52), ≥75 years: IRR 1.30 (1.22-1.39)). In 5-44 year olds the inverse trend with asthma mortality contrasted with large positive associations for admissions (IRR 3.34 (3.30-3.38)) and p...Continue Reading

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Citations

May 3, 2019·The European Respiratory Journal·Paul O'ByrnePeter Lange
Sep 15, 2019·Thorax·Dominick E ShawAndrew W Fogarty
Jul 18, 2020·International Journal of Environmental Research and Public Health·Genny CarrilloNorma Garza
Jan 7, 2020·Bulletin of the World Health Organization·Manas K AkmatovJörg Bätzing
Sep 19, 2020·International Journal of Chronic Obstructive Pulmonary Disease·Luis Pérez de LlanoBorja G Cosio
Feb 28, 2021·The Lancet. Respiratory Medicine·Dominick E ShawIan D Pavord
Mar 20, 2021·Journal of Asthma and Allergy·Luis Pérez de LlanoIrene Martin Robles
Mar 27, 2021·Drug and Therapeutics Bulletin·Jo Congleton
May 21, 2021·Annals of Thoracic Medicine·Mohamed AbuzakoukIrfan Shafiq

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