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International Journal of Public Health

Erschienen in:

01.08.2012 | Original Article

Socio-economic disparities in mortality due to pandemic influenza in England

verfasst von: Paul D. Rutter, Oliver T. Mytton, Matthew Mak, Liam J. Donaldson

Erschienen in: International Journal of Public Health | Ausgabe 4/2012

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Abstract

Objectives

This study examines variations in mortality between socio-economic groups due to the pandemic Influenza (H1N1) 2009 virus in England.

Methods

We established a system to identify all deaths related to pandemic (H1N1) 2009 influenza. We collected the postcode of every individual who died, and through this determined the socio-economic deprivation, urban–rural characteristics and region of their residence. Across England, we were therefore able to examine how mortality rates varied by socio-economic group, between urban and rural areas, and between regions.

Results

People in the most deprived quintile of England’s population had an age and sex-standardised mortality rate three times that experienced by the least deprived quintile (RR = 3.1, 95% CI 2.2–4.4). Mortality was also higher in urban areas than in rural areas (RR = 1.7, 95% CI 1.2–2.3). Mortality rates were similar between regions of the country.

Conclusion

Tackling socio-economic health inequalities is a central concept within public health, but has not always been a part of emergency preparedness plans. These data demonstrate the opportunity to reduce the overall impact and narrow inequalities by considering socio-economic disparities in future pandemic planning.

Atkins D, Moy EM (2005) Left behind: the legacy of hurricane Katrina. BMJ 331:916–918PubMedCrossRef

Baird GA (2000) Centralisation of cancer services in rural areas has disadvantages. BMJ 320:717–718PubMedCrossRef

Baker MG, Kelly H, Wilson N (2009) Pandemic H1N1 influenza lessons from the southern hemisphere. Euro Surveill 14(42) (pii:19370)

Campbell NC, Elliott AM, Sharp L, Ritchie LD, Cassidy J, Little J (2001) Rural and urban differences in stage at diagnosis of colorectal and lung cancers. Br J Cancer 84(7):910–914PubMedCrossRef

Charu V, Chowell G, Majia LSF, Echevarria-Zuno S, Borja-Aburto VH, Simonsen L, Miller MA, Viboud C (2011) Mortality burden of the A/H1N1 pandemic in Mexico: a comparison of deaths and years of life lost to seasonal influenza. Clin Infect Dis 53(10):985–993PubMedCrossRef

Chowell G, Bettencourt LMA, Johnson N, Alonso WJ, Viboud C (2008). The 1918–1919 influenza pandemic in England and Wales: spatial patterns in transmissibility and mortality impact. Proc R Soc B 275:501–509PubMedCrossRef

Commission on Social Determinants of Health (2008) CSDH Final Report: closing the gap in a generation: health equity through action on the social determinants of health. World Health Organization, Geneva

Congdon P (2008) Estimating CHD prevalence by small area: integrating information from health surveys and area mortality. Health Place 14:59–75PubMedCrossRef

Connolly V, Unwin N, Sherriff P, Bilous R, Kelly W (2000) Diabetes prevalence and socioeconomic status: a population based study showing increased prevalence of type 2 diabetes mellitus in deprived areas. J Epidemiol Community Health 54:173–177PubMedCrossRef

Coupland C, Harcourt S, Vinogradova Y, Smith G, Joseph C, Pringle M, Hippisley-Cox J (2007) Inequalities in uptake of influenza vaccine by deprivation and risk group: time trends analysis. Vaccine 25(42):7363–7371PubMedCrossRef

Department of Health (2007) Pandemic flu: a national framework for responding to an influenza pandemic. Available at http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_080734. accessed 24 Jan 2012

Dobson A, Kuulasmaa K, Eberle E, Scherer J (1991) Confidence intervals for weighted sums of Poisson parameters. Stat Med 10:457–462PubMedCrossRef

Dominguez-Cherit G, Lapinsky SE, Macias AE, Pinto R, Espinosa-Perez L, Torre A et al (2009) Critically Ill patients with 2009 influenza A(H1N1) in Mexico. J Am Med Assoc 302:1880–1887CrossRef

Donaldson LJ, Rutter PD, Ellis BM, Greaves FEC, Mytton OT, Pebody RG, Yardley IE (2009) Mortality from pandemic A/H1N1 2009 influenza in England: public health surveillance study. BMJ 339:b5213PubMedCrossRef

Eayres D (2008) APHO technical briefing 3: commonly used public health statistics and their confidence intervals. Available at http://www.apho.org.uk/resource/item.aspx?RID=48457. accessed 1 Dec 2011

Elliot JR, Race Pais J (2006) Class and Hurricane Katrina: social differences in human response to a disaster. Soc Sci Res 35:295–321CrossRef

Fraser S, Bunce C, Wormald R, Brunner E (2001) Deprivation and late presentation of glaucoma: case–control study. BMJ 322(7287):639–643PubMedCrossRef

Hall W (1986) Social class and survival on the S.S. Titanic. Soc Sci Med 22(6):687–690PubMedCrossRef

Launoy G, Le Coutour X, Gignoux M, Pottier D, Duglex G (1992) Influence of rural environment on diagnosis, treatment, and prognosis of colorectal cancer. J Epidemiol Community Health 46(4):365–367PubMedCrossRef

Lawrence AJ (2006) The incidence of influenza among persons of different economic status during the epidemic of 1918 (1931): commentary. Public Health Rep 121(Suppl 1):190

Lee BY, Brown ST, Bailey RR, Zimmerman RK, Potter MA et al (2011) The benefits to all of ensuring equal and timely access to influenza vaccines in poor communities. Health Aff 30(6):1141–1150CrossRef

McSweeny K, Colman A, Fancourt N, Parnell M, Stantiall S, Rice G, Baker M, Wilson N (2007) Was rurality protective in the 1918 influenza pandemic in New Zealand? NZ Med J 120(1256):U2579

Mytton OT, Rutter PD, Mak M, Stanton EA, Sachedina N, Donaldson LJ (2011) Mortality from pandemic (H1N1) 2009 influenza in England: a comparison of the first and second waves. Epidemiol Infec Nov 1:1–9 (epub)CrossRef

Office for National Statistics (2009) Population Estimates for UK, England and Wales, Scotland and Northern Ireland, 2009. Available at http://www.ons.gov.uk/ons/publications/re-reference-tables.html?edition=tcm%3A77-213645. accessed 18 Nov 2011

Rose G (1985) Sick individuals and sick populations. Int J Epidemiol 14:32–38PubMedCrossRef

Sachedina N, Donaldson LJ (2010) Paediatric mortality related to pandemic influenza A H1N1 infection in England: an observational population-based study. Lancet 376(9755):1846–1852PubMedCrossRef

Semenza JC, Rubin CH, Falter KH, Selanikio JD, Flanders WD, Howe HL, Wilhelm JL (1996) Heat-related deaths during the July 1995 heat wave in Chicago. N Engl J Med 335:84–90PubMedCrossRef

Sheifer SE, Rathore SS, Gersh BJ, Weinfurt KP, Oetgen WJ, Breall JA, Schulman KA (2000) Time to presentation with acute myocardial infarction in the elderly: associations with race, sex, and socioeconomic characteristics. Circulation 102(14):1651–1656PubMedCrossRef

Sydenstricker E (2006) The incidence of influenza among persons of different economic status during the epidemic of 1918. Public Health Rep 121(Suppl 1):191–204PubMed

The Marmot Review (2010) Fair society, healthy lives

Webb SA, ANZIC Influenza Investigators (2009). Critical care services and 2009 H1N1 influenza in Australia and New Zealand. New Eng J Med 361: 1925–1934PubMedCrossRef

Titel: Socio-economic disparities in mortality due to pandemic influenza in England
verfasst von: Paul D. Rutter
Oliver T. Mytton
Matthew Mak
Liam J. Donaldson
Publikationsdatum: 01.08.2012
Verlag: SP Birkhäuser Verlag Basel
Erschienen in: International Journal of Public Health / Ausgabe 4/2012
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-012-0337-1

Springer Medizin

Abstract

Objectives

Methods

Results

Conclusion

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