Respiratory syncytial virus–associated hospital admissions by deprivation levels among children and adults in Scotland
<p><strong>Background:</strong> Socioeconomic deprivation may predispose individuals to respiratory tract infections. We estimated RSV-associated hospitalizations by socioeconomic deprivation in Scotland.</p> <p><strong>Methods:</strong> Us...
| Main Authors: | , , , , |
|---|---|
| Other Authors: | |
| Format: | Journal article |
| Language: | English |
| Published: |
Oxford University Press
2023
|
| _version_ | 1826314670532722688 |
|---|---|
| author | Osei-Yeboah, R Zhu, F Wang, X Nair, H Campbell, H |
| author2 | PROMISE Investigators |
| author_facet | PROMISE Investigators Osei-Yeboah, R Zhu, F Wang, X Nair, H Campbell, H |
| author_sort | Osei-Yeboah, R |
| collection | OXFORD |
| description | <p><strong>Background:</strong> Socioeconomic deprivation may predispose individuals to respiratory tract infections. We estimated RSV-associated hospitalizations by socioeconomic deprivation in Scotland.</p>
<p><strong>Methods:</strong> Using national routine health care records and virological surveillance from 2010 to 2016, we used a time-series linear regression model and a direct measurement based on ICD-10 coded diagnoses to estimate RSV-associated hospitalizations by Scottish Index of Multiple Deprivation (SIMD) quintile and age in comparison to influenza-associated hospitalizations.</p>
<p><strong>Results:</strong> We estimated an annual average rate per 1000 people of 0.76 (95% CI: 0.43–0.90) in the least deprived group to 1.51 (1.03–1.79) for the most deprived group using model-based approach. The rate ratio (RR) was 1.96 (1.23–3.25), 1.60 (1.0–2.66), 1.35 (0.85–2.25), and 1.12 (0.7–1.85) in the 1<sup>st</sup> to 4<sup>th</sup> quintile versus the least deprived group. The pattern of RSV-associated hospitalization rates variation with SIMD was most pronounced in children 0-2y. The ICD-10 approach provided much lower rates than the model-based approach but yielded similar RR estimates between SIMD. Influenza-associated hospitalization rate generally increased with higher deprivation levels among individuals 1y+.</p>
<p><strong>Conclusions:</strong> Higher RSV and influenza hospitalization rates are related to higher deprivation levels. Differences between deprivation levels are most pronounced in infants and young children for RSV, and are more apparent among individuals 1y+ for influenza.</p> |
| first_indexed | 2024-04-09T03:57:20Z |
| format | Journal article |
| id | oxford-uuid:0cd9dae3-ac11-4489-b5c0-f55d7894ca1a |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-12-09T03:08:52Z |
| publishDate | 2023 |
| publisher | Oxford University Press |
| record_format | dspace |
| spelling | oxford-uuid:0cd9dae3-ac11-4489-b5c0-f55d7894ca1a2024-10-07T07:17:39ZRespiratory syncytial virus–associated hospital admissions by deprivation levels among children and adults in ScotlandJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:0cd9dae3-ac11-4489-b5c0-f55d7894ca1aEnglishSymplectic ElementsOxford University Press2023Osei-Yeboah, RZhu, FWang, XNair, HCampbell, HPROMISE InvestigatorsPollard, AJ<p><strong>Background:</strong> Socioeconomic deprivation may predispose individuals to respiratory tract infections. We estimated RSV-associated hospitalizations by socioeconomic deprivation in Scotland.</p> <p><strong>Methods:</strong> Using national routine health care records and virological surveillance from 2010 to 2016, we used a time-series linear regression model and a direct measurement based on ICD-10 coded diagnoses to estimate RSV-associated hospitalizations by Scottish Index of Multiple Deprivation (SIMD) quintile and age in comparison to influenza-associated hospitalizations.</p> <p><strong>Results:</strong> We estimated an annual average rate per 1000 people of 0.76 (95% CI: 0.43–0.90) in the least deprived group to 1.51 (1.03–1.79) for the most deprived group using model-based approach. The rate ratio (RR) was 1.96 (1.23–3.25), 1.60 (1.0–2.66), 1.35 (0.85–2.25), and 1.12 (0.7–1.85) in the 1<sup>st</sup> to 4<sup>th</sup> quintile versus the least deprived group. The pattern of RSV-associated hospitalization rates variation with SIMD was most pronounced in children 0-2y. The ICD-10 approach provided much lower rates than the model-based approach but yielded similar RR estimates between SIMD. Influenza-associated hospitalization rate generally increased with higher deprivation levels among individuals 1y+.</p> <p><strong>Conclusions:</strong> Higher RSV and influenza hospitalization rates are related to higher deprivation levels. Differences between deprivation levels are most pronounced in infants and young children for RSV, and are more apparent among individuals 1y+ for influenza.</p> |
| spellingShingle | Osei-Yeboah, R Zhu, F Wang, X Nair, H Campbell, H Respiratory syncytial virus–associated hospital admissions by deprivation levels among children and adults in Scotland |
| title | Respiratory syncytial virus–associated hospital admissions by deprivation levels among children and adults in Scotland |
| title_full | Respiratory syncytial virus–associated hospital admissions by deprivation levels among children and adults in Scotland |
| title_fullStr | Respiratory syncytial virus–associated hospital admissions by deprivation levels among children and adults in Scotland |
| title_full_unstemmed | Respiratory syncytial virus–associated hospital admissions by deprivation levels among children and adults in Scotland |
| title_short | Respiratory syncytial virus–associated hospital admissions by deprivation levels among children and adults in Scotland |
| title_sort | respiratory syncytial virus associated hospital admissions by deprivation levels among children and adults in scotland |
| work_keys_str_mv | AT oseiyeboahr respiratorysyncytialvirusassociatedhospitaladmissionsbydeprivationlevelsamongchildrenandadultsinscotland AT zhuf respiratorysyncytialvirusassociatedhospitaladmissionsbydeprivationlevelsamongchildrenandadultsinscotland AT wangx respiratorysyncytialvirusassociatedhospitaladmissionsbydeprivationlevelsamongchildrenandadultsinscotland AT nairh respiratorysyncytialvirusassociatedhospitaladmissionsbydeprivationlevelsamongchildrenandadultsinscotland AT campbellh respiratorysyncytialvirusassociatedhospitaladmissionsbydeprivationlevelsamongchildrenandadultsinscotland |