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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Olén, Ola Bihagen, Erik Rasmussen, Finn Ludvigsson, Jonas F. |
| Spatial Coverage | Sweden |
| Description | Country affiliation: Sweden Author Affiliation: Olén O ( Sachs' Children's Hospital, Stockholm South General Hospital, Stockholm, Sweden.) |
| Abstract | BACKGROUND AND AIM: Socioeconomic position and education are strongly associated with several chronic diseases, but their relation to coeliac disease is unclear. We examined educational level and socioeconomic position in patients with coeliac disease. METHODS: We identified 29,096 patients with coeliac disease through biopsy reports (defined as Marsh 3: villous atrophy) from all Swedish pathology departments (n=28). Age- and sex-matched controls were randomly sampled from the Swedish Total Population Register (n=145,090). Data on level of education and socioeconomic position were obtained from the Swedish Education Register and the Occupational Register. We calculated odds ratios for the risk of having coeliac disease based on socioeconomic position according to the European Socioeconomic Classification (9 levels) and education. RESULTS: Compared to individuals with high socioeconomic position (level 1 of 9) coeliac disease was less common in the lowest socioeconomic stratum (routine occupations=level 9 of 9: adjusted odds ratio=0.89; 95% confidence interval=0.84-0.94) but not less common in individuals with moderately low socioeconomic position: (level 7/9: adjusted odds ratio=0.96; 95% confidence interval=0.91-1.02; and level 8/9: adjusted odds ratio=0.99; 95% confidence interval=0.93-1.05). Coeliac disease was not associated with educational level. CONCLUSIONS: In conclusion, diagnosed coeliac disease was slightly less common in individuals with low socioeconomic position but not associated with educational level. Coeliac disease may be unrecognised in individuals of low socioeconomic position. |
| File Format | HTM / HTML |
| ISSN | 15908658 |
| Issue Number | 6 |
| Volume Number | 44 |
| e-ISSN | 18783562 |
| Journal | Digestive and Liver Disease |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2012-06-01 |
| Publisher Place | Netherlands |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Gastroenterology Celiac Disease Epidemiology Educational Status Social Class Adolescent Adult Case-control Studies Child Child, Preschool Confidence Intervals Female Humans Infant Logistic Models Male Middle Aged Odds Ratio Risk Factors Sweden Young Adult Journal Article |
| Content Type | Text |
| Resource Type | Article |
| Subject | Hepatology Gastroenterology |
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