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Socioeconomic circumstances and incidence of chronic obstructive pulmonary disease (COPD) in an urban population in Sweden

Borné, Yan LU ; Ashraf, Wafa ; Zaigham, Suneela LU and Frantz, Sophia LU (2019) In COPD: Journal of Chronic Obstructive Pulmonary Disease 16(1). p.51-57
Abstract


The association between socioeconomic circumstances and incidence of chronic obstructive pulmonary disease (COPD) was investigated in an urban population in Sweden. The study included all 40–89 year-old inhabitants in Malmö, Sweden (N = 117,479) without previous hospitalization due to COPD, who were followed over 14 years for COPD related hospital admissions. The Malmö Preventive Project (MPP) cohort (n = 27,358) with information on biological and lifestyle factors was also used to study the association between socioeconomic circumstances and COPD. The Swedish hospital discharge register was used to record incidence of COPD hospitalizations. A total of 2,877 individuals... (More)


The association between socioeconomic circumstances and incidence of chronic obstructive pulmonary disease (COPD) was investigated in an urban population in Sweden. The study included all 40–89 year-old inhabitants in Malmö, Sweden (N = 117,479) without previous hospitalization due to COPD, who were followed over 14 years for COPD related hospital admissions. The Malmö Preventive Project (MPP) cohort (n = 27,358) with information on biological and lifestyle factors was also used to study the association between socioeconomic circumstances and COPD. The Swedish hospital discharge register was used to record incidence of COPD hospitalizations. A total of 2,877 individuals (47.5% men) were discharged from hospital with COPD as the primary diagnosis during follow-up in Malmö. Low annual income (hazard ratio (HR): 2.23; 95%CI: 1.97–2.53, P < 0.001) and rented (vs. self-owned) housing (HR: 1.41; 1.30–1.52, P < 0.001) were associated with a higher risk for COPD. In addition, compared to married subjects, divorced (HR: 1.61; 1.46–1.78, P < 0.001) and widowed (HR: 1.30; 1.16–1.46, P < 0.001) individuals had an increased risk for hospitalization due to COPD. Low income, low occupation and being divorced or widowed were similarly associated with COPD in the MPP cohort, after adjustments for smoking, FEV
1
, BMI, age and sex. However, socioeconomic circumstances were not associated with COPD in analyses restricted to never smokers. Low socioeconomic circumstances were associated with an increased risk of COPD after adjustments for biological and lifestyle risk factors including smoking status. However, this relationship was not significant in those who never smoked.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
chronic obstructive pulmonary disease, population-based cohort study, Socioeconomic status
in
COPD: Journal of Chronic Obstructive Pulmonary Disease
volume
16
issue
1
pages
51 - 57
publisher
Taylor & Francis
external identifiers
  • pmid:30917705
  • scopus:85064950725
ISSN
1541-2555
DOI
10.1080/15412555.2019.1582618
language
English
LU publication?
yes
id
e9b2c018-61c0-449b-b825-b6cafd7086fa
date added to LUP
2019-05-16 10:56:11
date last changed
2020-04-07 05:25:09
@article{e9b2c018-61c0-449b-b825-b6cafd7086fa,
  abstract     = {<p><br>
                                                         The association between socioeconomic circumstances and incidence of chronic obstructive pulmonary disease (COPD) was investigated in an urban population in Sweden. The study included all 40–89 year-old inhabitants in Malmö, Sweden (N = 117,479) without previous hospitalization due to COPD, who were followed over 14 years for COPD related hospital admissions. The Malmö Preventive Project (MPP) cohort (n = 27,358) with information on biological and lifestyle factors was also used to study the association between socioeconomic circumstances and COPD. The Swedish hospital discharge register was used to record incidence of COPD hospitalizations. A total of 2,877 individuals (47.5% men) were discharged from hospital with COPD as the primary diagnosis during follow-up in Malmö. Low annual income (hazard ratio (HR): 2.23; 95%CI: 1.97–2.53, P &lt; 0.001) and rented (vs. self-owned) housing (HR: 1.41; 1.30–1.52, P &lt; 0.001) were associated with a higher risk for COPD. In addition, compared to married subjects, divorced (HR: 1.61; 1.46–1.78, P &lt; 0.001) and widowed (HR: 1.30; 1.16–1.46, P &lt; 0.001) individuals had an increased risk for hospitalization due to COPD. Low income, low occupation and being divorced or widowed were similarly associated with COPD in the MPP cohort, after adjustments for smoking, FEV                             <br>
                            <sub>1</sub><br>
                                                         , BMI, age and sex. However, socioeconomic circumstances were not associated with COPD in analyses restricted to never smokers. Low socioeconomic circumstances were associated with an increased risk of COPD after adjustments for biological and lifestyle risk factors including smoking status. However, this relationship was not significant in those who never smoked.                         <br>
                        </p>},
  author       = {Borné, Yan and Ashraf, Wafa and Zaigham, Suneela and Frantz, Sophia},
  issn         = {1541-2555},
  language     = {eng},
  month        = {03},
  number       = {1},
  pages        = {51--57},
  publisher    = {Taylor & Francis},
  series       = {COPD: Journal of Chronic Obstructive Pulmonary Disease},
  title        = {Socioeconomic circumstances and incidence of chronic obstructive pulmonary disease (COPD) in an urban population in Sweden},
  url          = {http://dx.doi.org/10.1080/15412555.2019.1582618},
  doi          = {10.1080/15412555.2019.1582618},
  volume       = {16},
  year         = {2019},
}