Coeliac disease is more common in children with high socio-economic status
Aim There are a number of genetic and environmental factors that are associated with an increased risk of developing coeliac disease. Our aim was to determine whether socio‐economic deprivation increases or reduces the development of the disease. Methods A cross‐sectional study identified all childr...
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| Veröffentlicht in: | Acta Paediatrica 2014-03, Vol.103 (3), p.289-294 |
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| container_title | Acta Paediatrica |
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| creator | Whyte, LA Kotecha, S Watkins, WJ Jenkins, HR |
| description | Aim
There are a number of genetic and environmental factors that are associated with an increased risk of developing coeliac disease. Our aim was to determine whether socio‐economic deprivation increases or reduces the development of the disease.
Methods
A cross‐sectional study identified all children |
| doi_str_mv | 10.1111/apa.12494 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1510712941</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1510712941</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3914-879aa0a354c92b53124a67357942ebe5bf1e5cb280410ad4c92bcb28e72e80703</originalsourceid><addsrcrecordid>eNp1kMtKxDAUQIMoOj4W_oAE3OiimmfTLIfxjfgAH8uQZu440bYZkxb17-046kIwm0vg3MPlILRNyQHt36Gd2QPKhBZLaEBzSTPGmFpGA1IQnkkm-RpaT-mZEMa1yFfRGhO0KHghBuhiFKDy1uGxT2ATYJ9wHSJgF-o6NNg32E19NY7Q4DffTvHUP01xCs6HDFxoQu0dTq1tu7SJVia2SrD1PTfQ_cnx3egsu7w-PR8NLzPHNRVZobS1xHIpnGal5P3hNldcKi0YlCDLCQXpSlYQQYkdf1HzLygGBVGEb6C9hXcWw2sHqTW1Tw6qyjYQumSopERRpgXt0d0_6HPoYtNfZ6jQudKcsLlwf0G5GFKKMDGz6GsbPwwlZh7Y9IHNV-Ce3fk2dmUN41_yp2gPHC6AN1_Bx_8mM7wZ_iizxYZPLbz_btj4YvouSprHq1NzK08ejkjOjOKf23mRWg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1496793020</pqid></control><display><type>article</type><title>Coeliac disease is more common in children with high socio-economic status</title><source>MEDLINE</source><source>Wiley Online Library</source><source>Alma/SFX Local Collection</source><creator>Whyte, LA ; Kotecha, S ; Watkins, WJ ; Jenkins, HR</creator><creatorcontrib>Whyte, LA ; Kotecha, S ; Watkins, WJ ; Jenkins, HR</creatorcontrib><description>Aim
There are a number of genetic and environmental factors that are associated with an increased risk of developing coeliac disease. Our aim was to determine whether socio‐economic deprivation increases or reduces the development of the disease.
Methods
A cross‐sectional study identified all children <16 years old diagnosed with coeliac disease in the same tertiary paediatric centre between January 1995 and December 2011. Data, including age at diagnosis and postcode, were collected and linked with the quintile rank of the Welsh Index of Multiple Deprivation score 2008, a measure of socio‐economic status.
Results
We included 232 patients and identified a graded association between the prevalence of coeliac disease and socio‐economic deprivation, which showed a higher rate in children living in more affluent areas. The largest difference was between the lowest deprivation level (rate/1000 = 1.16) and the highest deprivation level (rate/1000 = 0.49).
Conclusion
In our population, coeliac disease was more common in children in the higher socio‐economic groupings. The reasons for this are not clear, but perhaps both the ‘hygiene hypothesis’ and the health seeking behaviours of parents with high socio‐economic status are possible factors in the more frequent diagnosis of coeliac disease in this group.</description><identifier>ISSN: 0803-5253</identifier><identifier>EISSN: 1651-2227</identifier><identifier>DOI: 10.1111/apa.12494</identifier><identifier>PMID: 24188384</identifier><language>eng</language><publisher>Norway: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Celiac Disease - epidemiology ; Child ; Child, Preschool ; Cross-Sectional Studies ; Deprivation ; Epidemiology ; Female ; Gastroenterology ; General paediatrics ; Humans ; Incidence ; Infant ; Male ; Prevalence ; Socio-economic status ; Socioeconomic Factors ; Wales - epidemiology</subject><ispartof>Acta Paediatrica, 2014-03, Vol.103 (3), p.289-294</ispartof><rights>2013 Foundation Acta Pædiatrica. Published by John Wiley & Sons Ltd</rights><rights>2013 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.</rights><rights>Copyright © 2014 Foundation Acta Pædiatrica</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3914-879aa0a354c92b53124a67357942ebe5bf1e5cb280410ad4c92bcb28e72e80703</citedby><cites>FETCH-LOGICAL-c3914-879aa0a354c92b53124a67357942ebe5bf1e5cb280410ad4c92bcb28e72e80703</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fapa.12494$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fapa.12494$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24188384$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Whyte, LA</creatorcontrib><creatorcontrib>Kotecha, S</creatorcontrib><creatorcontrib>Watkins, WJ</creatorcontrib><creatorcontrib>Jenkins, HR</creatorcontrib><title>Coeliac disease is more common in children with high socio-economic status</title><title>Acta Paediatrica</title><addtitle>Acta Paediatr</addtitle><description>Aim
There are a number of genetic and environmental factors that are associated with an increased risk of developing coeliac disease. Our aim was to determine whether socio‐economic deprivation increases or reduces the development of the disease.
Methods
A cross‐sectional study identified all children <16 years old diagnosed with coeliac disease in the same tertiary paediatric centre between January 1995 and December 2011. Data, including age at diagnosis and postcode, were collected and linked with the quintile rank of the Welsh Index of Multiple Deprivation score 2008, a measure of socio‐economic status.
Results
We included 232 patients and identified a graded association between the prevalence of coeliac disease and socio‐economic deprivation, which showed a higher rate in children living in more affluent areas. The largest difference was between the lowest deprivation level (rate/1000 = 1.16) and the highest deprivation level (rate/1000 = 0.49).
Conclusion
In our population, coeliac disease was more common in children in the higher socio‐economic groupings. The reasons for this are not clear, but perhaps both the ‘hygiene hypothesis’ and the health seeking behaviours of parents with high socio‐economic status are possible factors in the more frequent diagnosis of coeliac disease in this group.</description><subject>Adolescent</subject><subject>Celiac Disease - epidemiology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cross-Sectional Studies</subject><subject>Deprivation</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>General paediatrics</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant</subject><subject>Male</subject><subject>Prevalence</subject><subject>Socio-economic status</subject><subject>Socioeconomic Factors</subject><subject>Wales - epidemiology</subject><issn>0803-5253</issn><issn>1651-2227</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMtKxDAUQIMoOj4W_oAE3OiimmfTLIfxjfgAH8uQZu440bYZkxb17-046kIwm0vg3MPlILRNyQHt36Gd2QPKhBZLaEBzSTPGmFpGA1IQnkkm-RpaT-mZEMa1yFfRGhO0KHghBuhiFKDy1uGxT2ATYJ9wHSJgF-o6NNg32E19NY7Q4DffTvHUP01xCs6HDFxoQu0dTq1tu7SJVia2SrD1PTfQ_cnx3egsu7w-PR8NLzPHNRVZobS1xHIpnGal5P3hNldcKi0YlCDLCQXpSlYQQYkdf1HzLygGBVGEb6C9hXcWw2sHqTW1Tw6qyjYQumSopERRpgXt0d0_6HPoYtNfZ6jQudKcsLlwf0G5GFKKMDGz6GsbPwwlZh7Y9IHNV-Ce3fk2dmUN41_yp2gPHC6AN1_Bx_8mM7wZ_iizxYZPLbz_btj4YvouSprHq1NzK08ejkjOjOKf23mRWg</recordid><startdate>201403</startdate><enddate>201403</enddate><creator>Whyte, LA</creator><creator>Kotecha, S</creator><creator>Watkins, WJ</creator><creator>Jenkins, HR</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7TM</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>7X8</scope></search><sort><creationdate>201403</creationdate><title>Coeliac disease is more common in children with high socio-economic status</title><author>Whyte, LA ; Kotecha, S ; Watkins, WJ ; Jenkins, HR</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3914-879aa0a354c92b53124a67357942ebe5bf1e5cb280410ad4c92bcb28e72e80703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Celiac Disease - epidemiology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cross-Sectional Studies</topic><topic>Deprivation</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>General paediatrics</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant</topic><topic>Male</topic><topic>Prevalence</topic><topic>Socio-economic status</topic><topic>Socioeconomic Factors</topic><topic>Wales - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Whyte, LA</creatorcontrib><creatorcontrib>Kotecha, S</creatorcontrib><creatorcontrib>Watkins, WJ</creatorcontrib><creatorcontrib>Jenkins, HR</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><jtitle>Acta Paediatrica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Whyte, LA</au><au>Kotecha, S</au><au>Watkins, WJ</au><au>Jenkins, HR</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Coeliac disease is more common in children with high socio-economic status</atitle><jtitle>Acta Paediatrica</jtitle><addtitle>Acta Paediatr</addtitle><date>2014-03</date><risdate>2014</risdate><volume>103</volume><issue>3</issue><spage>289</spage><epage>294</epage><pages>289-294</pages><issn>0803-5253</issn><eissn>1651-2227</eissn><abstract>Aim
There are a number of genetic and environmental factors that are associated with an increased risk of developing coeliac disease. Our aim was to determine whether socio‐economic deprivation increases or reduces the development of the disease.
Methods
A cross‐sectional study identified all children <16 years old diagnosed with coeliac disease in the same tertiary paediatric centre between January 1995 and December 2011. Data, including age at diagnosis and postcode, were collected and linked with the quintile rank of the Welsh Index of Multiple Deprivation score 2008, a measure of socio‐economic status.
Results
We included 232 patients and identified a graded association between the prevalence of coeliac disease and socio‐economic deprivation, which showed a higher rate in children living in more affluent areas. The largest difference was between the lowest deprivation level (rate/1000 = 1.16) and the highest deprivation level (rate/1000 = 0.49).
Conclusion
In our population, coeliac disease was more common in children in the higher socio‐economic groupings. The reasons for this are not clear, but perhaps both the ‘hygiene hypothesis’ and the health seeking behaviours of parents with high socio‐economic status are possible factors in the more frequent diagnosis of coeliac disease in this group.</abstract><cop>Norway</cop><pub>Blackwell Publishing Ltd</pub><pmid>24188384</pmid><doi>10.1111/apa.12494</doi><tpages>6</tpages></addata></record> |
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| ispartof | Acta Paediatrica, 2014-03, Vol.103 (3), p.289-294 |
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| subjects | Adolescent Celiac Disease - epidemiology Child Child, Preschool Cross-Sectional Studies Deprivation Epidemiology Female Gastroenterology General paediatrics Humans Incidence Infant Male Prevalence Socio-economic status Socioeconomic Factors Wales - epidemiology |
| title | Coeliac disease is more common in children with high socio-economic status |
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