Educational differences in acute infectious diseases in the Netherlands: results from a nationwide health survey
Abstract Background It is unclear to what extent socioeconomic inequalities exist in common infectious diseases in high-income countries. We aimed to explore educational differences in five common acute infectious diseases in adults in the Netherlands. Methods As part of a year-round repeated cross-...
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| Veröffentlicht in: | European journal of public health 2020-04, Vol.30 (2), p.270-275 |
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| creator | de Gier, Brechje Houben - van Herten, Marieke Uiters, Ellen Hahné, Susan J M |
| description | Abstract
Background
It is unclear to what extent socioeconomic inequalities exist in common infectious diseases in high-income countries. We aimed to explore educational differences in five common acute infectious diseases in adults in the Netherlands.
Methods
As part of a year-round repeated cross-sectional health survey, adults aged 25 and older were asked if they had experienced acute upper or lower respiratory tract infections, acute otitis media, urinary tract infections or gastro-enteritis in the two previous months. If so, participants were asked whether they had consulted their general practitioner and if they had been unable to perform their normal daily activities. These outcomes were analyzed per highest attained level of education.
Results
Data of 18 629 survey respondents were used in the analyses. People with a low educational level had lower odds of upper respiratory tract infections (OR 0.88, 95% CI 0.81–0.95), but higher odds of lower respiratory tract infections (OR 1.57, 95% CI 1.16–2.11). After adjustment for several covariates, the differences in upper respiratory tract infections remained statistically significant (aOR 0.84, 95% CI 0.77–0.91). The educational differences in lower respiratory tract infections were mitigated by adjusting for chronic diseases and health behaviours. For all infectious diseases, the likelihood of general practitioner consultation was highest for the lower educated group. Inability to work or perform normal daily activities due to an infectious disease was similar across all levels of education.
Conclusion
This study shows that educational differences in incidence and care seeking behaviours exist for common acute infectious diseases in the Netherlands. |
| doi_str_mv | 10.1093/eurpub/ckz230 |
| format | Article |
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Background
It is unclear to what extent socioeconomic inequalities exist in common infectious diseases in high-income countries. We aimed to explore educational differences in five common acute infectious diseases in adults in the Netherlands.
Methods
As part of a year-round repeated cross-sectional health survey, adults aged 25 and older were asked if they had experienced acute upper or lower respiratory tract infections, acute otitis media, urinary tract infections or gastro-enteritis in the two previous months. If so, participants were asked whether they had consulted their general practitioner and if they had been unable to perform their normal daily activities. These outcomes were analyzed per highest attained level of education.
Results
Data of 18 629 survey respondents were used in the analyses. People with a low educational level had lower odds of upper respiratory tract infections (OR 0.88, 95% CI 0.81–0.95), but higher odds of lower respiratory tract infections (OR 1.57, 95% CI 1.16–2.11). After adjustment for several covariates, the differences in upper respiratory tract infections remained statistically significant (aOR 0.84, 95% CI 0.77–0.91). The educational differences in lower respiratory tract infections were mitigated by adjusting for chronic diseases and health behaviours. For all infectious diseases, the likelihood of general practitioner consultation was highest for the lower educated group. Inability to work or perform normal daily activities due to an infectious disease was similar across all levels of education.
Conclusion
This study shows that educational differences in incidence and care seeking behaviours exist for common acute infectious diseases in the Netherlands.</description><identifier>ISSN: 1101-1262</identifier><identifier>EISSN: 1464-360X</identifier><identifier>DOI: 10.1093/eurpub/ckz230</identifier><identifier>PMID: 31981359</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Adults ; Chronic illnesses ; Education ; Enteritis ; Health surveys ; Income inequality ; Infections ; Infectious diseases ; Otitis media ; Polls & surveys ; Public health ; Respiratory tract ; Respiratory tract diseases ; Respondents ; Statistical analysis ; Urinary tract</subject><ispartof>European journal of public health, 2020-04, Vol.30 (2), p.270-275</ispartof><rights>The Author(s) 2020. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved. 2020</rights><rights>The Author(s) 2020. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c393t-c854334eb5ac55bada6c94ba28de23a848e72f18af92e1d43f8b17b3ad87dbb13</citedby><cites>FETCH-LOGICAL-c393t-c854334eb5ac55bada6c94ba28de23a848e72f18af92e1d43f8b17b3ad87dbb13</cites><orcidid>0000-0002-9067-090X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1598,27843,27901,27902</link.rule.ids><linktorsrc>$$Uhttps://dx.doi.org/10.1093/eurpub/ckz230$$EView_record_in_Oxford_University_Press$$FView_record_in_$$GOxford_University_Press</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31981359$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>de Gier, Brechje</creatorcontrib><creatorcontrib>Houben - van Herten, Marieke</creatorcontrib><creatorcontrib>Uiters, Ellen</creatorcontrib><creatorcontrib>Hahné, Susan J M</creatorcontrib><title>Educational differences in acute infectious diseases in the Netherlands: results from a nationwide health survey</title><title>European journal of public health</title><addtitle>Eur J Public Health</addtitle><description>Abstract
Background
It is unclear to what extent socioeconomic inequalities exist in common infectious diseases in high-income countries. We aimed to explore educational differences in five common acute infectious diseases in adults in the Netherlands.
Methods
As part of a year-round repeated cross-sectional health survey, adults aged 25 and older were asked if they had experienced acute upper or lower respiratory tract infections, acute otitis media, urinary tract infections or gastro-enteritis in the two previous months. If so, participants were asked whether they had consulted their general practitioner and if they had been unable to perform their normal daily activities. These outcomes were analyzed per highest attained level of education.
Results
Data of 18 629 survey respondents were used in the analyses. People with a low educational level had lower odds of upper respiratory tract infections (OR 0.88, 95% CI 0.81–0.95), but higher odds of lower respiratory tract infections (OR 1.57, 95% CI 1.16–2.11). After adjustment for several covariates, the differences in upper respiratory tract infections remained statistically significant (aOR 0.84, 95% CI 0.77–0.91). The educational differences in lower respiratory tract infections were mitigated by adjusting for chronic diseases and health behaviours. For all infectious diseases, the likelihood of general practitioner consultation was highest for the lower educated group. Inability to work or perform normal daily activities due to an infectious disease was similar across all levels of education.
Conclusion
This study shows that educational differences in incidence and care seeking behaviours exist for common acute infectious diseases in the Netherlands.</description><subject>Adults</subject><subject>Chronic illnesses</subject><subject>Education</subject><subject>Enteritis</subject><subject>Health surveys</subject><subject>Income inequality</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Otitis media</subject><subject>Polls & surveys</subject><subject>Public health</subject><subject>Respiratory tract</subject><subject>Respiratory tract diseases</subject><subject>Respondents</subject><subject>Statistical analysis</subject><subject>Urinary tract</subject><issn>1101-1262</issn><issn>1464-360X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>7TQ</sourceid><recordid>eNqFkUtLxTAQhYMovpduJeDGTTWvtqk7EV9w0Y2Cu5LHhNtrb1uTRtFfb7Q-wI2bmYHzcZiZg9AeJUeUVPwYoh-iPjaPb4yTFbRJRSEyXpCH1TRTQjPKCraBtkJYEELyUrJ1tMFpJSnPq000nNto1Nj0nWqxbZwDD52BgJsOKxNHSIMDk4AYkh5AhUkc54BvIFXfqs6GE-whxHYM2Pl-iRXuPk1fGgt4Dqod5zhE_wyvO2jNqTbA7lffRvcX53dnV9ns9vL67HSWGV7xMTMyF5wL0Lkyea6VVYWphFZMWmBcSSGhZI5K5SoG1ArupKal5srK0mpN-TY6nHwH3z9FCGO9bIKBNm0L6ZaacZHnpCxLltCDP-iijz49JFGCEyqFIEWisokyvg_Bg6sH3yyVf60pqT-iqKco6imKxO9_uUa9BPtDf__-d8M-Dv94vQMcBZbm</recordid><startdate>20200401</startdate><enddate>20200401</enddate><creator>de Gier, Brechje</creator><creator>Houben - van Herten, Marieke</creator><creator>Uiters, Ellen</creator><creator>Hahné, Susan J M</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7TQ</scope><scope>C1K</scope><scope>DHY</scope><scope>DON</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9067-090X</orcidid></search><sort><creationdate>20200401</creationdate><title>Educational differences in acute infectious diseases in the Netherlands: results from a nationwide health survey</title><author>de Gier, Brechje ; Houben - van Herten, Marieke ; Uiters, Ellen ; Hahné, Susan J M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c393t-c854334eb5ac55bada6c94ba28de23a848e72f18af92e1d43f8b17b3ad87dbb13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adults</topic><topic>Chronic illnesses</topic><topic>Education</topic><topic>Enteritis</topic><topic>Health surveys</topic><topic>Income inequality</topic><topic>Infections</topic><topic>Infectious diseases</topic><topic>Otitis media</topic><topic>Polls & surveys</topic><topic>Public health</topic><topic>Respiratory tract</topic><topic>Respiratory tract diseases</topic><topic>Respondents</topic><topic>Statistical analysis</topic><topic>Urinary tract</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>de Gier, Brechje</creatorcontrib><creatorcontrib>Houben - van Herten, Marieke</creatorcontrib><creatorcontrib>Uiters, Ellen</creatorcontrib><creatorcontrib>Hahné, Susan J M</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>PAIS Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>de Gier, Brechje</au><au>Houben - van Herten, Marieke</au><au>Uiters, Ellen</au><au>Hahné, Susan J M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Educational differences in acute infectious diseases in the Netherlands: results from a nationwide health survey</atitle><jtitle>European journal of public health</jtitle><addtitle>Eur J Public Health</addtitle><date>2020-04-01</date><risdate>2020</risdate><volume>30</volume><issue>2</issue><spage>270</spage><epage>275</epage><pages>270-275</pages><issn>1101-1262</issn><eissn>1464-360X</eissn><abstract>Abstract
Background
It is unclear to what extent socioeconomic inequalities exist in common infectious diseases in high-income countries. We aimed to explore educational differences in five common acute infectious diseases in adults in the Netherlands.
Methods
As part of a year-round repeated cross-sectional health survey, adults aged 25 and older were asked if they had experienced acute upper or lower respiratory tract infections, acute otitis media, urinary tract infections or gastro-enteritis in the two previous months. If so, participants were asked whether they had consulted their general practitioner and if they had been unable to perform their normal daily activities. These outcomes were analyzed per highest attained level of education.
Results
Data of 18 629 survey respondents were used in the analyses. People with a low educational level had lower odds of upper respiratory tract infections (OR 0.88, 95% CI 0.81–0.95), but higher odds of lower respiratory tract infections (OR 1.57, 95% CI 1.16–2.11). After adjustment for several covariates, the differences in upper respiratory tract infections remained statistically significant (aOR 0.84, 95% CI 0.77–0.91). The educational differences in lower respiratory tract infections were mitigated by adjusting for chronic diseases and health behaviours. For all infectious diseases, the likelihood of general practitioner consultation was highest for the lower educated group. Inability to work or perform normal daily activities due to an infectious disease was similar across all levels of education.
Conclusion
This study shows that educational differences in incidence and care seeking behaviours exist for common acute infectious diseases in the Netherlands.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>31981359</pmid><doi>10.1093/eurpub/ckz230</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-9067-090X</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Oxford Journals Open Access Collection |
| subjects | Adults Chronic illnesses Education Enteritis Health surveys Income inequality Infections Infectious diseases Otitis media Polls & surveys Public health Respiratory tract Respiratory tract diseases Respondents Statistical analysis Urinary tract |
| title | Educational differences in acute infectious diseases in the Netherlands: results from a nationwide health survey |
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