Deprivation and incidence of epilepsy in children

Reading, Richard; Haynes, Robin; Beach, Richard

doi:10.1016/j.seizure.2006.01.002

Cited by 17 publications

(19 citation statements)

References 8 publications

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“…Three studies pertained to the Canadian population and five were done in the United States. Five studies included only children (Murphy et al., 1995; Kozyrskyj & Prasad, 2004; Reading et al., 2006; Whitehead et al., 2006; Hamdy et al., 2007), three only adults (Kobau et al., 2004; Strine et al., 2005; Hussain et al., 2006), and the remaining included subjects of all ages. Lifetime prevalence ranged from 1.4 to 9.2, whereas active prevalence ranged from 3.6 to 6.4 per 1,000 people.…”

Section: Resultsmentioning

confidence: 99%

Disparities in epilepsy: Report of a systematic review by the North American Commission of the International League Against Epilepsy

et al. 2009

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Summary Purpose We undertook a systematic review of the evidence on disparities in epilepsy with a focus on North American data (Canada, United States, and the English-speaking Caribbean). Methods We identified and evaluated: access to and outcomes following medical and surgical treatment, disability, incidence and prevalence, and knowledge and attitudes. An exhaustive search (1965–2007) was done, including: (1) disparities by socioeconomic status (SES), race/ethnicity, age, or education of subgroups of the epilepsy population; or (2) disparities between people with epilepsy (PWE) and healthy people or with other chronic illnesses. Results From 1,455 citations, 278 eligible abstracts were identified and 44 articles were reviewed. Comparative research data were scarce in all areas. PWE have been shown to have lower education and employment status; among PWE, differences in access to surgery have been shown by racial/ethnic groups. Aboriginals, women, and children have been shown to differ in use of health resources. Poor compliance has been shown to be associated with lower SES, insufficient insurance, poor relationship with treating clinicians, and not having regular responsibilities. Discussion Comprehensive, comparative research on all aspects of disparities in epilepsy is needed to understand the causes of disparities and the development of any policies aimed at addressing health disparities and minimizing their impact.

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Section: Resultsmentioning

confidence: 99%

Disparities in epilepsy: Report of a systematic review by the North American Commission of the International League Against Epilepsy

et al. 2009

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“…A United Kingdom study of children using the Townsend deprivation score failed to find a correlation between epilepsy prevalence and deprivation . The sample size of 182 may not have been too small to identify an effect, as Chin et al .…”

Section: Discussionmentioning

confidence: 99%

“…The QOF has been successfully utilized for population studies and the year‐on‐year data are reliably similar . Ashworth and colleagues combined the QOF and IMD to identify characteristics of GP practices in deprived areas . These included practices that opened for fewer than 45 h a week, were more likely to be single GPs with larger patient lists, and contained a significantly lower proportion of people with epilepsy who achieved a year of seizure freedom (65% vs. 77%) .…”

Section: Discussionmentioning

confidence: 99%

Epilepsy prevalence and socioeconomic deprivation in England

et al. 2014

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SUMMARYObjective: Epilepsy is more prevalent in areas of greater socioeconomic deprivation; however, the factors that comprise this deprivation are not understood. We aimed to investigate the association between epilepsy, individual elements of deprivation, and geographic region in order to identify modifiable elements. Methods: Epilepsy prevalence was calculated via retrospective analysis of data recorded by general practitioners via the Quality and Outcomes Framework. The Index of Multiple Deprivation scores at Local Authority level for the entire population of England was employed. Epilepsy prevalence was evaluated for correlation against all seven indicators within the Indices of Multiple Deprivation. Data were analyzed including and excluding the city of London. Results: Of the 37,699,503 patients in this study, 304,331 were registered as having epilepsy (prevalence 8 per 1,000; range 4.3-11.6). Positive correlation was seen with total Index of Multiple Deprivation score (r = 0.468, p < 0.01); education skills and training (r = 0.665, p < 0.01); employment deprivation (r = 0.629, p < 0.01); health deprivation and disability (r = 0.617, p < 0.01); income deprivation (r = 0.358, p < 0.01); crime (r = 0.232, p < 0.01); but not living environment (r = 0.079, p = 0.08). Negative correlation was seen between epilepsy prevalence and barriers to housing and services (r = À0.415, p < 0.01). When the data were analyzed excluding London, all correlations were strengthened. Epilepsy prevalence in adults varies by 2.5-fold across England, from 4.3 per 1,000 in Kensington and Chelsea to 11.6 per 1,000 in Blackpool. Significance: This study shows a strong correlation between epilepsy prevalence and specific measures of socioeconomic deprivation. Many of these deprivation factors are potentially remediable. We hypothesize that people with epilepsy may move into urban areas and toward their general practitioner. This predominantly means an urban location but avoiding areas where the cost of living-particularly housing-is prohibitive, such as central London. The existing negative impact of epilepsy on employment and higher education may be exacerbated when people with epilepsy live in areas of greater socioeconomic deprivation.

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“…Epilepsy is the most common serious neurological disorder in children, with a prevalence of 1% [1]. Children with epilepsy are more likely to have behavioral problems [2] than age-and gender-matched controls, but the cause(s) for this increased likelihood is not fully understood.…”

Section: Introductionmentioning

confidence: 99%

“…This increased prevalence of behavioral problems has been postulated to be related to poor nutrition, family stress, financial stress, low material quality of home [1], poor compliance with medication [2], and abnormal family function [7,10,19,20].…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic deprivation is an independent risk factor for behavioral problems in children with epilepsy

Carson

WEIR.

Chin

et al. 2015

Epilepsy & Behavior

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Deprivation and incidence of epilepsy in children

Abstract: We did not find social inequalities in the incidence of epilepsy in children. Nor was there evidence for the inverse care law in the investigation or treatment of epilepsy in children.

Cited by 17 publications

References 8 publications

Disparities in epilepsy: Report of a systematic review by the North American Commission of the International League Against Epilepsy

Disparities in epilepsy: Report of a systematic review by the North American Commission of the International League Against Epilepsy

Epilepsy prevalence and socioeconomic deprivation in England

Socioeconomic deprivation is an independent risk factor for behavioral problems in children with epilepsy

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