Socioeconomic and occupational risk factors for epilepsy: A nationwide epidemiological study in Sweden

Li, Xinjun; Sundquist, Jan; Sundquist, Kristina

doi:10.1016/j.seizure.2007.07.011

Cited by 40 publications

(41 citation statements)

References 22 publications

(26 reference statements)

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“…Trends in age6 and gender38 39 were largely similar to those of previous studies; however, we did not find a linear relationship between deprivation and epilepsy recording, which has been observed in studies among adults 4 40. While we found that those from the least deprived quintile of Townsend scores had the lowest incidence, it was those from the middle quintiles who had the highest incidence.…”

Section: Discussionsupporting

confidence: 87%

Childhood epilepsy recorded in primary care in the UK

Meeraus

Petersen

Chin

et al. 2013

Archives of Disease in Childhood

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Objective To examine temporal trends in the incidence of epilepsy recorded in UK primary care and to evaluate the impact of recent efforts to improve the specificity of diagnosis in children. Design Birth cohort study using primary care data from The Health Improvement Network, which includes a representative sample of the UK population of approximately 5%. Methods We identified epilepsy recorded in primary care using relatively specific through to relatively sensitive indicators to identify epilepsy. Incidence estimates were based on 344 718 children aged 0-14 years with 1 447 760 years' follow-up between 1994 and 2008. Trends in cumulative incidence were explored with stratified analysis by year-of-birth. Trends in annual incidence were investigated using Poisson regression with adjustment for age, gender and deprivation.

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Section: Discussionsupporting

confidence: 87%

Childhood epilepsy recorded in primary care in the UK

Meeraus

Petersen

Chin

et al. 2013

Archives of Disease in Childhood

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“…This association was not accounted for by established risk factors for epilepsy (e.g., head injury, stroke), which also have a higher incidence in low SES populations (Hesdorffer et al, 2005). In another study examining population-based data in Sweden, an increased risk of epilepsy was observed in men in who held occupations such as waiter, construction worker, or dry cleaner(Li et al, 2008) when compared to “white-collar” occupations. Those with low SES may be differently exposed to certain occupational, residential or lifestyle factors, which individuals in higher SES groups are not.…”

Section: Incidence In Studies Of Epilepsy All Unprovoked Seizuresmentioning

confidence: 99%

The descriptive epidemiology of epilepsy—A review

2009

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Epilepsy is a chronic disease experienced by millions and a cause of substantial morbidity and mortality. This review summarizes prevalence and incidence studies of epilepsy that provided a clear definition of epilepsy and could be age-adjusted: requirements if comparisons across studies are to be made. Although few exceptions, age-adjusted prevalence estimates from record-based studies (2.7 to 17.6 per 1000), are lower than those from door-to-door surveys (2.2 to 41.0 per 1000). Age-adjusted incidence ranged from 16 to 51 per 100,000, with one exception in Chile, where incidence was 111 per 100,000. Variation in reported prevalence and incidence may be related to factors such as access to health care, regional environmental exposures, or socioeconomic status. A higher proportion of epilepsy characterized by generalized seizures was reported in most prevalence studies. Epilepsy characterized by partial seizures accounted for 20% to 66% of incident epilepsies. Virtually all prevalence and incidence studies report a preponderance of seizures of unknown cause. Additional prevalence studies are needed in regions where data does not exist, and additional incidence studies in all regions. Interpretation of differences in prevalence and incidence will require understanding of the role of cultural, social and economic factors influencing epilepsy and its care.

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“…88 It is also implicated as a cause of disparities in health care, 89 including discontinuation of treatment, 90 with obvious QOL implications.…”

Section: The Role Of Sociodemographic Characteristicsmentioning

confidence: 99%