Socioeconomic status and hospital utilization among younger adult pneumonia admissions at a Canadian hospital

McGregor, Margaret J.; Reid, Robert J.; Schulzer, Michael; FitzGerald, J. Mark; Levy, Adrian R.; Cox, Michelle B.

doi:10.1186/1472-6963-6-152

Cited by 25 publications

(25 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Jasti et al 22 reported increased risk of readmission for patients with lower education and who were unemployed. McGregor et al 23 found an increased risk of readmission for lower income patients. Of the two studies that assessed Level 3 factors, no association was seen for nursing home residence 19 or rurality.…”

Section: Social Factors Associated With Readmission In Pneumoniamentioning

confidence: 98%

Impact of Social Factors on Risk of Readmission or Mortality in Pneumonia and Heart Failure: Systematic Review

et al. 2012

View full text Add to dashboard Cite

Section: Social Factors Associated With Readmission In Pneumoniamentioning

confidence: 98%

Impact of Social Factors on Risk of Readmission or Mortality in Pneumonia and Heart Failure: Systematic Review

et al. 2012

View full text Add to dashboard Cite

“…A French study found low socioeconomic status was an independent predictor of significantly longer hospitalization [10], but other reports found no relationship [11]. Jasti et al .…”

Section: Introductionmentioning

confidence: 99%

Influence of socioeconomic status on community-acquired pneumonia outcomes in elderly patients requiring hospitalization: a multicenter observational study

et al. 2010

View full text Add to dashboard Cite

BackgroundThe associations between socioeconomic status and community-acquired pneumonia outcomes in adults have been studied although studies did not always document a relationship.The aim of this multicenter observational study was to determine the association between socioeconomic status and community-acquired pneumonia outcomes in the elderly, in the context of a public health system providing universal free care to the whole population.MethodsA total of 651 patients aged ≥65 years hospitalized due to community-acquired pneumonia through the emergency departments of five Spanish public hospitals were recruited and followed up between May 2005 and January 2007. The primary outcomes studied were: length of stay, intensive care unit admission, overall mortality and readmission. Socioeconomic status was measured using both individual and community data: occupation [categorized in six social groups (I, II, III, IVa, IVb and V)], educational level (≤ primary level or ≥ secondary level) and disposable family income of the municipality or district of residence [>12,500 € (high municipality family income) and ≤12,500 € (low municipality family income)]. The six social groups were further categorized as upper/middle social class (groups I-IVb) and lower class (group V).Bivariate and multivariate analyses were performed. OR and their 95% confidence intervals were calculated. All statistical tests were two tailed and statistical significance was established as p < 0.05.Results17.7% of patients lived in a municipality or district with a high municipality family income and 63.6% were upper/middle social class (I-IVb). Only 15.7% of patients had a secondary education. The adjusted analysis showed no association between pneumonia outcomes and social class, educational level or municipality family income. However, length of stay increased significantly in patients in whom the factors, living alone and being a smoker or ex-smoker coincided (p < 0.001).ConclusionsWe measured socioeconomic status using both individual and community data and found no association between social class, educational level or municipality family income and the variables of pneumonia outcomes. The lack of differences between social classes supports the provision of universal, equitable health care by the public health system.

show abstract

“…Because data on gross available family income per inhabitant were only available for municipalities with >5000 inhabitants, the mean income of the neighbouring municipalities was applied where data were lacking (McGregor et al, 2006). Two municipalities were considered neighbouring if they shared geographical limits (first order neighbouring municipalities).…”

Section: Methodsmentioning

confidence: 99%

Sociodemographic inequalities and outbreaks of foodborne diseases: An ecologic study

et al. 2010

View full text Add to dashboard Cite

Socioeconomic status and hospital utilization among younger adult pneumonia admissions at a Canadian hospital

Cited by 25 publications

References 21 publications

Impact of Social Factors on Risk of Readmission or Mortality in Pneumonia and Heart Failure: Systematic Review

Impact of Social Factors on Risk of Readmission or Mortality in Pneumonia and Heart Failure: Systematic Review

Influence of socioeconomic status on community-acquired pneumonia outcomes in elderly patients requiring hospitalization: a multicenter observational study

Sociodemographic inequalities and outbreaks of foodborne diseases: An ecologic study

Contact Info

Product

Resources

About