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Socioeconomic position and education in patients with coeliac disease
Sachs' Children's Hospital, Stockholm South General Hospital, Stockholm, Sweden; Clinical Epidemiology Unit, Department of Medicine, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden.ORCID iD: 0000-0002-5478-7019
Swedish Institute for Social Research, Stockholm University, Stockholm, Sweden.
Child and Adolescent Public Health Epidemiology, Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.ORCID iD: 0000-0001-7915-7809
Clinical Epidemiology Unit, Department of Medicine, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden; Department of Pediatrics, Örebro University Hospital, Örebro, Sweden.ORCID iD: 0000-0003-1024-5602
2012 (English)In: Digestive and Liver Disease, ISSN 1590-8658, E-ISSN 1878-3562, Vol. 44, no 6, 471-476 p.Article in journal (Refereed) Published
Abstract [en]

Background and aim: Socioeconomic position and education are strongly associated with several chronic diseases, but their relation to coeliac disease is unclear. We examined educational level and socioeconomic position in patients with coeliac disease.

Methods: We identified 29,096 patients with coeliac disease through biopsy reports (defined as Marsh 3: villous atrophy) from all Swedish pathology departments (n=28). Age- and sex-matched controls were randomly sampled from the Swedish Total Population Register (n=145,090). Data on level of education and socioeconomic position were obtained from the Swedish Education Register and the Occupational Register. We calculated odds ratios for the risk of having coeliac disease based on socioeconomic position according to the European Socioeconomic Classification (9 levels) and education.

Results: Compared to individuals with high socioeconomic position (level 1 of 9) coeliac disease was less common in the lowest socioeconomic stratum (routine occupations = level 9 of 9: adjusted odds ratio = 0.89; 95% confidence interval = 0.84-0.94) but not less common in individuals with moderately low socioeconomic position: (level 7/9: adjusted odds ratio = 0.96; 95% confidence interval = 0.91-1.02; and level 8/9: adjusted odds ratio = 0.99; 95% confidence interval = 0.93-1.05). Coeliac disease was not associated with educational level.

Conclusions: In conclusion, diagnosed coeliac disease was slightly less common in individuals with low socioeconomic position but not associated with educational level. Coeliac disease may be unrecognised in individuals of low socioeconomic position. (C) 2012 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.

Place, publisher, year, edition, pages
Elsevier, 2012. Vol. 44, no 6, 471-476 p.
Keyword [en]
Autoimmunity, Coeliac, Education, Socioeconomic position
National Category
Gastroenterology and Hepatology
Identifiers
URN: urn:nbn:se:oru:diva-55809DOI: 10.1016/j.dld.2012.01.006ISI: 000304630700005PubMedID: 22341742Scopus ID: 2-s2.0-84860257940OAI: oai:DiVA.org:oru-55809DiVA: diva2:1074784
Funder
Swedish Society of MedicineSwedish Research Council, 522-2A09-195
Note

Funding Agencies:

Samariten Foundation

Clinical Epidemiology Unit, Department of Medicine, Karolinska Institutet, Sweden

Örebro University Hospital

Sven Jerring Foundation

Örebro Society of Medicine

Karolinska Institutet

Clas Groschinsky Foundation

Juhlin Foundation

Majblomman Foundation

Uppsala-Örebro Regional Research Council

Swedish Celiac Society

Swedish Research Council (SIMSAM) 2008-7483  2008-7499

Available from: 2017-02-16 Created: 2017-02-16 Last updated: 2017-10-18Bibliographically approved

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CiteExportLink to record
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