Area deprivation predicts lung function independently of education and social class

Eur Respir J. 2004 Jul;24(1):157-61. doi: 10.1183/09031936.04.00088303.

Abstract

The cross-sectional association between socioeconomic status (at both the individual and area-based level) and lung function, as measured by forced expiratory volume in one second, in a large population-based cohort was investigated. The study population consisted of 22,675 males and females aged 39-79 yrs. They were recruited from the general community in Norfolk, UK using general practice age/sex registers, as part of the European Prospective Investigation into Cancer (EPIC-Norfolk). It was found that being in a manual occupational social class, having no educational qualifications and living in a deprived area all independently predicted significantly lower lung function, even after controlling for smoking habit. The influence of area-deprivation on lung function, independent of individual socioeconomic status and of individual smoking habit, suggests that apart from targeting individuals who are at high-risk, such as smokers, environmental determinants also need to be examined when considering measures to improve respiratory health.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Distribution
  • Aged
  • Cohort Studies
  • Confidence Intervals
  • Cross-Sectional Studies
  • Educational Status*
  • Female
  • Humans
  • Incidence
  • Lung Diseases / epidemiology*
  • Lung Diseases / etiology
  • Male
  • Middle Aged
  • Probability
  • Regression Analysis
  • Respiratory Function Tests*
  • Respiratory Physiological Phenomena
  • Risk Assessment
  • Sensitivity and Specificity
  • Sex Distribution
  • Social Class*
  • Socioeconomic Factors*
  • United Kingdom / epidemiology