Area deprivation predicts lung function independently of education and social class.

TitleArea deprivation predicts lung function independently of education and social class.
Publication TypeJournal Article
Year of Publication2004
AuthorsShohaimi, S, Welch, A, Bingham, S, Luben, R, Day, N, Wareham, N, Khaw, KT
JournalEur Respir J
Date Published2004 Jul
KeywordsAdult, Age Distribution, Aged, Cohort Studies, Confidence Intervals, Cross-Sectional Studies, Educational Status, Female, Humans, Incidence, Lung Diseases, 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

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.

Alternate JournalEur. Respir. J.
Citation Key10.1183/09031936.04.00088303
PubMed ID15293619