Changes in the social class gradient of cirrhosis mortality in England and Wales across the 20th century.
Aim: To explore the nature of the social class gradient of cirrhosis mortality in England and Wales across the 20th century. Methods: Data on male cirrhosis mortality by social class were obtained from the Registrar General's Decennial Supplements for the years 1921–1991. Data for 1941 were not coll...
| Publicado en: | Alcohol & Alcoholism Vol. 46; no. 1; pp. 80 - 83 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
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Oxford University Press / USA
Jan/Feb2011
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104825106&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104825106 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07350414 FA3 jtl: Alcohol & Alcoholism issn: 07350414 maglogo: N pubinfo: dt: Jan/Feb2011 vid: 46 iid: 1 pid: 622 pub: Oxford University Press / USA artinfo: ui: 104825106 104825106 2010953194 NLM21068126 104825106 ppf: 80 ppct: 3 formats: fmt: @attributes: type: P tig: atl: Changes in the social class gradient of cirrhosis mortality in England and Wales across the 20th century. aug: au: Crombie, Iain K. Precious, Elaine affil: Department of Public Health, University of Dundee, Mackenzie Building, Kirsty Semple Way, Dundee, DD2 4BF, UK; i.k.crombie@chs.dundee.ac.uk sug: subj: Liver Cirrhosis Trends Risk Assessment Socioeconomic Factors Survival Adult Confidence Intervals England Human Liver Cirrhosis Mortality Middle Age Registries, Disease Wales Adult: 19-44 years Middle Aged: 45-64 years ab: Aim: To explore the nature of the social class gradient of cirrhosis mortality in England and Wales across the 20th century. Methods: Data on male cirrhosis mortality by social class were obtained from the Registrar General's Decennial Supplements for the years 1921–1991. Data for 1941 were not collected because of the second World War. Results: In 1921, cirrhosis mortality was substantially higher among the professional and managerial classes (I and II) than among the other social classes (III–V). This marked social class difference persisted until 1961 when the differences between the social classes were inconsistent. By 1991, the gradient had reversed and the lower social classes (IV and V) had the higher mortality. The excess mortality was greatest for social class V. The change in the mortality gradient is stark: in 1921social classes I and II had a cirrhosis mortality at least twice that of social classes IV and V, but by 1991 this ratio had reversed. Conclusions: The reversal in the social class gradient of cirrhosis mortality indicates a major change in risk factor distribution across social classes. Differential changes in alcohol consumption are a possible explanation for this change, although the 1991 social class gradient in cirrhosis is inconsistent with alcohol consumption data from national surveys. Further research is required to clarify the explanation for the observed gradient, so that appropriate preventive measures can be put into place. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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