| アブストラクト | OBJECTIVE: We wanted to determine whether socioeconomic inequalities in primary care consultation rates for two major, disabling musculoskeletal conditions in England narrowed or widened between 2004 and 2019. METHODS: We analysed data from Clinical Practice Research Datalink Aurum, a national general practice electronic health records database, linked to national deprivation ranking of each patient's registered residential postcode. For each year, we estimated the age- and sex-standardized consultation incidence and prevalence for low back pain and OA for the most deprived 10% of neighbourhoods through to the least deprived 10%. We then calculated the slope index of inequality and relative index of inequality overall and by sex, age group and geographical region. RESULTS: Inequalities in low back pain incidence and prevalence over socioeconomic status widened between 2004 and 2013 and stabilized between 2014 and 2019. Inequalities in OA incidence remained stable over socioeconomic status within the study period, whereas inequalities in OA prevalence widened markedly over socioeconomic status between 2004 and 2019. The widest gap in low back pain incidence and prevalence over socioeconomic status was observed in populations resident in northern English regions and London and in those of working age, peaking at 45-54 years. CONCLUSION: We found persistent, and generally increasing, socioeconomic inequalities in the rate of adults presenting to primary care in England with low back pain and OA between 2004 and 2019. |
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| ジャーナル名 | Rheumatology advances in practice |
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| 投稿日 | 2023/1/6 |
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| 投稿者 | Yu, Dahai; Jordan, Kelvin P; Wilkie, Ross; Bailey, James; Fitzpatrick, Justine; Ali, Nuzhat; Niblett, Paul; Peat, George |
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| 組織名 | Primary Care Centre Versus Arthritis, School of Medicine, Keele University,;Keele, UK.;Department of Health and Social Care, Office for Health Improvement and;Disparities, London, UK.;Department of Allied Health Professions, College of Health, Wellbeing & Life;Sciences, Sheffield Hallam University, Sheffield, UK. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/36601519/ |
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