ArticleBMJ (Clinical research ed.)2011
Association between socioeconomic status, sex, and age at death from cystic fibrosis in England and Wales (1959 to 2008): cross sectional study.
Article in BMJ (Clinical research ed.), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.
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Who cites it
34 citing papers in PubMed, 94 citations in OpenAlex.
- Disparities in Access to Cystic Fibrosis Therapy Across Countries.Pediatric pulmonology · 2026Review
- Aiming to Improve Equity in Pulmonary Health: Cystic Fibrosis.Clinics in chest medicine · 2023Review
- Trends in inequality in maternal and child health and health care in Uganda: Analysis of the Uganda demographic and health surveys.BMC health services research · 2022Article
- Socioeconomic determinants of respiratory health in patients with cystic fibrosis: implications for treatment strategies.Expert review of respiratory medicine · 2022Review
- Left behind: The potential impact of CFTR modulators on racial and ethnic disparities in cystic fibrosis.Paediatric respiratory reviews · 2022Review
- Triage for Malnutrition Risk among Pediatric and Adolescent Outpatients with Cystic Fibrosis, Using a Disease-Specific Tool.Children (Basel, Switzerland) · 2020Article
- Explaining the Sex Effect on Survival in Cystic Fibrosis: a Joint Modeling Study of UK Registry Data.Epidemiology (Cambridge, Mass.) · 2020Article
- Managing Cystic Fibrosis in Polish Healthcare.International journal of environmental research and public health · 2020Article
- Tobacco smoke exposure and socioeconomic factors are independent predictors of pulmonary decline in pediatric cystic fibrosis.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2020Article
- Impact of newborn screening on outcomes and social inequalities in cystic fibrosis: a UK CF registry-based study.Thorax · 2020Article
- The demographics of adverse outcomes in cystic fibrosis.Pediatric pulmonology · 2019Review
- Article
- Socioeconomic factors impact quality of life outcomes and olfactory measures in chronic rhinosinusitis.International forum of allergy & rhinology · 2019Article
- Mortality Due to Cystic Fibrosis over a 36-Year Period in Spain: Time Trends and Geographic Variations.International journal of environmental research and public health · 2019Article
- The Epidemiological Characteristics of Epilepsy in the Province of Khyber Pakhtunkhwa, Pakistan.Frontiers in neurology · 2018Article
- Socioeconomic Status, Smoke Exposure, and Health Outcomes in Young Children With Cystic Fibrosis.Pediatrics · 2017Article
- Do children with cystic fibrosis receiving outreach care have poorer clinical outcomes than those treated at a specialist cystic fibrosis centre?The Australian journal of rural health · 2017Article
- Association Between Outcomes and Demographic Factors in an Azeri Turkish Population With Cystic Fibrosis: A Cross-Sectional Study in Iran From 2001 Through 2014.Iranian Red Crescent medical journal · 2016Article
- Growth assessment and risk factors of malnutrition in children with cystic fibrosis.Saudi medical journal · 2016Article
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4 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo determine the trend in the association between socioeconomic status and sex and median age at death from cystic fibrosis in England and Wales, over the past 50 years.
designSeries of annual cross sectional studies of all registered deaths with a diagnosis of cystic fibrosis in England and Wales, from 1959 to 2008.
methodsWe obtained national mortality data for cystic fibrosis from the Office for National Statistics. From 1959 to 2000, the Registrar General's Social Class coded socioeconomic status as manual or non-manual. From 2001 onwards, the National Statistics Socioeconomic Classification was implemented and socioeconomic status was split into three groups: professional and managerial, intermediate, and routine and manual. We calculated median age at death for every study year. We calculated the effects of sex and socioeconomic status on the odds of death above the median age at death for every study decade using logistic regression.
resultsFrom 1959 to 2008, 6750 deaths were attributed to cystic fibrosis in England and Wales. Males were more likely to die above the annual median age at death than females (from 1959 to 1999, adjusted odds ratio for socioeconomic status 1.28, 95% confidence intervals 1.13 to 1.45; from 2000 to 2008, 1.57, 1.18 to 2.08). Individuals in the highest socioeconomic class were also more likely to die above the median age of death than those in the lowest socioeconomic class (from 1959 to 2000, adjusted odds ratio for sex 2.50, 2.16 to 2.90; from 2001 to 2008, 1.89, 1.20 to 2.97).
conclusionsSocioeconomic status and sex remain strong determinants of survival from cystic fibrosis in England and Wales, and the magnitude of these effects does not appear to have substantially reduced over time.
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