ArticleBMC infectious diseases2017
Socioeconomic status is associated with symptom severity and sickness absence in people with infectious intestinal disease in the UK.
Article in BMC infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Pooled it
- Increasing community vulnerability to gastrointestinal infections in austerity's shadow: a comparative study of two English local authorities.BMC public health · 2026Article
- Inequalities in local government expenditure on environmental and regulatory services in England from 2009 to 2020: a longitudinal ecological study.BMJ public health · 2024Article
- Facilitators and barriers to implementing successful exclusion among children with shiga toxin-producing Escherichia coli: a qualitative analysis of public health case management records.BMC public health · 2024Article
- Linking epidemiological and genomic data in cases of enteric fever in England to inform clinical management and public health action.The Journal of antimicrobial chemotherapy · 2024Article
- Association between socioeconomic deprivation and incidence of infectious intestinal disease by pathogen and linked transmission route: An ecological analysis in the UK.Epidemiology and infection · 2023Article
- Socioeconomic and ethnic inequalities in incidence and severity of enteric fever in England 2015-2019: analysis of a national enhanced surveillance system.Epidemiology and infection · 2023Article
- Understanding the impact funding cuts on Environmental and regulatory services and gastrointestinal infections: a longitudinal ecological study.NIHR open research · 2023Article
- How are inequalities generated in the management and consequences of gastrointestinal infections in the UK? An ethnographic study.Social science & medicine (1982) · 2021Article
- Risk factors associated with outbreaks of seasonal infectious disease in school settings, England, UK.Epidemiology and infection · 2020Article
- Neighbourhood unemployment and other socio-demographic predictors of emergency hospitalisation for infectious intestinal disease in England: A longitudinal ecological study.The Journal of infection · 2020Article
- Association between socioeconomic status and influenza-like illness: A study from Western part of India.Journal of family medicine and primary care · 2020Article
- Family income and exposure to norovirus in childhood: Findings from the UK Millennium Cohort Study.SSM - population health · 2019Article
- Sociodemographic and clinical risk factors for paediatric typical haemolytic uraemic syndrome: retrospective cohort study.BMJ paediatrics open · 2019Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe burden of infectious intestinal disease (IID) in the UK is substantial. Negative consequences including sickness absence are common, but little is known about the social patterning of these outcomes, or the extent to which they relate to disease severity.
methodsWe performed a cross-sectional analysis using IID cases identified from a large population-based survey, to explore the association between socioeconomic status (SES) and symptom severity and sickness absence; and to assess the role of symptom severity on the relationship between SES and absence. Regression modelling was used to investigate these associations, whilst controlling for potential confounders such as age, sex and ethnicity.
resultsAmong 1164 cases, those of lower SES versus high had twice the odds of experiencing severe symptoms (OR 2.2, 95%CI;1.66-2.87). Lower SES was associated with higher odds of sickness absence (OR 1.8, 95%CI;1.26-2.69), however this association was attenuated after adjusting for symptom severity (OR 1.4, 95%CI;0.92-2.07).
conclusionsIn a large sample of IID cases, those of low SES versus high were more likely to report severe symptoms, and sickness absence; with greater severity largely explaining the higher absence. Public health interventions are needed to address the unequal consequences of IID identified.
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