ArticleThorax2018
Persistent variations in national asthma mortality, hospital admissions and prevalence by socioeconomic status and region in England.
Article in Thorax, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.
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Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Socioeconomic inequalities in hospitalizations for chronic ambulatory care sensitive conditions: a systematic review of peer-reviewed literature, 1990-2018.International journal for equity in health · 2020Pooled it
- Global Prevalence of Asthma in Adults with Atopic Dermatitis and the Atopic Dermatitis-Asthma Association.Pharmaceuticals (Basel, Switzerland) · 2026Review
- Collaboration Networks, Trends, and Scientific Impact in Avoidable Mortality Research (2000-2024): A Bibliometric Study.BioMed research international · 2026Article
- Identifying Treatable Traits of Patients with Asthma Prescribed an ICS/LABA: A Descriptive Analytic Database Study in England.Advances in therapy · 2025Article
- Association between income, employment status, and asthma outcomes: a systematic review and meta-analysis.The Lancet regional health. Europe · 2025Article
- Health system characteristics and evidence-based asthma care.Frontiers in allergy · 2025Article
- Trends in disease burden and risk factors of asthma from 1990 to 2019 in Belt and Road Initiative countries: evidence from the Global Burden of Disease Study 2019.Annals of medicine · 2024Article
- Social inequalities in childhood asthma.The World Allergy Organization journal · 2024Review
- Fleeting victories: COVID-19 and the temporary improvements in asthma care behaviours.The Lancet regional health. Europe · 2024Article
- Article
- The feasibility and impact of implementing a computer-guided consultation to target health inequality in Asthma.NPJ primary care respiratory medicine · 2023Article
- An examination of factorial invariance of the Asthma Control Questionnaire among adults with severe asthma.PloS one · 2023Article
- Article
- Asthma in paediatric intensive care in England residents: observational study.Scientific reports · 2022Observational
- Observational
- Respiratory-related death in individuals with incident asthma and COPD: a competing risk analysis.BMC pulmonary medicine · 2022Article
- Article
- Association of Chronic Lower Respiratory Disease With County Health Disparities in New York State.JAMA network open · 2021Observational
- Role of social deprivation on asthma care quality among a cohort of children in US community health centres.BMJ open · 2021Article
- Association of socioeconomic deprivation with asthma care, outcomes, and deaths in Wales: A 5-year national linked primary and secondary care cohort study.PLoS medicine · 2021Article
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4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe UK-wide National Review of Asthma Deaths sought to identify avoidable factors from the high numbers of deaths, but did not examine variation by socioeconomic status (SES) or region.
methodsWe used asthma deaths in England over the period 2002-2015 obtained from national deaths registers, summarised by quintiles of Index of Multiple Deprivation (IMD) and Government Office Region. Emergency asthma admissions were obtained from Hospital Episode Statistics for England 2001-2011. The prevalence of asthma was derived from the Health Survey for England 2010. Associations of mortality, admissions and prevalence with IMD quintile and region were estimated cross-sectionally using incidence rate ratios (IRRs) adjusted for age and sex and, where possible, smoking.
resultsAsthma mortality decreased among more deprived groups at younger ages. Among 5-44 year olds, those in the most deprived quintile, mortality was 19% lower than those in the least deprived quintile (IRR 0.81 (95% CI 0.69 to 0.96). In older adults, this pattern was reversed (45-74 years: IRR 1.37 (1.24-1.52), ≥75 years: IRR 1.30 (1.22-1.39)). In 5-44 year olds the inverse trend with asthma mortality contrasted with large positive associations for admissions (IRR 3.34 (3.30-3.38)) and prevalence of severe symptoms (IRR 2.38 (1.70-3.33)). Prevalence trends remained after adjustment for smoking. IRRs for asthma mortality, admissions and prevalence showed significant heterogeneity between English regions.
conclusionsDespite asthma mortality, emergency admissions and prevalence decreasing over recent decades, England still experiences significant SES and regional variations. The previously undocumented inverse relation between deprivation and mortality in the young requires further investigation.
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