ArticleThe European respiratory journal2026
The impact of neighbourhood material and social disadvantage on respiratory health across Canada.
Article in The European respiratory journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundWhile smoking and genetic predisposition are known to confer an increased risk of lung diseases, less is known about the socioeconomic determinants of respiratory health. Disadvantages experienced at the neighbourhood level may contribute to poor lung outcomes. Our objective was to quantify the impact of neighbourhood disadvantage on respiratory outcomes in a general population cohort.
methods1449 adults enrolled in the Canadian Cohort Obstructive Lung Disease (CanCOLD) study were followed for 3 years with repeat pulmonary function and cardiopulmonary exercise testing. Chest computed tomography (CT) imaging was obtained at baseline. The Material and Social Deprivation Index was used to measure neighbourhood disadvantage. Regression models were used to quantify the association between neighbourhood disadvantage and pulmonary function, peak exercise capacity, quantitative CT measures, respiratory symptom scores, respiratory-related exacerbation events and mortality.
resultsWhen compared to individuals residing in neighbourhoods with the highest privilege, those residing in the most materially and socially disadvantaged neighbourhoods had significantly worse forced expiratory volume in 1 s (FEV
conclusionsResidence in the most materially and socially disadvantaged neighbourhood is associated with worse lung function and exercise outcomes, highlighting a population particularly vulnerable to chronic airways diseases.
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