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Level of Education Modifies Asthma Mortality in Norway and Sweden. The Nordic EpiLung Study.
Backman, Helena; Bhatta, Laxmi; Hedman, Linnea; Brumpton, Ben; Vähätalo, Iida; Lassmann-Klee, Paul G; Nwaru, Bright I; Ekerljung, Linda; Krokstad, Steinar; Aalberg Vikjord, Sigrid Anna; Lindberg, Anne; Kankaanranta, Hannu; Rönmark, Eva; Langhammer, Arnulf.
Afiliación
  • Backman H; Section of Sustainable Health/ the OLIN Unit, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
  • Bhatta L; K.G. Jebsen Center for Genetic Epidemiology, Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology NTNU, Trondheim, Norway.
  • Hedman L; Division of Mental Health Care, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.
  • Brumpton B; Section of Sustainable Health/ the OLIN Unit, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
  • Vähätalo I; K.G. Jebsen Center for Genetic Epidemiology, Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology NTNU, Trondheim, Norway.
  • Lassmann-Klee PG; Department of Respiratory Medicine, Seinäjoki Central Hospital, Seinäjoki, Finland.
  • Nwaru BI; Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
  • Ekerljung L; Clinical Physiology and Nuclear Medicine Unit, Helsinki University Hospital's Diagnostic Center and University of Helsinki, Helsinki, Finland.
  • Krokstad S; Krefting Research Centre, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
  • Aalberg Vikjord SA; Krefting Research Centre, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
  • Lindberg A; HUNT Research Centre, Department of Public Health and Nursing, NTNU, Norwegian University of Science and Technology, Levanger, Norway.
  • Kankaanranta H; Nord-Trøndelag Hospital Trust, Levanger Hospital, Levanger, Norway.
  • Rönmark E; K.G. Jebsen Center for Genetic Epidemiology, Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology NTNU, Trondheim, Norway.
  • Langhammer A; Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
J Asthma Allergy ; 17: 209-218, 2024.
Article en En | MEDLINE | ID: mdl-38524102
ABSTRACT
Background and

Aim:

The relationship between socioeconomic status (SES), asthma and mortality is complex and multifaceted, and it is not established if educational level modifies the association between asthma and mortality. The aim was to study the association between asthma and mortality in Sweden and Norway and to what extent educational level modifies this association. Participants and

Methods:

Within the Nordic EpiLung Study, >56,000 individuals aged 30-69 years participated in population-based surveys on asthma and associated risk factors in Sweden and Norway during 2005-2007. Data on educational level and 10-year all-cause mortality were linked by national authorities. The fraction of mortality risk attributable to asthma was calculated, and Cox regression was used to estimate hazard ratios (HR) and 95% confidence intervals (95% CI) for mortality related to asthma, stratified by educational level.

Results:

In total, 5.5% of all deaths was attributed to asthma. When adjusted for potential confounders, the HR for mortality related to asthma was 1.71 (95% CI 1.52-1.93). Those with primary level of education had higher hazard of all-cause death related to asthma than those with tertiary level (HR 1.80, 95% CI 1.48-2.18, vs HR 1.39, 95% CI 0.99-1.95).

Conclusion:

Asthma was associated with an overall 71% increased all-cause mortality and 5.5% of deaths can be attributed to asthma. Educational levels modified the risk of mortality associated with asthma, with the highest risk among those with primary education.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Asthma Allergy Año: 2024 Tipo del documento: Article País de afiliación: Suecia Pais de publicación: Nueva Zelanda
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Asthma Allergy Año: 2024 Tipo del documento: Article País de afiliación: Suecia Pais de publicación: Nueva Zelanda