Spatial variation in the risk of hospitalization with childhood pneumonia and empyema in the North of England

Blain, A. P., Thomas, M. F., Shirley, M. D. F., Simmister, C., Elemraid, M. A., Gorton, R., Pearce, M. S., Clark, J. E., Rushton, S. P. and Spencer, D. A. (2014) Spatial variation in the risk of hospitalization with childhood pneumonia and empyema in the North of England. Epidemiology and Infection, 142 2: 388-398. doi:10.1017/S0950268813001015


Author Blain, A. P.
Thomas, M. F.
Shirley, M. D. F.
Simmister, C.
Elemraid, M. A.
Gorton, R.
Pearce, M. S.
Clark, J. E.
Rushton, S. P.
Spencer, D. A.
Title Spatial variation in the risk of hospitalization with childhood pneumonia and empyema in the North of England
Journal name Epidemiology and Infection   Check publisher's open access policy
ISSN 1469-4409
0950-2688
Publication date 2014-02-01
Year available 2013
Sub-type Article (original research)
DOI 10.1017/S0950268813001015
Open Access Status Not yet assessed
Volume 142
Issue 2
Start page 388
End page 398
Total pages 11
Place of publication Cambridge, United Kingdom
Publisher Cambridge University Press
Language eng
Abstract The aim of this study was to investigate spatial variation in risk of hospitalization in childhood pneumonia and empyema in the North of England and associated risk factors. Data on childhood (0-14 years) hospital admissions with a diagnosis pneumonia or empyema were linked to postcode districts. Bayesian conditional autoregressive models were used to evaluate spatial variation and the relevance of specific spatial covariates in an area-based study using postcode as the areal unit. There was a sixfold variation in the risk of hospitalization due to pneumonia across the study region. Variation in risk was associated with material deprivation, Child Well-being Index (CWI) health domain score, number of children requiring local authority support, and distance to hospital. No significant spatial variation in risk for empyema was found.
Keyword Deprivation
Paediatrics
Pleural empyema
Pneumonia epidemiology
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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