Inequality in hospitalization due to non-communicable diseases in Sweden: Age-cohort analysis of the Uppsala Birth Cohort Multigenerational Study

Details

Serval ID
serval:BIB_D889216B4C8B
Type
Article: article from journal or magazin.
Collection
Publications
Title
Inequality in hospitalization due to non-communicable diseases in Sweden: Age-cohort analysis of the Uppsala Birth Cohort Multigenerational Study
Journal
SSM Popul Health
Author(s)
Gondek D., Ploubidis G. B., Hossin M. Z., Gao M., Bann D., Koupil I.
ISSN
2352-8273 (Print)
ISSN-L
2352-8273
Publication state
Published
Issued date
03/2021
Peer-reviewed
Oui
Volume
13
Pages
100741
Language
english
Notes
Gondek, Dawid
Ploubidis, George B
Hossin, Muhammad Zakir
Gao, Menghan
Bann, David
Koupil, Ilona
eng
England
SSM Popul Health. 2021 Jan 21;13:100741. doi: 10.1016/j.ssmph.2021.100741. eCollection 2021 Mar.
Abstract
We aimed to investigate cohort differences in age trajectories of hospitalization due to non-communicable conditions, and if these varied by paternal socioeconomic position. We used the Uppsala Birth Cohort Multigenerational Study-including virtually complete information on medical diagnoses. Our sample constituted 28,448 individuals (103,262 observations). The outcome was five-year prevalence of hospitalization due to major non-communicable conditions in 1989-2008. The exposures were age (19-91), year-of-birth (1915-1929; 1938-1972), gender (man vs woman), and parental socioeconomic position (low, medium, and high). We used multilevel logit models to examine associations between exposures and the hospitalization outcome. Younger cohorts had a higher prevalence of hospitalization at overlapping ages than those born earlier, with inter-cohort differences emerging from early-adulthood and increasing with age. For instance, at age 40 predicted probability of hospitalization increased across birth-cohorts-from 1.2% (born in 1948-52) to 2.0% (born in 1963-67)-whereas at age 50 it was 2.9% for those born in 1938-42 compared with 4.6% among participants born in 1953-57. Those with medium and low socioeconomic position had 13.0% and 20.0% higher odds of experiencing hospitalization during the observation period, respectively-when age, year-of-birth and gender were accounted for. We found that no progress was made in reducing the socioeconomic inequalities in hospitalization across cohorts born between 1915 and 1972. Hence, more effective policies and interventions are needed to reduce the overall burden of morbidity-particularly among the most vulnerable.
Keywords
Chronic health, Expansion of morbidity, Socioeconomic inequality, Sweden, Trends in hospitalization
Pubmed
Create date
28/09/2023 8:29
Last modification date
10/10/2023 10:36
Usage data