Social disparity is associated with an increased risk of acute and chronic pancreatitis

Bibliographic Details
Title: Social disparity is associated with an increased risk of acute and chronic pancreatitis
Authors: Ulrik Becker, Amalie Timmermann, Ola Ekholm, Asbjørn Mohr Drewes, Srdan Novovic, Camilla Nøjgaard, Søren Schou Olesen, Janne Schurmann Tolstrup
Source: Becker, U, Timmermann, A, Ekholm, O, Drewes, A M, Novovic, S, Nøjgaard, C, Olesen, S S & Tolstrup, J S 2024, 'Social disparity is associated with an increased risk of acute and chronic pancreatitis', Alcohol and Alcoholism, vol. 59, no. 5, agae051. https://doi.org/10.1093/alcalc/agae051
Publisher Information: Oxford University Press (OUP), 2024.
Publication Year: 2024
Subject Terms: Male, Adult, Alcohol Drinking, Denmark, pancreatitis, socioeconomic factors, Pancreatitis/epidemiology, Alcohol Drinking/epidemiology, Cohort Studies, 03 medical and health sciences, 0302 clinical medicine, Risk Factors, Pancreatitis, Chronic, risk factors, Humans, Income/statistics & numerical data, Prospective Studies, Pancreatitis, Chronic/epidemiology, Aged, alcohol, Incidence, Middle Aged, 16. Peace & justice, Health Surveys, prospective studies, Denmark/epidemiology, 3. Good health, Socioeconomic Factors, Pancreatitis, Acute Disease, Income, Female
Description: Aim To study social disparity in acute pancreatitis (AP) and chronic pancreatitis (CP).We also aimed at exploring whether an interaction exists between alcohol intake and socioeconomic factors. Methods Prospective cohort study based on data from 271 696 men and women participating in the Danish National Health Surveys 2010, and 2013. Information on alcohol and smoking parameters, body mass index (BMI), diet, and education, were self-reported and information on family income was obtained from administrative registers. Outcome variables (acute and chronic pancreatitis) were obtained from national health registers. Results The incidence rate ratio (IRR) of developing AP and CP increased with decreasing family income. Compared to participants in the highest income quintile, participants in the lowest income quintile had 43 (95% CI: 14–80%), 99 (95% CI: 26–214%), and 56% (95% CI: 26–94%) higher incidence rates of AP, CP, and all pancreatitis, respectively. The associations persisted after adjustment for alcohol intake, smoking, BMI, and diet. Likewise, participants with only primary school education had an IRR for an AP of 1.30 (95% CI: 1.06–1.59) compared to those with higher education after adjustment for baseline year, age, and sex. We found no interactions between alcohol intake and income or between alcohol intake and education in relation to neither AP, CP, nor all pancreatitis. Conclusion This large prospective population study showed a significant social disparity in incidence rates of pancreatitis by family income, with higher rates among those with the lowest income and education independent of risk factors such as alcohol intake, smoking, BMI, and diet.
Document Type: Article
Language: English
ISSN: 1464-3502
0735-0414
DOI: 10.1093/alcalc/agae051
Access URL: https://pubmed.ncbi.nlm.nih.gov/39073847
https://vbn.aau.dk/da/publications/fcfe4dba-86e3-4d4d-9336-970c6a74cc73
https://doi.org/10.1093/alcalc/agae051
http://www.scopus.com/inward/record.url?scp=85200157497&partnerID=8YFLogxK
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  Data: <searchLink fieldCode="AR" term="%22Ulrik+Becker%22">Ulrik Becker</searchLink><br /><searchLink fieldCode="AR" term="%22Amalie+Timmermann%22">Amalie Timmermann</searchLink><br /><searchLink fieldCode="AR" term="%22Ola+Ekholm%22">Ola Ekholm</searchLink><br /><searchLink fieldCode="AR" term="%22Asbjørn+Mohr+Drewes%22">Asbjørn Mohr Drewes</searchLink><br /><searchLink fieldCode="AR" term="%22Srdan+Novovic%22">Srdan Novovic</searchLink><br /><searchLink fieldCode="AR" term="%22Camilla+Nøjgaard%22">Camilla Nøjgaard</searchLink><br /><searchLink fieldCode="AR" term="%22Søren+Schou+Olesen%22">Søren Schou Olesen</searchLink><br /><searchLink fieldCode="AR" term="%22Janne+Schurmann+Tolstrup%22">Janne Schurmann Tolstrup</searchLink>
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  Data: Becker, U, Timmermann, A, Ekholm, O, Drewes, A M, Novovic, S, Nøjgaard, C, Olesen, S S & Tolstrup, J S 2024, 'Social disparity is associated with an increased risk of acute and chronic pancreatitis', Alcohol and Alcoholism, vol. 59, no. 5, agae051. https://doi.org/10.1093/alcalc/agae051
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  Data: Oxford University Press (OUP), 2024.
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  Data: 2024
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  Data: <searchLink fieldCode="DE" term="%22Male%22">Male</searchLink><br /><searchLink fieldCode="DE" term="%22Adult%22">Adult</searchLink><br /><searchLink fieldCode="DE" term="%22Alcohol+Drinking%22">Alcohol Drinking</searchLink><br /><searchLink fieldCode="DE" term="%22Denmark%22">Denmark</searchLink><br /><searchLink fieldCode="DE" term="%22pancreatitis%22">pancreatitis</searchLink><br /><searchLink fieldCode="DE" term="%22socioeconomic+factors%22">socioeconomic factors</searchLink><br /><searchLink fieldCode="DE" term="%22Pancreatitis%2Fepidemiology%22">Pancreatitis/epidemiology</searchLink><br /><searchLink fieldCode="DE" term="%22Alcohol+Drinking%2Fepidemiology%22">Alcohol Drinking/epidemiology</searchLink><br /><searchLink fieldCode="DE" term="%22Cohort+Studies%22">Cohort Studies</searchLink><br /><searchLink fieldCode="DE" term="%2203+medical+and+health+sciences%22">03 medical and health sciences</searchLink><br /><searchLink fieldCode="DE" term="%220302+clinical+medicine%22">0302 clinical medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+Factors%22">Risk Factors</searchLink><br /><searchLink fieldCode="DE" term="%22Pancreatitis%2C+Chronic%22">Pancreatitis, Chronic</searchLink><br /><searchLink fieldCode="DE" term="%22risk+factors%22">risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Humans%22">Humans</searchLink><br /><searchLink fieldCode="DE" term="%22Income%2Fstatistics+%26+numerical+data%22">Income/statistics & numerical data</searchLink><br /><searchLink fieldCode="DE" term="%22Prospective+Studies%22">Prospective Studies</searchLink><br /><searchLink fieldCode="DE" term="%22Pancreatitis%2C+Chronic%2Fepidemiology%22">Pancreatitis, Chronic/epidemiology</searchLink><br /><searchLink fieldCode="DE" term="%22Aged%22">Aged</searchLink><br /><searchLink fieldCode="DE" term="%22alcohol%22">alcohol</searchLink><br /><searchLink fieldCode="DE" term="%22Incidence%22">Incidence</searchLink><br /><searchLink fieldCode="DE" term="%22Middle+Aged%22">Middle Aged</searchLink><br /><searchLink fieldCode="DE" term="%2216%2E+Peace+%26+justice%22">16. Peace & justice</searchLink><br /><searchLink fieldCode="DE" term="%22Health+Surveys%22">Health Surveys</searchLink><br /><searchLink fieldCode="DE" term="%22prospective+studies%22">prospective studies</searchLink><br /><searchLink fieldCode="DE" term="%22Denmark%2Fepidemiology%22">Denmark/epidemiology</searchLink><br /><searchLink fieldCode="DE" term="%223%2E+Good+health%22">3. Good health</searchLink><br /><searchLink fieldCode="DE" term="%22Socioeconomic+Factors%22">Socioeconomic Factors</searchLink><br /><searchLink fieldCode="DE" term="%22Pancreatitis%22">Pancreatitis</searchLink><br /><searchLink fieldCode="DE" term="%22Acute+Disease%22">Acute Disease</searchLink><br /><searchLink fieldCode="DE" term="%22Income%22">Income</searchLink><br /><searchLink fieldCode="DE" term="%22Female%22">Female</searchLink>
– Name: Abstract
  Label: Description
  Group: Ab
  Data: Aim To study social disparity in acute pancreatitis (AP) and chronic pancreatitis (CP).We also aimed at exploring whether an interaction exists between alcohol intake and socioeconomic factors. Methods Prospective cohort study based on data from 271 696 men and women participating in the Danish National Health Surveys 2010, and 2013. Information on alcohol and smoking parameters, body mass index (BMI), diet, and education, were self-reported and information on family income was obtained from administrative registers. Outcome variables (acute and chronic pancreatitis) were obtained from national health registers. Results The incidence rate ratio (IRR) of developing AP and CP increased with decreasing family income. Compared to participants in the highest income quintile, participants in the lowest income quintile had 43 (95% CI: 14–80%), 99 (95% CI: 26–214%), and 56% (95% CI: 26–94%) higher incidence rates of AP, CP, and all pancreatitis, respectively. The associations persisted after adjustment for alcohol intake, smoking, BMI, and diet. Likewise, participants with only primary school education had an IRR for an AP of 1.30 (95% CI: 1.06–1.59) compared to those with higher education after adjustment for baseline year, age, and sex. We found no interactions between alcohol intake and income or between alcohol intake and education in relation to neither AP, CP, nor all pancreatitis. Conclusion This large prospective population study showed a significant social disparity in incidence rates of pancreatitis by family income, with higher rates among those with the lowest income and education independent of risk factors such as alcohol intake, smoking, BMI, and diet.
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