Academic Journal
Social disparity is associated with an increased risk of acute and chronic pancreatitis
| Title: | Social disparity is associated with an increased risk of acute and chronic pancreatitis |
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| 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 |
| Rights: | OUP Standard Publication Reuse |
| Accession Number: | edsair.doi.dedup.....f930e3b4e96e451313dba76c6e3c5c3c |
| Database: | OpenAIRE |
| ISSN: | 14643502 07350414 |
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| DOI: | 10.1093/alcalc/agae051 |