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首页> 外文期刊>SSM - Population Health >Inequality in hospitalization due to non-communicable diseases in Sweden: Age-cohort analysis of the Uppsala Birth Cohort Multigenerational Study
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Inequality in hospitalization due to non-communicable diseases in Sweden: Age-cohort analysis of the Uppsala Birth Cohort Multigenerational Study

机译：由于瑞典的非传染性疾病导致住院中的不平等：乌普萨拉出生队队的年龄 - 队列分析群组

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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.
机译：我们的目的是调查在住院的年龄轨迹因非传染性条件人群的差异，如果这些由父亲社会经济地位变化。我们使用乌普萨拉出生队列研究多代同堂，包括医疗diagnoses.Our样品几乎完整的信息构成28448人（103262个意见）。结果是住院的五年患病率是由于1989 - 2008年主要的非传染性的条件。该物质的暴露是年龄（19-91），去年的出生（1915年至1929年; 1938年至1972年），性别（男或女），和父母社会经济地位（低，中，高）。我们使用了多层次的Logit模型来研究风险和住院outcome.Younger同伙之间的关联在重叠的年龄比那些较早出生的，具有的队列间的差异从早期成年期出现并随着年龄的增加了住院的发病率较高。例如，在40岁预测住院概率跨增加出生队列-从1.2％（出生于1948年至1952年）〜2.0％（在1963至1967年出生的）在50岁时-whereas它是为那些出生于1938年为2.9％ -42与出生在1953一1957年参与者4.6％相比。那些中，低社会经济地位经历了住院的高13.0％和20.0％几率在观察期间，分别-时年龄和性别年出生的，分别占到for.We发现没有进展，减少了社会经济发在1915年跨至1972年之间出生的人因此住院同伙不平等，需要更多有效的政策和干预措施，以减轻最脆弱的发病率，尤其是整体负担。

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