Socioeconomic Status and Chronic Kidney Disease at Presentation to a Renal Service in the United Kingdom
Open Access
- 1 September 2008
- journal article
- Published by Ovid Technologies (Wolters Kluwer Health) in Clinical Journal of the American Society of Nephrology
- Vol. 3 (5), 1316-1323
- https://doi.org/10.2215/cjn.00680208
Abstract
Background and objectives: Low socioeconomic status (SES) is associated with both development and progression of chronic kidney disease (CKD). The impact of SES on severity of CKD at presentation to a renal service is less well known. This study investigated the relationship between SES and severity of CKD in a retrospective, cross-sectional analysis involving 1657 patients at the Sheffield Kidney Institute (Sheffield, UK). Design, setting, participants, & measurements: SES was assigned to each patient according to electoral ward of residence by postcode and ranked according to the corresponding British Index of Multiple Deprivation score, which comprises five deprivation quintiles (Q1, least deprived; Q5, most deprived). National Kidney Foundation Kidney Disease Outcomes Quality Initiative classification of CKD was used for stratification and analysis. Binary logistic regression analysis was applied for the association of variables/risk factors with CKD (lower GFR) at presentation. Results: The age-adjusted prevalence of diagnosed CKD at presentation by area of residence, across the five deprivation quintiles, per million population was Q1 = 1495, Q2 = 3530, Q3 = 3398, Q4 = 3989, and Q5 = 19,599. Logistic regression models showed that living in the lowest SES quintile area (Q5) as compared with the highest SES (Q1) was associated with a greater risk for presenting with a lower estimated GFR, after adjustment for sociodemographic, lifestyle, and clinical variables. Conclusions: Low SES is related to severity of CKD at presentation. Further studies are needed to examine this issue across the various SES categories in the United Kingdom.Keywords
This publication has 33 references indexed in Scilit:
- Neighborhood Deprivation, Individual Socioeconomic Status, and Cognitive Function in Older People: Analyses from the English Longitudinal Study of AgeingJournal of the American Geriatrics Society, 2008
- Chronic kidney disease as a global public health problem: Approaches and initiatives – a position statement from Kidney Disease Improving Global OutcomesKidney International, 2007
- SOCIAL DEPRIVATION AND HAND INJURYJournal of Hand Surgery (European Volume), 2007
- Socioeconomic deprivation, coronary heart disease prevalence and quality of care: a practice-level analysis in Rotherham using data from the new UK general practitioner Quality and Outcomes FrameworkJournal of Public Health, 2006
- Association Between Body Mass Index and CKD in Apparently Healthy MenAmerican Journal of Kidney Diseases, 2005
- The Index of Multiple Deprivation 2000 and accessibility effects on healthJournal of Epidemiology and Community Health, 2004
- Residential area deprivation predicts smoking habit independently of individual educational level and occupational social class. A cross sectional study in the Norfolk cohort of the European Investigation into Cancer (EPIC-Norfolk)Journal of Epidemiology and Community Health, 2003
- Diabetes prevalence and socioeconomic status: a population based study showing increased prevalence of type 2 diabetes mellitus in deprived areasJournal of Epidemiology and Community Health, 2000
- Socioeconomic deprivation, ethnicity, and stroke mortality in Greater London and south east England.Journal of Epidemiology and Community Health, 1997
- Area, Class and Health: Should we be Focusing on Places or People?Journal of Social Policy, 1993