{"id":1565,"date":"2014-08-28T00:00:00","date_gmt":"2014-08-28T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/trends-in-socioeconomic-status-related-differences-in-mortality-among-people-with-chronic-obstructive-pulmonary-disease\/"},"modified":"2023-06-14T19:54:55","modified_gmt":"2023-06-14T23:54:55","slug":"trends-in-socioeconomic-status-related-differences-in-mortality-among-people-with-chronic-obstructive-pulmonary-disease","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/trends-in-socioeconomic-status-related-differences-in-mortality-among-people-with-chronic-obstructive-pulmonary-disease\/","title":{"rendered":"Trends in socioeconomic status related differences in mortality among people with chronic obstructive pulmonary disease"},"content":{"rendered":"<p><strong>Rationale<\/strong> &#x2014; Previous studies have demonstrated that people of higher socioeconomic status have better chronic obstructive pulmonary disease (COPD) health outcomes than those of lower socioeconomic status. Mortality of people with COPD has decreased over the last decade; however, it is not known if all have benefitted equally.<\/p>\n<p><strong>Objective<\/strong> &#x2014; The objective of the current study was to examine the impact of socioeconomic status on mortality trends of individuals with COPD.<\/p>\n<p><strong>Methods<\/strong> &#x2014; The authors conducted a population-based study using health administrative data from Ontario, Canada, between 1996\/7 to 2011\/12. Individuals with COPD were identified using a previously validated case definition. Socioeconomic status was determined using individuals&#x2019; average household income of their neighborhood as per the Canadian Census. Trends in standardized COPD mortality rates among different socioeconomic status quintiles were observed over time.<\/p>\n<p><span class=\"bold\">Measurements and Main Results<\/span> &#x2014; Overall, age- and sex-standardized mortality of people with COPD decreased from 5.7% (95% CI: 5.5% to 5.8%) in 1996\/7 to 3.7% (95% CI: 3.6% to 3.8%) in 2011\/12, representing a 35% relative decrease. The mortality difference between the lowest and highest income quintiles increased from 67 per 10,000 individuals in 1996\/7 to 86 per 10,000 individuals in 2011\/12, representing a 28% relative increase (p&lt;0.001).<\/p>\n<p><strong>Conclusions<\/strong> &#x2014; Mortality in people with COPD has decreased faster in people the highest compared to the lowest socioeconomic status causing increased disparity between rich and poor. Further study and strategies are needed to explore and address factors responsible for increasing disparity in the COPD population.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Rationale &#x2014; Previous studies have demonstrated that people of higher socioeconomic status have better chronic obstructive pulmonary disease (COPD) health outcomes than those of lower socioeconomic status. Mortality of people with COPD has decreased over the last decade; however, it is not known if all have benefitted equally. Objective &#x2014; The objective of the current [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[20,52],"migration-helper-qa-sample-set":[],"class_list":["post-1565","journal_article","type-journal_article","status-publish","hentry","topic-health-and-health-care-inequality","topic-lung-health"],"acf":{"citation":"Gershon AS, Hwee J, Victor JC, Wilton AS, To T. <em>Ann Am Thorac Soc<\/em>. 2014; 11(8):1195-202. Epub 2014 Aug 28.","source_url":"http:\/\/www.atsjournals.org\/doi\/full\/10.1513\/AnnalsATS.201403-094OC","ices_scientist":[1244,1111],"site":[6733,6735],"research_program":[6746],"news_release":[7298],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[15690],"downloads":null,"links":null,"sitecore_item_id":"B4C203DA-322F-4FC9-8EF0-A7B04497D484","sitecore_item_name":"Trends-in-socioeconomic-status-among-people-with-chronic-obstructive-pulmonary-disease","sitecore_field_values":"{\n  \"__Valid from\": \"20170821T092316\",\n  \"Title\": \"Trends in socioeconomic status related differences in mortality among people with chronic obstructive pulmonary disease\",\n  \"Short title\": \"Trends in socioeconomic status\",\n  \"Citation\": \"<p>Gershon AS, Hwee J, Victor JC, Wilton AS, To T. <em>Ann Am Thorac Soc<\/em>. 2014; 11(8):1195-202. Epub 2014 Aug 28.<\/p>\",\n  \"Abstract\": \"<p><strong>Rationale<\/strong> &mdash; Previous studies have demonstrated that people of higher socioeconomic status have better chronic obstructive pulmonary disease (COPD) health outcomes than those of lower socioeconomic status. Mortality of people with COPD has decreased over the last decade; however, it is not known if all have benefitted equally.<\/p>n<p><strong>Objective<\/strong> &mdash; The objective of the current study was to examine the impact of socioeconomic status on mortality trends of individuals with COPD.<\/p>n<p><strong>Methods<\/strong> &mdash; The authors conducted a population-based study using health administrative data from Ontario, Canada, between 1996\/7 to 2011\/12. Individuals with COPD were identified using a previously validated case definition. Socioeconomic status was determined using individuals&rsquo; average household income of their neighborhood as per the Canadian Census. Trends in standardized COPD mortality rates among different socioeconomic status quintiles were observed over time.<\/p>n<p><span class=\"bold\">Measurements and Main Results<\/span> &mdash; Overall, age- and sex-standardized mortality of people with COPD decreased from 5.7% (95% CI: 5.5% to 5.8%) in 1996\/7 to 3.7% (95% CI: 3.6% to 3.8%) in 2011\/12, representing a 35% relative decrease. The mortality difference between the lowest and highest income quintiles increased from 67 per 10,000 individuals in 1996\/7 to 86 per 10,000 individuals in 2011\/12, representing a 28% relative increase (p&lt;0.001).<\/p>n<p><strong>Conclusions<\/strong> &mdash; Mortality in people with COPD has decreased faster in people the highest compared to the lowest socioeconomic status causing increased disparity between rich and poor. Further study and strategies are needed to explore and address factors responsible for increasing disparity in the COPD population.<\/p>n<p><a href=\"http:\/\/www.atsjournals.org\/doi\/full\/10.1513\/AnnalsATS.201403-094OC\" title=\"opens external link\">View full text<\/a><\/p>\",\n  \"Keywords\": \"{6CF3F7C3-716A-435F-BFC9-A17A5FE763F9}|{404E8236-468F-4DA1-8BA1-F405AC36275E}\",\n  \"Related Products\": \"<h2>News release<\/h2>rn<h3><a href=\"~\/link.aspx?_id=BA8A972136644DF99FB0E03800E7D7A0&amp;_z=z\">Low income people with COPD more likely to die of disease than wealthier counterparts<\/a><\/h3>rn<h2>ICES Research Video Series<\/h2>rn<h3><a href=\"https:\/\/www.youtube.com\/watch?v=Umv917rxMI8&amp;list=UUjKb4TZhdYseV_H-YQqAniA%20\" title=\"External link opens in new window\" target=\"_blank\">Dr. Andrea Gershon speaks about this peer-reviewed publication<\/a><\/h3>\",\n  \"Research Programs\": \"{CFE36C89-C969-4C23-B5E4-1BA9E5BDC273}\",\n  \"ICES Locations\": \"{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}|{FBE2D1B1-C0BA-423F-8D16-39466B6C1424}\",\n  \"ICES Scientists\": \"{BC74234B-58F2-4366-95D9-235FF40A7AE3}|{198CB764-0CEA-499E-A508-1CAAAD283C90}\",\n  \"Posted Date\": \"20140828T000000\",\n  \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2014\/January\/Trends-in-socioeconomic-status-among-people-with-chronic-obstructive-pulmonary-disease"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Trends in socioeconomic status related differences in mortality among people with chronic obstructive pulmonary disease<\/title>\n<meta name=\"description\" content=\"Rationale &#x2014; Previous studies have demonstrated that people of higher socioeconomic status have better chronic obstructive pulmonary disease (COPD)\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/trends-in-socioeconomic-status-related-differences-in-mortality-among-people-with-chronic-obstructive-pulmonary-disease\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICES | Trends in socioeconomic status related differences in mortality among people with chronic obstructive pulmonary disease\" \/>\n<meta property=\"og:description\" content=\"Rationale &#x2014; Previous studies have demonstrated that people of higher socioeconomic status have better chronic obstructive pulmonary disease (COPD)\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/trends-in-socioeconomic-status-related-differences-in-mortality-among-people-with-chronic-obstructive-pulmonary-disease\/\" \/>\n<meta property=\"og:site_name\" content=\"ICES\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ICESOntario\/\" \/>\n<meta property=\"article:modified_time\" content=\"2023-06-14T23:54:55+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2024\/11\/ic-es-data-discovery-better-health-logo.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"675\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/trends-in-socioeconomic-status-related-differences-in-mortality-among-people-with-chronic-obstructive-pulmonary-disease\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/trends-in-socioeconomic-status-related-differences-in-mortality-among-people-with-chronic-obstructive-pulmonary-disease\\\/\",\"name\":\"ICES | Trends in socioeconomic status related differences in mortality among people with chronic obstructive pulmonary disease\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#website\"},\"datePublished\":\"2014-08-28T04:00:00+00:00\",\"dateModified\":\"2023-06-14T23:54:55+00:00\",\"description\":\"Rationale &#x2014; 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