Social patterning of telephone health-advice for diarrhoea and vomiting: analysis of 24 million telehealth calls in England.

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Adams, Natalie L, Rose, Tanith C, Elliot, Alex J ORCID: 0000-0002-6414-3065, Smith, Gillian, Morbey, Roger ORCID: 0000-0001-8543-477X, Loveridge, Paul, Lewis, James, Studdard, Gareth, Violato, Mara, O'Brien, Sarah J ORCID: 0000-0003-2896-8999 et al (show 4 more authors) , Whitehead, Margaret ORCID: 0000-0001-5614-6576, Taylor-Robinson, David C ORCID: 0000-0002-5828-7724, Hawker, Jeremy I and Barr, Benjamin ORCID: 0000-0002-4208-9475 (2018) Social patterning of telephone health-advice for diarrhoea and vomiting: analysis of 24 million telehealth calls in England. The Journal of infection.

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Abstract

OBJECTIVES:Gastrointestinal (GI) infections are common and most people do not see a physician. There is conflicting evidence of the impact of socioeconomic status (SES) on risk of GI infections. We assessed the relationship between SES and GI calls to two National Health Service (NHS) telephone advice services in England. METHODS:Over 24 million calls to NHS Direct (2010-13) and NHS 111 (2013-15) were extracted from Public Health England (PHE) syndromic surveillance systems. The relationship between SES and GI calls was assessed using generalised linear models (GLM). RESULTS:Adjusting for rurality and age-sex interactions, in NHS Direct, children in disadvantaged areas were at lower risk of GI calls; in NHS 111 there was a higher risk of GI calls in disadvantaged areas for all ages (0-4 years RR 1.27, 95% CI 1.25-1.29; 5-9 years RR 1.43, 95% CI 1.36-1.51; 10-14 years RR 1.36, 95% CI 1.26-1.41; 15-19 years RR 1.59, 95% CI 1.52-1.67; 20-59 years RR 1.50, 95% CI 1.47-1.53, 60 years and over RR 1.12, 95% CI 1.09-1.14). CONCLUSIONS:Disadvantaged areas had higher risk of GI calls in NHS 111. This may relate to differences in exposure or vulnerability to GI infections, or propensity to call about GI infections.

Item Type:	Article
Depositing User:	Symplectic Admin
Date Deposited:	22 Oct 2018 07:02
Last Modified:	19 Jan 2023 01:14
DOI:	10.1016/j.jinf.2018.09.008
Open Access URL:	https://doi.org/10.1016/j.jinf.2018.09.008
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3027780

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• Social patterning of telephone health-advice for diarrhoea and vomiting: analysis of 24 million telehealth calls in England. (deposited 19 Oct 2018 10:29)
  • Social patterning of telephone health-advice for diarrhoea and vomiting: analysis of 24 million telehealth calls in England. (deposited 22 Oct 2018 07:02) [Currently Displayed]
    • Social patterning of telephone health-advice for diarrhoea and vomiting: analysis of 24 million telehealth calls in England. (deposited 11 Dec 2018 09:00)