Socioeconomic and ethnic inequalities in incidence and severity of enteric fever in England 2015-2019: analysis of a national enhanced surveillance system

Buczkowska, Matylda, Jenkins, Claire, Hawker, Jeremy, Hungerford, Daniel ORCID: 0000-0002-9770-0163, Katwa, Parisha, Kirkbride, Hilary and Byrne, Lisa (2023) Socioeconomic and ethnic inequalities in incidence and severity of enteric fever in England 2015-2019: analysis of a national enhanced surveillance system. EPIDEMIOLOGY AND INFECTION, 151. e29-.

Access the full-text of this item by clicking on the Open Access link.

Official URL: http://dx.doi.org/10.1017/s0950268822001959

Abstract

There is limited research on whether inequalities exist among individuals from different ethnicities and deprivation status among enteric fever cases. The aim of the study was to investigate the association between the enteric fever incidence rates, ethnicity and deprivation for enteric fever cases in England. Additionally, it was assessed if ethnicity and deprivation were associated with symptom severity, hospital admission and absence from school/work using logistic regression models. Incidence rates were higher in the two most deprived index of multiple deprivation quintiles and those of Pakistani ethnicity (9.89, 95% CI 9.08-10.75) followed by Indian (7.81, 95% CI 7.18-8.49) and Bangladeshi (5.68, 95% CI 4.74-6.76) groups: the incidence rate in the White group was 0.07 (95% CI 0.06-0.08). Individuals representing Pakistani (3.00, 95% CI 1.66-5.43), Indian (2.05, 95% CI 1.18-3.54) and Other/Other Asian (3.51, 95% CI 1.52-8.14) ethnicities had significantly higher odds of hospital admission than individuals representing White (British/Other) ethnicity, although all three groups had statistically significantly lower symptom severity scores. Our results show that there are significant ethnic and socioeconomic inequalities in enteric fever incidence that should inform prevention and treatment strategies. Targeted, community-specific public health interventions are needed to impact on overall burden.

Item Type:	Article
Uncontrolled Keywords:	Absence from work, deprivation, enteric fever, ethnic inequalities, hospital admission, incidence, symptom severity, typhoidal salmonellae
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Infection, Veterinary and Ecological Sciences
Depositing User:	Symplectic Admin
Date Deposited:	02 Feb 2023 14:38
Last Modified:	02 May 2023 09:45
DOI:	10.1017/S0950268822001959
Open Access URL:	https://www.cambridge.org/core/journals/epidemiolo...
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3168102