The effect of socio-economic status on outcomes in cystic fibrosis

Taylor-Robinson, David ORCID: 0000-0002-5828-7724 (2013) The effect of socio-economic status on outcomes in cystic fibrosis Unspecified thesis, University of Liverpool.

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Abstract

Introduction: Reducing inequalities in health is a public health imperative. In the UK and internationally policies are being implemented to try to reduce health inequalities, with limited success. This thesis examines the effect of socio-economic status (SES) on clinical outcomes, healthcare use and employment opportunities in people with cystic fibrosis (CF). Poorer socio-economic circumstances have been linked with worse outcomes in cystic fibrosis. Because CF is genetically determined, this offers an opportunity to investigate the impact of SES on health and social outcomes, in a chronic condition without a socio-economic gradient in incidence. This provides a useful case for understanding how health inequalities are generated, in order to develop more effective interventions, for people with CF and more generally. Methods: I analyse, for the first time, the national CF registers from the UK and Denmark, using longitudinal modeling techniques. Mixed-effects models are used to assess the association between measures of SES and longitudinal outcomes, adjusting for clinically important covariates. Study 1 explores longitudinal weight, height, BMI, %FEV1, risk of Pseudomonas colonisation, and the use of major ... (continues)

Item Type:	Thesis (Unspecified)
Additional Information:	Date: 2013-06 (completed)
Uncontrolled Keywords:	Cystic Fibrosis, Socio-economic status, Deprivation
Divisions:	Faculty of Health & Life Sciences > Inst. Population Health
Depositing User:	Symplectic Admin
Date Deposited:	16 Jan 2014 15:46
Last Modified:	08 Feb 2025 00:54
DOI:	10.17638/00013813
Supervisors:	Whitehead, Margaret ORCID: 0000-0001-5614-6576 Smyth, Rosalind L Diggle, Peter
URI:	https://livrepository.liverpool.ac.uk/id/eprint/13813
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