An analysis of the link between behavioural, biological and social risk factors and subsequent hospital admission in Scotland.
J Public Health (Oxf)
; 29(4): 405-12, 2007 Dec.
Article
em En
| MEDLINE
| ID: mdl-17916551
ABSTRACT
OBJECTIVE:
To determine the association between risk factors and hospital admission.METHODS:
The 1998 Scottish Health Survey was linked to the Scottish hospital admission database.FINDINGS:
Smoking was the most important behavioural risk factor (hazard ratio 1.90, 95% CI 1.59-2.27). Other behavioural risk factors yielded small but largely anticipated results. Hazard ratios for biological risks increased predictably but with some exceptions (blood pressure and total cholesterol). The top quintile for C-reactive protein showed almost double the risk of admission compared with the bottom quintile (hazard ratio 1.93, 95% CI 1.52-2.46). Elevated body mass index (BMI) increased the risk of serious admission (hazard ratio 1.23, 95% CI 1.03-1.47) and raised gamma-GT increased this risk by 20% (hazard ratio 1.20, 95% CI 1.04-1.38). Forced expiratory volume was the 'biological' factor with the largest risk (hazard ratio for lowest category 1.82, 95% CI 1.49-2.22). All the measures of social position showed variable effects on the risk of hospital admission. Large effects on risk were associated with self assessed health, longstanding illness and previous admission.CONCLUSION:
The linkage of national surveys with a prospective hospitalization database will develop into an increasingly powerful tool.
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Coleções:
01-internacional
Contexto em Saúde:
1_ASSA2030
Base de dados:
MEDLINE
Assunto principal:
Assunção de Riscos
/
Classe Social
/
Hospitalização
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
/
Patient_preference
Limite:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
J Public Health (Oxf)
Ano de publicação:
2007
Tipo de documento:
Article