The Social Determinants of Health and Pandemic H1N1 2009 Influenza Severity

Datos Bibliográficos

ID11029686
AutoresElizabeth C Lowcock (Elizabeth C. Lowcock, Laura C. Rosella, and Natasha Crowcroft are with the Department of Surveillance and Epidemiology, Public Health Ontario, Toronto, Canada, and the Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario. Julie Foisy is with the Department of Surveillance and Epidemiology, Public Health Ontario. Allison McGeer is with the Department of Microbiology, Mount Sinai Hospital, Toronto, Ontario, and the Dalla Lana School of Public Health.), Laura C Rosella (0000-0003-4867-869X, Elizabeth C. Lowcock, Laura C. Rosella, and Natasha Crowcroft are with the Department of Surveillance and Epidemiology, Public Health Ontario, Toronto, Canada, and the Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario. Julie Foisy is with the Department of Surveillance and Epidemiology, Public Health Ontario. Allison McGeer is with the Department of Microbiology, Mount Sinai Hospital, Toronto, Ontario, and the Dalla Lana School of Public Health.), Julie Foisy (Elizabeth C. Lowcock, Laura C. Rosella, and Natasha Crowcroft are with the Department of Surveillance and Epidemiology, Public Health Ontario, Toronto, Canada, and the Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario. Julie Foisy is with the Department of Surveillance and Epidemiology, Public Health Ontario. Allison McGeer is with the Department of Microbiology, Mount Sinai Hospital, Toronto, Ontario, and the Dalla Lana School of Public Health.), Allison McGeer (0000-0001-5647-6137, Elizabeth C. Lowcock, Laura C. Rosella, and Natasha Crowcroft are with the Department of Surveillance and Epidemiology, Public Health Ontario, Toronto, Canada, and the Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario. Julie Foisy is with the Department of Surveillance and Epidemiology, Public Health Ontario. Allison McGeer is with the Department of Microbiology, Mount Sinai Hospital, Toronto, Ontario, and the Dalla Lana School of Public Health.), Natasha S Crowcroft (0000-0002-6761-8783, Public Health Ontario), Natasha Crowcroft (Elizabeth C. Lowcock, Laura C. Rosella, and Natasha Crowcroft are with the Department of Surveillance and Epidemiology, Public Health Ontario, Toronto, Canada, and the Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario. Julie Foisy is with the Department of Surveillance and Epidemiology, Public Health Ontario. Allison McGeer is with the Department of Microbiology, Mount Sinai Hospital, Toronto, Ontario, and the Dalla Lana School of Public Health.)
Año2012
Volumen102
Número8
Páginase51-e58
Fecha de publicación2012-08-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaAmerican Journal of Public Health (JOURNAL)
Identificadores de la revistaISSN: 0090-0036 • E-ISSN: 1541-0048
EditorialAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2012.300814
PMID22698024
PMCIDPMC3464856
OpenAlexW1987658481
IdiomaEN
Citas recibidas32
Referencias citadas35

Objectives. We explored the effects of social determinants of health on pandemic H1N1 2009 influenza severity and the role of clinical risk factors in mediating such associations. Methods. We used multivariate logistic regression with generalized estimating equations to examine the associations between individual- and ecological-level social determinants of health and hospitalization for pandemic H1N1 2009 illness in a case-control study in Ontario, Canada. Results. During the first pandemic phase (April 23–July 20, 2009), hospitalization was associated with having a high school education or less and living in a neighborhood with high material or total deprivation. We also observed the association with education in the second phase (August 1–November 6, 2009). Clinical risk factors for severe pandemic H1N1 2009 illness mediated approximately 39% of the observed association. Conclusions. The main clinical risk factors for severe pandemic H1N1 2009 illness explain only a portion of the associations observed between social determinants of health and hospitalization, suggesting that the means by which the social determinants of health affect pandemic H1N1 2009 outcomes extend beyond clinically recognized risk factors

Coronavirus disease 2019 (COVID-19) · Disease · Environmental health · H1N1 influenza · Infectious disease (medical specialty) · Logistic regression · Multivariate analysis · Pandemic · Public health · Social determinants of health · COVID-19 epidemiological studies · Demography · Influenza Virus Research Studies · Internal Medicine · Medicine · Nursing · Respiratory viral infections research