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Neighborhood conditions and celiac disease risk among children in Sweden
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.ORCID iD: 0000-0001-5471-9043
Umeå University, Faculty of Social Sciences, Department of Geography and Economic History.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.ORCID iD: 0000-0001-8944-2558
Umeå University, Faculty of Social Sciences, Department of Geography and Economic History.
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2014 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 42, no 7, 572-580 p.Article in journal (Refereed) Published
Abstract [en]

Aim: To investigate celiac disease (CD) clustering at different geographical levels and to examine the association between neighborhood demographic and socioeconomic conditions and the risk of neighborhood CD.

Methods: We included 2080 children diagnosed with CD between 1998 and 2003, identified from 43 of the 47 reporting hospitals in Sweden. A total of 8036 small area market statistics (SAMS) areas were included; these were nested in 253 municipalities that were further nested into eight ‘nomenclature of territorial units for statistics’ (NUTS) 2 regions. We performed multilevel logistic regression analyses.

Results: We found the highest geographical variation in CD incidence at the municipality level, compared to the region level. The probability of having CD increased in the statistical areas of (SAMS) areas with higher average annual work income, with an odds ratio (OR) of 2.24 and 95% CI of 1.76–2.85. Reduced CD risk in neighborhoods was associated with higher average age (OR 0.96; 95% CI 0.95–0.97), higher proportion of residents with a university education (OR 0.98; 95% CI 0.97–0.99), and higher level of industrial and commercial activity (OR 0.59; 95% CI 0.44–0.82). We found no significant association between CD risk and population density, proportion of Nordic to non-Nordic inhabitants, nor share of the population with only a compulsory education.

Conclusions: Neighborhood composition influences CD risk. This is one of the first attempts to identify factors explaining geographical variation in CD.

Place, publisher, year, edition, pages
Sage Publications, 2014. Vol. 42, no 7, 572-580 p.
Keyword [en]
Celiac disease,  demographics,  education,  environmental risk factors,  geography,  income,  neighborhoods,  socioeconomic conditions, Sweden
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-95395DOI: 10.1177/1403494814550173ISI: 000344066600004OAI: oai:DiVA.org:umu-95395DiVA: diva2:759054
Available from: 2014-10-28 Created: 2014-10-28 Last updated: 2017-12-05Bibliographically approved
In thesis
1. The multifactorial etiology of celiac disease explored by combining several national registers
Open this publication in new window or tab >>The multifactorial etiology of celiac disease explored by combining several national registers
2015 (English)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Umeå: Umeå University, 2015. 64 p.
Series
Umeå University medical dissertations, ISSN 0346-6612 ; 1749
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Epidemiology; Public health
Identifiers
urn:nbn:se:umu:diva-110003 (URN)978-91-7601-342-7 (ISBN)
Public defence
2015-11-06, sal B, 9 tr, byggnad 1D, Tandläkarhögskolan, Norrlands universitetssjukhus, Umeå, 09:00 (English)
Opponent
Supervisors
Funder
Swedish Research Council, 80749103
Available from: 2015-10-16 Created: 2015-10-12 Last updated: 2015-11-12Bibliographically approved

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Namatovu, FredinahStrömgren, MagnusIvarsson, AnneliLindgren, UrbanOlsson, CeciliaLindkvist, MarieSandström, Olof

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Namatovu, FredinahStrömgren, MagnusIvarsson, AnneliLindgren, UrbanOlsson, CeciliaLindkvist, MarieSandström, Olof
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Epidemiology and Global HealthDepartment of Geography and Economic HistoryDepartment of Food and NutritionPaediatrics
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Scandinavian Journal of Public Health
Public Health, Global Health, Social Medicine and Epidemiology

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