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Spatial variation in the risk of hospitalization with childhood pneumonia and empyema in the North of England

Lookup NU author(s): Dr Alasdair Blain, Dr Matthew Thomas, Dr Mark Shirley, Clare Simmister, Dr Mohamed Elemraid, Professor Mark Pearce, Dr Clark Clark, Professor Stephen Rushton, Dr David Spencer


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The aim of this study was to investigate spatial variation in risk of hospitalization in childhood pneumonia and empyema in the North of England and associated risk factors. Data on childhood (0-14 years) hospital admissions with a diagnosis pneumonia or empyema were linked to postcode districts. Bayesian conditional autoregressive models were used to evaluate spatial variation and the relevance of specific spatial co-variates in an area-based study using postcode as the areal unit. There was a six-fold variation in the risk of hospitalization due to pneumonia across the study region. Variation in risk was associated with material deprivation, Child Well-being Index (CWI) health domain score, number of children requiring local authority support and distance to hospital. No significant spatial variation in risk for empyema was found.

Publication metadata

Author(s): Blain AP, Thomas MF, Shirley MDF, Simmister C, Elemraid MA, Gorton R, Pearce MS, Clark JE, Rushton SP, Spencer DA

Publication type: Article

Publication status: Published

Journal: Epidemiology and Infection

Year: 2014

Volume: 142

Issue: 2

Pages: 388-398

Print publication date: 09/05/2013

ISSN (print): 0950-2688

ISSN (electronic): 1469-4409

Publisher: Cambridge University Press


DOI: 10.1017/S0950268813001015


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