Epilepsy prevalence and socioeconomic deprivation in England

Summary Objective Epilepsy is more prevalent in areas of greater socioeconomic deprivation; however, the factors that comprise this deprivation are not understood. We aimed to investigate the association between epilepsy, individual elements of deprivation, and geographic region in order to identify...

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Bibliographic Details
Published in:Epilepsia (Copenhagen) 2014-10, Vol.55 (10), p.1634-1641
Main Authors: Steer, Samuel, Pickrell, William O., Kerr, Michael P., Thomas, Rhys H.
Format: Article
Language:English
Subjects:
Adult
England - epidemiology
Epilepsy
Epilepsy - epidemiology
Epilepsy - etiology
Housing - statistics & numerical data
Humans
Indices of Multiple Deprivation
London - epidemiology
Poverty - statistics & numerical data
Prevalence
Socioeconomic deprivation
Socioeconomic Factors
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Summary:Summary Objective Epilepsy is more prevalent in areas of greater socioeconomic deprivation; however, the factors that comprise this deprivation are not understood. We aimed to investigate the association between epilepsy, individual elements of deprivation, and geographic region in order to identify modifiable elements. Methods Epilepsy prevalence was calculated via retrospective analysis of data recorded by general practitioners via the Quality and Outcomes Framework. The Index of Multiple Deprivation scores at Local Authority level for the entire population of England was employed. Epilepsy prevalence was evaluated for correlation against all seven indicators within the Indices of Multiple Deprivation. Data were analyzed including and excluding the city of London. Results Of the 37,699,503 patients in this study, 304,331 were registered as having epilepsy (prevalence 8 per 1,000; range 4.3–11.6). Positive correlation was seen with total Index of Multiple Deprivation score (r = 0.468, p 
ISSN:0013-9580
1528-1167
DOI:10.1111/epi.12763