The association of gout with socioeconomic status in primary care: a cross-sectional observational study

Little is known about the association between gout and socioeconomic status (SES). Inequalities in rheumatology provision associated with SES may need to be addressed by health care planners. The aim of this study is to investigate the association of gout and SES in the community at both the individ...

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Bibliographic Details
Published in:Rheumatology (Oxford, England) England), 2013-11, Vol.52 (11), p.2004-2008
Main Authors: Hayward, Richard A, Rathod, Trishna, Roddy, Edward, Muller, Sara, Hider, Samantha L, Mallen, Christian D
Format: Article
Language:English
Subjects:
Aged
Alcohol Drinking - adverse effects
Alcohol Drinking - epidemiology
Clinical Science
Cross-Sectional Studies
England - epidemiology
Family Practice - statistics & numerical data
Female
Gout - epidemiology
Gout - etiology
Humans
Male
Middle Aged
Obesity - complications
Obesity - epidemiology
Poverty Areas
Primary Health Care - statistics & numerical data
Risk Factors
Social Class
Socioeconomic Factors
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Summary:Little is known about the association between gout and socioeconomic status (SES). Inequalities in rheumatology provision associated with SES may need to be addressed by health care planners. The aim of this study is to investigate the association of gout and SES in the community at both the individual and area levels. Questionnaires were sent to all patients older than age 50 years who were registered with eight general practices in North Staffordshire. Data on individual SES were collected by questionnaire while area SES was measured using the Index of Multiple Deprivation derived from respondents' postcodes. Responders reported their occupation, education and the adequacy of their income; their medical records were searched for consultations for gout. Of the 348 consultations for gout in this period, at the individual level there was a significant association between gout and income. An association of gout with education was seen only in the unadjusted analyses. No association was found between gout and area level deprivation. Gout is associated with some aspects of individual level but not area level deprivation. More extensive musculoskeletal services may need to be provided in low income areas, although further research is needed.
ISSN:1462-0324
1462-0332
DOI:10.1093/rheumatology/ket262