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Epilepsy prevalence and socioeconomic deprivation in England

Samuel Steer, William O. Pickrell, Michael P. Kerr, Rhys H. Thomas, Owen Pickrell Orcid Logo

Epilepsia, Volume: 55, Issue: 10, Pages: 1634 - 1641

Swansea University Author: Owen Pickrell Orcid Logo

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DOI (Published version): 10.1111/epi.12763

Abstract

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 modifi...

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Published in: Epilepsia
Published: 2014
URI: https://cronfa.swan.ac.uk/Record/cronfa20169
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fullrecord <?xml version="1.0"?><rfc1807><datestamp>2018-04-19T11:32:54.0431621</datestamp><bib-version>v2</bib-version><id>20169</id><entry>2015-02-12</entry><title>Epilepsy prevalence and socioeconomic deprivation in England</title><swanseaauthors><author><sid>1c3044b5ff7a6552ff5e8c9e3901c807</sid><ORCID>0000-0003-4396-5657</ORCID><firstname>Owen</firstname><surname>Pickrell</surname><name>Owen Pickrell</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2015-02-12</date><deptcode>FGMHL</deptcode><abstract>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 &amp;#60; 0.01); education skills and training (r = 0.665, p &amp;#60; 0.01); employment deprivation (r = 0.629, p &amp;#60; 0.01); health deprivation and disability (r = 0.617, p &amp;#60; 0.01); income deprivation (r = 0.358, p &amp;#60; 0.01); crime (r = 0.232, p &amp;#60; 0.01); but not living environment (r = 0.079, p = 0.08). Negative correlation was seen between epilepsy prevalence and barriers to housing and services (r = -0.415, p &amp;#60; 0.01). When the data were analyzed excluding London, all correlations were strengthened. Epilepsy prevalence in adults varies by 2.5-fold across England, from 4.3 per 1,000 in Kensington and Chelsea to 11.6 per 1,000 in Blackpool.SIGNIFICANCE: This study shows a strong correlation between epilepsy prevalence and specific measures of socioeconomic deprivation. Many of these deprivation factors are potentially remediable. We hypothesize that people with epilepsy may move into urban areas and toward their general practitioner. This predominantly means an urban location but avoiding areas where the cost of living-particularly housing-is prohibitive, such as central London. The existing negative impact of epilepsy on employment and higher education may be exacerbated when people with epilepsy live in areas of greater socioeconomic deprivation.</abstract><type>Journal Article</type><journal>Epilepsia</journal><volume>55</volume><journalNumber>10</journalNumber><paginationStart>1634</paginationStart><paginationEnd>1641</paginationEnd><publisher/><keywords>epilepsy, socioeconomic deprivation, prevalence</keywords><publishedDay>31</publishedDay><publishedMonth>10</publishedMonth><publishedYear>2014</publishedYear><publishedDate>2014-10-31</publishedDate><doi>10.1111/epi.12763</doi><url/><notes></notes><college>COLLEGE NANME</college><department>Medicine, Health and Life Science - Faculty</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>FGMHL</DepartmentCode><institution>Swansea University</institution><apcterm/><lastEdited>2018-04-19T11:32:54.0431621</lastEdited><Created>2015-02-12T10:42:30.0808862</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Medicine</level></path><authors><author><firstname>Samuel</firstname><surname>Steer</surname><order>1</order></author><author><firstname>William O.</firstname><surname>Pickrell</surname><order>2</order></author><author><firstname>Michael P.</firstname><surname>Kerr</surname><order>3</order></author><author><firstname>Rhys H.</firstname><surname>Thomas</surname><order>4</order></author><author><firstname>Owen</firstname><surname>Pickrell</surname><orcid>0000-0003-4396-5657</orcid><order>5</order></author></authors><documents/><OutputDurs/></rfc1807>
spelling 2018-04-19T11:32:54.0431621 v2 20169 2015-02-12 Epilepsy prevalence and socioeconomic deprivation in England 1c3044b5ff7a6552ff5e8c9e3901c807 0000-0003-4396-5657 Owen Pickrell Owen Pickrell true false 2015-02-12 FGMHL 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 &#60; 0.01); education skills and training (r = 0.665, p &#60; 0.01); employment deprivation (r = 0.629, p &#60; 0.01); health deprivation and disability (r = 0.617, p &#60; 0.01); income deprivation (r = 0.358, p &#60; 0.01); crime (r = 0.232, p &#60; 0.01); but not living environment (r = 0.079, p = 0.08). Negative correlation was seen between epilepsy prevalence and barriers to housing and services (r = -0.415, p &#60; 0.01). When the data were analyzed excluding London, all correlations were strengthened. Epilepsy prevalence in adults varies by 2.5-fold across England, from 4.3 per 1,000 in Kensington and Chelsea to 11.6 per 1,000 in Blackpool.SIGNIFICANCE: This study shows a strong correlation between epilepsy prevalence and specific measures of socioeconomic deprivation. Many of these deprivation factors are potentially remediable. We hypothesize that people with epilepsy may move into urban areas and toward their general practitioner. This predominantly means an urban location but avoiding areas where the cost of living-particularly housing-is prohibitive, such as central London. The existing negative impact of epilepsy on employment and higher education may be exacerbated when people with epilepsy live in areas of greater socioeconomic deprivation. Journal Article Epilepsia 55 10 1634 1641 epilepsy, socioeconomic deprivation, prevalence 31 10 2014 2014-10-31 10.1111/epi.12763 COLLEGE NANME Medicine, Health and Life Science - Faculty COLLEGE CODE FGMHL Swansea University 2018-04-19T11:32:54.0431621 2015-02-12T10:42:30.0808862 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Samuel Steer 1 William O. Pickrell 2 Michael P. Kerr 3 Rhys H. Thomas 4 Owen Pickrell 0000-0003-4396-5657 5
title Epilepsy prevalence and socioeconomic deprivation in England
spellingShingle Epilepsy prevalence and socioeconomic deprivation in England
Owen Pickrell
title_short Epilepsy prevalence and socioeconomic deprivation in England
title_full Epilepsy prevalence and socioeconomic deprivation in England
title_fullStr Epilepsy prevalence and socioeconomic deprivation in England
title_full_unstemmed Epilepsy prevalence and socioeconomic deprivation in England
title_sort Epilepsy prevalence and socioeconomic deprivation in England
author_id_str_mv 1c3044b5ff7a6552ff5e8c9e3901c807
author_id_fullname_str_mv 1c3044b5ff7a6552ff5e8c9e3901c807_***_Owen Pickrell
author Owen Pickrell
author2 Samuel Steer
William O. Pickrell
Michael P. Kerr
Rhys H. Thomas
Owen Pickrell
format Journal article
container_title Epilepsia
container_volume 55
container_issue 10
container_start_page 1634
publishDate 2014
institution Swansea University
doi_str_mv 10.1111/epi.12763
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
document_store_str 0
active_str 0
description 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 &#60; 0.01); education skills and training (r = 0.665, p &#60; 0.01); employment deprivation (r = 0.629, p &#60; 0.01); health deprivation and disability (r = 0.617, p &#60; 0.01); income deprivation (r = 0.358, p &#60; 0.01); crime (r = 0.232, p &#60; 0.01); but not living environment (r = 0.079, p = 0.08). Negative correlation was seen between epilepsy prevalence and barriers to housing and services (r = -0.415, p &#60; 0.01). When the data were analyzed excluding London, all correlations were strengthened. Epilepsy prevalence in adults varies by 2.5-fold across England, from 4.3 per 1,000 in Kensington and Chelsea to 11.6 per 1,000 in Blackpool.SIGNIFICANCE: This study shows a strong correlation between epilepsy prevalence and specific measures of socioeconomic deprivation. Many of these deprivation factors are potentially remediable. We hypothesize that people with epilepsy may move into urban areas and toward their general practitioner. This predominantly means an urban location but avoiding areas where the cost of living-particularly housing-is prohibitive, such as central London. The existing negative impact of epilepsy on employment and higher education may be exacerbated when people with epilepsy live in areas of greater socioeconomic deprivation.
published_date 2014-10-31T03:23:46Z
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