Socioeconomic disadvantage and kidney disease in the United States, Australia, and Thailand

White, S.L., McGeechan, K., Jones, M., Cass, A., Chadban, S.J., Polkinghorne, K.R., Perkovic, V. and Roderick, P.J. (2008) Socioeconomic disadvantage and kidney disease in the United States, Australia, and Thailand American Journal of Public Health, 98, (7), pp. 1306-1313. (doi:10.2105/AJPH.2007.116020).


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OBJECTIVES: We sought to determine whether an elevated burden of chronic kidney disease is found among disadvantaged groups living in the United States, Australia, and Thailand. METHODS: We used data on participants 35 years or older for whom a valid serum creatinine measurement was available from studies in the United States, Thailand, and Australia. We used logistic regression to analyze the association of income, education, and employment with the prevalence of chronic kidney disease (estimated glomerular filtration rate<60 mL/min/1.73 m(2)). RESULTS: Age- and gender-adjusted odds of having chronic kidney disease were increased 86% for US Whites in the lowest income quartile versus the highest quartile (odds ratio [OR] = 1.86; 95% confidence interval [CI] = 1.27, 2.72). Odds were increased 2 times and 6 times, respectively, among unemployed (not retired) versus employed non-Hispanic Black and Mexican American participants (OR=2.89; 95% CI=1.53, 5.46; OR=6.62; 95% CI=1.94, 22.64. respectively). Similar associations were not evident for the Australian or Thai populations. CONCLUSIONS: Higher kidney disease prevalence among financially disadvantaged groups in the United States should be considered when chronic kidney disease prevention and management strategies are created. This approach is less likely to be of benefit to the Australian and Thai populations

Item Type: Article
Digital Object Identifier (DOI): doi:10.2105/AJPH.2007.116020
Keywords: employment, strategies, odds ratio, research, kidney failure, income, comparative study, primary prevention, research support, poverty, methods, confidence intervals, united states, multivariate analysis, minority groups, chronic, prevention, kidney, time, education, thailand, epidemiology, medically uninsured, statistics & numerical data, disease, creatinine, population, australia, prevalence, serum, severity of illness index, prevention & control, socioeconomic factors
ePrint ID: 62208
Date :
Date Event
Date Deposited: 05 Sep 2008
Last Modified: 16 Apr 2017 17:29
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