Patofisiology of Disease. Gary Hamer, Stephen Mcphee. 2014. San Fransisco. Mcgraw Hill
BY : dr. MEILAND TINA J. D. S SUPERVISOR: Dr. P. S. PANDIA, Sp.P P. D. Blanc, I. H. Yen, A. Chen, at...
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Transcript of BY : dr. MEILAND TINA J. D. S SUPERVISOR: Dr. P. S. PANDIA, Sp.P P. D. Blanc, I. H. Yen, A. Chen, at...
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BY : dr. MEILAND TINA J. D. SSUPERVISOR: Dr. P. S. PANDIA, Sp.P
P. D. Blanc, I. H. Yen, A. Chen, at alSan Fransisco
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ABSTRACTABSTRACT
SOCIO-ECONOMICSTATUS
HEALTH STATUSIN
AIRWAY DISEASE
INDIVIDUALLEVEL
AREA LEVEL
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INTRODUCTIONINTRODUCTION
INDIVIDUAL LEVEL
Lower-payingoccupational
Poorer indoor quality
Gas cooking stove
Environmentaltobacco smoke
exposure
AREA LEVEL
SOCIO-ECONOMIC STATUS
Traffic density
Pollution from industrial
Social-communitystressors
Poor airquality
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METHODSMETHODS
416INTERVIEW
GeocodingNot possible
(n=1)
Insufficient income/Occupational data
(n=4)
Discordance between Residence at interview &
At spirometry(n=7)
N=404
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METHODSMETHODS
Regression analysis
Associations amongIndividual-& area level
SES
Severity of asthmascores
SF-12 PCS
Asthma –specificQoL
FEV1%predicted
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RESULTRESULT
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RESULTRESULT
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RESULTRESULT
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RESULTRESULT
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RESULTRESULT
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RESULTRESULT
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DISCUSSIONDISCUSSIONIt was found that SES at the area level predicts general and asthma-It was found that SES at the area level predicts general and asthma-specific health status in adult asthma and rhinitis.specific health status in adult asthma and rhinitis.
A group of such variables (factor 1) consistent with lower SES was A group of such variables (factor 1) consistent with lower SES was associated with greater asthma severity, in contrast a group other associated with greater asthma severity, in contrast a group other variable (factor 2) consistent with suburban SES was associated variable (factor 2) consistent with suburban SES was associated with lower lung function.with lower lung function.
In the case of severity of asthma score, the relationship with the In the case of severity of asthma score, the relationship with the area-level SES didn’t remain statistically significant after taking into area-level SES didn’t remain statistically significant after taking into account the effect of individual-level SES account the effect of individual-level SES
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CONCLUSIONCONCLUSION
Area-level socio-economic status is Area-level socio-economic status is linked to some, but not all, of the studied linked to some, but not all, of the studied health status measures after taking in to health status measures after taking in to account individual-level socio-economic account individual-level socio-economic
status.status.
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