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Could gastrointestinal disorders differ in two close but divergent social environments?
Linköping University, Department of Medical and Health Sciences, General Practice. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in West Östergötland, Research & Development Unit in Local Health Care.
Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in East Östergötland, Department of Internal Medicine in Norrköping.
Linköping University, Department of Medical and Health Sciences, General Practice. Linköping University, Faculty of Health Sciences.ORCID iD: 0000-0003-4224-1032
Linköping University, Department of Medical and Health Sciences, General Practice. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in West Östergötland, Research & Development Unit in Local Health Care.
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2012 (English)In: International Journal of Health Geographics, ISSN 1476-072X, E-ISSN 1476-072X, Vol. 11, no 5Article in journal (Refereed) Published
Abstract [en]

Background: Many public health problems in modern society affect the gastrointestinal area. Knowledge of the disease occurrence in populations is better understood if viewed in a psychosocial context including indicators of the social environment where people spend their lives. The general aim of this study was to estimate the occurrence in the population and between sexes of common gastrointestinal conditions in two neighborhood cities representing two different social environments defined as a "white-collar" and a "blue-collar" city. less thanbrgreater than less thanbrgreater thanMethods: We conducted a retrospective register study using data of diagnosed gastrointestinal disorders (cumulative incidence rates) derived from an administrative health care register based on medical records assigned by the physicians at hospitals and primary care. less thanbrgreater than less thanbrgreater thanResults: Functional gastrointestinal diseases and peptic ulcers were more frequent in the white-collar city, while diagnoses in the gallbladder area were significantly more frequent in the blue-collar city. Functional dyspepsia, irritable bowel syndrome, and unspecified functional bowel diseases, and celiac disease, were more frequent among women while esophageal reflux, peptic ulcers, gastric and rectal cancers were more frequent among men regardless of social environment. less thanbrgreater than less thanbrgreater thanConclusions: Knowledge of the occurrence of gastrointestinal problems in populations is better understood if viewed in a context were the social environment is included. Indicators of the social environment should therefore also be considered in future studies of the occurrence of gastrointestinal problems.

Place, publisher, year, edition, pages
BioMed Central , 2012. Vol. 11, no 5
Keyword [en]
Social environment, General population, Gastrointestinal disorders, Sex, Public health
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-77546DOI: 10.1186/1476-072X-11-5ISI: 000303154600001OAI: oai:DiVA.org:liu-77546DiVA: diva2:528347
Available from: 2012-05-25 Created: 2012-05-22 Last updated: 2017-12-07

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Grodzinsky, EwaHallert, ClaesFaresjö, TomasBergfors, ElisabetOlsen Faresjö, Åshild

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Grodzinsky, EwaHallert, ClaesFaresjö, TomasBergfors, ElisabetOlsen Faresjö, Åshild
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General PracticeFaculty of Health SciencesResearch & Development Unit in Local Health CareDivision of Health, Activity and CareDepartment of Internal Medicine in NorrköpingSocial Medicine and Public Health Science
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