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Social class and chronic illness in Dublin

R A Lyons1, F O'Kelly, J Mason

  • 1Eastern Health Board, Community Care Area 6, Dublin.

Irish Medical Journal
|September 1, 1996
PubMed
Summary

Chronic illness in Dublin is linked to social class. Lower social classes (five and six) experience significantly higher rates of 10 common chronic conditions compared to higher social classes (one and two).

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Area of Science:

  • Public Health
  • Epidemiology
  • Social Medicine

Background:

  • Limited data exists on the social class distribution of illness in Ireland.
  • Understanding health disparities is crucial for targeted public health interventions.

Purpose of the Study:

  • To investigate the social class distribution of 12 common chronic conditions among middle-aged adults in Dublin.
  • To identify potential health inequalities related to socioeconomic status.

Main Methods:

  • Cross-sectional study involving 3,111 general practice attendees and 1,024 community residents in Dublin.
  • Data collected over one calendar year.
  • Analysis of the prevalence of 12 chronic conditions across different social classes (defined by classes one to six).

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Main Results:

  • Ten of the 12 chronic conditions studied were significantly more prevalent in lower social classes (five and six) compared to higher social classes (one and two).
  • Individuals in social classes three and four experienced a 21% excess morbidity rate.
  • Individuals in social classes five and six faced a substantial 70% excess morbidity rate.

Conclusions:

  • Chronic illness distribution in middle-aged Dublin residents is strongly associated with social class.
  • Significant health disparities exist, with lower socioeconomic status linked to higher chronic disease burden.
  • Findings highlight the need for socioeconomic considerations in Irish public health strategies.