Socioeconomic Deprivation and Pertussis Incidence in Dublin and Midlands.

Q3 Medicine

Irish medical journal Pub Date : 2026-09-28

C Murray, S Fennessy, D McGlacken-Byrne, M Ward, U Fallon, R Hurley O'Dwyer

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引用次数: 0

Abstract

Aims: Pertussis incidence increased substantially in Ireland in 2024. This study examined the relationship between pertussis incidence and area-level socioeconomic deprivation in the HSE Dublin and Midlands region in 2024.

Methods: All 121 confirmed cases in the HSE Dublin and Midlands region in 2024 were collated, alongside demographic and clinical information. Each case was assigned the deprivation score of its residential Small Area using the Pobal HP Deprivation Index. Denominator population data from Health Atlas were used to calculate cumulative incidence and Poisson regression was used to assess the association with deprivation.

Results: Incidence rose from 1.2 cases per 100,000 in the most affluent areas to 15.4 cases per 100,000 in the most deprived. Every one-step increase in deprivation category was associated with a 16% increase in pertussis incidence (IRR 1.16, 95% CI 1.03-1.31, p = 0.016). Pairwise comparisons showed that deprived areas had a pertussis incidence up to 13 times higher than in the most affluent communities.

Discussion: Pertussis incidence increased progressively with area-level socioeconomic deprivation, with the highest incidence observed in the most disadvantaged communities. These results highlight major inequalities in pertussis burden and show the need for targeted vaccination campaigns in deprived areas.

本刊更多论文

都柏林和中部地区的社会经济剥夺与百日咳发病率。

目的：2024年爱尔兰百日咳发病率大幅增加。本研究调查了2024年HSE都柏林和米德兰兹地区百日咳发病率与区域一级社会经济剥夺之间的关系。方法：整理2024年HSE都柏林和米德兰兹地区所有121例确诊病例，以及人口统计学和临床信息。使用全球HP剥夺指数为每个案例分配其居住小区的剥夺得分。使用来自Health Atlas的分母人群数据来计算累积发病率，并使用泊松回归来评估与剥夺的关联。结果：发病率从最富裕地区的每10万人1.2例上升到最贫困地区的每10万人15.4例。剥夺类别每增加一步，百日咳发病率增加16% （IRR 1.16, 95% CI 1.03-1.31, p = 0.016）。两两比较显示，贫困地区的百日咳发病率是最富裕社区的13倍。讨论：百日咳发病率随着地区层面的社会经济剥夺而逐渐增加，在最贫困的社区发病率最高。这些结果突出了百日咳负担方面的主要不平等现象，并表明需要在贫困地区开展有针对性的疫苗接种运动。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Irish medical journal Medicine-Medicine (all)

CiteScore

1.00

自引率

0.00%

发文量

139

期刊介绍： Since its inception in 1867, the Journal of the Medical Association of Ireland and now in its present format, the Irish Medical Journal, has provided the medical community in Ireland with an invaluable service. As one of the leading biomedical publications in Ireland, it has sought to continue the education of medical students and postgraduates through scientific research, review articles and updates on contemporary clinical practices while providing an ongoing forum for medical debate. A measure of our stature is that we are listed in the Index Medicus and issued annually with a citation factor from the Institute for Scientific Information.