Geographic correlation between deprivation and risk of meningococcal disease: An ecological study

Christopher J. Williams, Lorna J. Willocks, Iain R. Lake, Paul R. Hunter

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Abstract

Background: Meningitis caused by Neisseria meningitidis is a serious infection which is most common in young children and adolescents. This study investigated the relationships between the incidence and age distribution of meningococcal disease, and socioeconomic environment.

Methods: An ecological design was used, including mapping using a Geographical Information System (GIS) at census ward level.

Results: Incidence of meningococcal disease was highest in the most deprived wards, with a relative risk of 1.97 (1.55 – 2.51). Mapping revealed geographical coincidence of deprivation and meningococcal disease, particularly in urban areas. Two-thirds of the increased incidence was due to cases in the under fives.

Conclusions: The results suggest that area deprivation is a risk factor for meningococcal disease, and that its effects are seen most in young children.
Original languageEnglish
Article number30
JournalBMC Public Health
Volume4
DOIs
Publication statusPublished - 26 Jul 2004

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