Absolute rather than relative income is a better socioeconomic predictor of chronic obstructive pulmonary disease in Swedish adults

Background While psychosocial theory claims that socioeconomic status (SES), acting through social comparisons, has an important influence on susceptibility to disease, materialistic theory says that socioeconomic position (SEP) and related access to material resources matter more. However, the rela...
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Autor*in:	Axelsson Fisk, Sten [verfasserIn] Merlo, Juan

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2017

Schlagwörter:	Health inequality - absolute income - relative income Chronic obstructive pulmonary disease Materialistic theory Psychosocial theory Health equity

Anmerkung:	© The Author(s). 2017

Übergeordnetes Werk:	Enthalten in: International journal for equity in health - London : BioMed Central, 2002, 16(2017), 1 vom: 04. Mai
Übergeordnetes Werk:	volume:16 ; year:2017 ; number:1 ; day:04 ; month:05

Links:	Volltext

DOI / URN:	10.1186/s12939-017-0566-2

Katalog-ID:	SPR028712811

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520			\|a Background While psychosocial theory claims that socioeconomic status (SES), acting through social comparisons, has an important influence on susceptibility to disease, materialistic theory says that socioeconomic position (SEP) and related access to material resources matter more. However, the relative role of SEP versus SES in chronic obstructive pulmonary disease (COPD) risk has still not been examined. Method We investigated the association between SES/SEP and COPD risk among 667 094 older adults, aged 55 to 60, residing in Sweden between 2006 and 2011. Absolute income in five groups by population quintiles depicted SEP and relative income expressed as quintile groups within each absolute income group represented SES. We performed sex-stratified logistic regression models to estimate odds ratios and the area under the receiver operator curve (AUC) to compare the discriminatory accuracy of SES and SEP in relation to COPD. Results Even though both absolute (SEP) and relative income (SES) were associated with COPD risk, only absolute income (SEP) presented a clear gradient, so the poorest had a three-fold higher COPD risk than the richest individuals. While the AUC for a model including only age was 0.54 and 0.55 when including relative income (SES), it increased to 0.65 when accounting for absolute income (SEP). SEP rather than SES demonstrated a consistent association with COPD. Conclusions Our study supports the materialistic theory. Access to material resources seems more relevant to COPD risk than the consequences of low relative income.
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allfields	10.1186/s12939-017-0566-2 doi (DE-627)SPR028712811 (SPR)s12939-017-0566-2-e DE-627 ger DE-627 rakwb eng Axelsson Fisk, Sten verfasserin aut Absolute rather than relative income is a better socioeconomic predictor of chronic obstructive pulmonary disease in Swedish adults 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2017 Background While psychosocial theory claims that socioeconomic status (SES), acting through social comparisons, has an important influence on susceptibility to disease, materialistic theory says that socioeconomic position (SEP) and related access to material resources matter more. However, the relative role of SEP versus SES in chronic obstructive pulmonary disease (COPD) risk has still not been examined. Method We investigated the association between SES/SEP and COPD risk among 667 094 older adults, aged 55 to 60, residing in Sweden between 2006 and 2011. Absolute income in five groups by population quintiles depicted SEP and relative income expressed as quintile groups within each absolute income group represented SES. We performed sex-stratified logistic regression models to estimate odds ratios and the area under the receiver operator curve (AUC) to compare the discriminatory accuracy of SES and SEP in relation to COPD. Results Even though both absolute (SEP) and relative income (SES) were associated with COPD risk, only absolute income (SEP) presented a clear gradient, so the poorest had a three-fold higher COPD risk than the richest individuals. While the AUC for a model including only age was 0.54 and 0.55 when including relative income (SES), it increased to 0.65 when accounting for absolute income (SEP). SEP rather than SES demonstrated a consistent association with COPD. Conclusions Our study supports the materialistic theory. Access to material resources seems more relevant to COPD risk than the consequences of low relative income. Health inequality - absolute income - relative income (dpeaa)DE-He213 Chronic obstructive pulmonary disease (dpeaa)DE-He213 Materialistic theory (dpeaa)DE-He213 Psychosocial theory (dpeaa)DE-He213 Health equity (dpeaa)DE-He213 Merlo, Juan aut Enthalten in International journal for equity in health London : BioMed Central, 2002 16(2017), 1 vom: 04. Mai (DE-627)356253716 (DE-600)2092056-8 1475-9276 nnns volume:16 year:2017 number:1 day:04 month:05 https://dx.doi.org/10.1186/s12939-017-0566-2 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4367 GBV_ILN_4700 AR 16 2017 1 04 05
spelling	10.1186/s12939-017-0566-2 doi (DE-627)SPR028712811 (SPR)s12939-017-0566-2-e DE-627 ger DE-627 rakwb eng Axelsson Fisk, Sten verfasserin aut Absolute rather than relative income is a better socioeconomic predictor of chronic obstructive pulmonary disease in Swedish adults 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2017 Background While psychosocial theory claims that socioeconomic status (SES), acting through social comparisons, has an important influence on susceptibility to disease, materialistic theory says that socioeconomic position (SEP) and related access to material resources matter more. However, the relative role of SEP versus SES in chronic obstructive pulmonary disease (COPD) risk has still not been examined. Method We investigated the association between SES/SEP and COPD risk among 667 094 older adults, aged 55 to 60, residing in Sweden between 2006 and 2011. Absolute income in five groups by population quintiles depicted SEP and relative income expressed as quintile groups within each absolute income group represented SES. We performed sex-stratified logistic regression models to estimate odds ratios and the area under the receiver operator curve (AUC) to compare the discriminatory accuracy of SES and SEP in relation to COPD. Results Even though both absolute (SEP) and relative income (SES) were associated with COPD risk, only absolute income (SEP) presented a clear gradient, so the poorest had a three-fold higher COPD risk than the richest individuals. While the AUC for a model including only age was 0.54 and 0.55 when including relative income (SES), it increased to 0.65 when accounting for absolute income (SEP). SEP rather than SES demonstrated a consistent association with COPD. Conclusions Our study supports the materialistic theory. Access to material resources seems more relevant to COPD risk than the consequences of low relative income. Health inequality - absolute income - relative income (dpeaa)DE-He213 Chronic obstructive pulmonary disease (dpeaa)DE-He213 Materialistic theory (dpeaa)DE-He213 Psychosocial theory (dpeaa)DE-He213 Health equity (dpeaa)DE-He213 Merlo, Juan aut Enthalten in International journal for equity in health London : BioMed Central, 2002 16(2017), 1 vom: 04. Mai (DE-627)356253716 (DE-600)2092056-8 1475-9276 nnns volume:16 year:2017 number:1 day:04 month:05 https://dx.doi.org/10.1186/s12939-017-0566-2 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4367 GBV_ILN_4700 AR 16 2017 1 04 05
allfields_unstemmed	10.1186/s12939-017-0566-2 doi (DE-627)SPR028712811 (SPR)s12939-017-0566-2-e DE-627 ger DE-627 rakwb eng Axelsson Fisk, Sten verfasserin aut Absolute rather than relative income is a better socioeconomic predictor of chronic obstructive pulmonary disease in Swedish adults 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2017 Background While psychosocial theory claims that socioeconomic status (SES), acting through social comparisons, has an important influence on susceptibility to disease, materialistic theory says that socioeconomic position (SEP) and related access to material resources matter more. However, the relative role of SEP versus SES in chronic obstructive pulmonary disease (COPD) risk has still not been examined. Method We investigated the association between SES/SEP and COPD risk among 667 094 older adults, aged 55 to 60, residing in Sweden between 2006 and 2011. Absolute income in five groups by population quintiles depicted SEP and relative income expressed as quintile groups within each absolute income group represented SES. We performed sex-stratified logistic regression models to estimate odds ratios and the area under the receiver operator curve (AUC) to compare the discriminatory accuracy of SES and SEP in relation to COPD. Results Even though both absolute (SEP) and relative income (SES) were associated with COPD risk, only absolute income (SEP) presented a clear gradient, so the poorest had a three-fold higher COPD risk than the richest individuals. While the AUC for a model including only age was 0.54 and 0.55 when including relative income (SES), it increased to 0.65 when accounting for absolute income (SEP). SEP rather than SES demonstrated a consistent association with COPD. Conclusions Our study supports the materialistic theory. Access to material resources seems more relevant to COPD risk than the consequences of low relative income. Health inequality - absolute income - relative income (dpeaa)DE-He213 Chronic obstructive pulmonary disease (dpeaa)DE-He213 Materialistic theory (dpeaa)DE-He213 Psychosocial theory (dpeaa)DE-He213 Health equity (dpeaa)DE-He213 Merlo, Juan aut Enthalten in International journal for equity in health London : BioMed Central, 2002 16(2017), 1 vom: 04. Mai (DE-627)356253716 (DE-600)2092056-8 1475-9276 nnns volume:16 year:2017 number:1 day:04 month:05 https://dx.doi.org/10.1186/s12939-017-0566-2 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4367 GBV_ILN_4700 AR 16 2017 1 04 05
allfieldsGer	10.1186/s12939-017-0566-2 doi (DE-627)SPR028712811 (SPR)s12939-017-0566-2-e DE-627 ger DE-627 rakwb eng Axelsson Fisk, Sten verfasserin aut Absolute rather than relative income is a better socioeconomic predictor of chronic obstructive pulmonary disease in Swedish adults 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2017 Background While psychosocial theory claims that socioeconomic status (SES), acting through social comparisons, has an important influence on susceptibility to disease, materialistic theory says that socioeconomic position (SEP) and related access to material resources matter more. However, the relative role of SEP versus SES in chronic obstructive pulmonary disease (COPD) risk has still not been examined. Method We investigated the association between SES/SEP and COPD risk among 667 094 older adults, aged 55 to 60, residing in Sweden between 2006 and 2011. Absolute income in five groups by population quintiles depicted SEP and relative income expressed as quintile groups within each absolute income group represented SES. We performed sex-stratified logistic regression models to estimate odds ratios and the area under the receiver operator curve (AUC) to compare the discriminatory accuracy of SES and SEP in relation to COPD. Results Even though both absolute (SEP) and relative income (SES) were associated with COPD risk, only absolute income (SEP) presented a clear gradient, so the poorest had a three-fold higher COPD risk than the richest individuals. While the AUC for a model including only age was 0.54 and 0.55 when including relative income (SES), it increased to 0.65 when accounting for absolute income (SEP). SEP rather than SES demonstrated a consistent association with COPD. Conclusions Our study supports the materialistic theory. Access to material resources seems more relevant to COPD risk than the consequences of low relative income. Health inequality - absolute income - relative income (dpeaa)DE-He213 Chronic obstructive pulmonary disease (dpeaa)DE-He213 Materialistic theory (dpeaa)DE-He213 Psychosocial theory (dpeaa)DE-He213 Health equity (dpeaa)DE-He213 Merlo, Juan aut Enthalten in International journal for equity in health London : BioMed Central, 2002 16(2017), 1 vom: 04. Mai (DE-627)356253716 (DE-600)2092056-8 1475-9276 nnns volume:16 year:2017 number:1 day:04 month:05 https://dx.doi.org/10.1186/s12939-017-0566-2 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4367 GBV_ILN_4700 AR 16 2017 1 04 05
allfieldsSound	10.1186/s12939-017-0566-2 doi (DE-627)SPR028712811 (SPR)s12939-017-0566-2-e DE-627 ger DE-627 rakwb eng Axelsson Fisk, Sten verfasserin aut Absolute rather than relative income is a better socioeconomic predictor of chronic obstructive pulmonary disease in Swedish adults 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2017 Background While psychosocial theory claims that socioeconomic status (SES), acting through social comparisons, has an important influence on susceptibility to disease, materialistic theory says that socioeconomic position (SEP) and related access to material resources matter more. However, the relative role of SEP versus SES in chronic obstructive pulmonary disease (COPD) risk has still not been examined. Method We investigated the association between SES/SEP and COPD risk among 667 094 older adults, aged 55 to 60, residing in Sweden between 2006 and 2011. Absolute income in five groups by population quintiles depicted SEP and relative income expressed as quintile groups within each absolute income group represented SES. We performed sex-stratified logistic regression models to estimate odds ratios and the area under the receiver operator curve (AUC) to compare the discriminatory accuracy of SES and SEP in relation to COPD. Results Even though both absolute (SEP) and relative income (SES) were associated with COPD risk, only absolute income (SEP) presented a clear gradient, so the poorest had a three-fold higher COPD risk than the richest individuals. While the AUC for a model including only age was 0.54 and 0.55 when including relative income (SES), it increased to 0.65 when accounting for absolute income (SEP). SEP rather than SES demonstrated a consistent association with COPD. Conclusions Our study supports the materialistic theory. Access to material resources seems more relevant to COPD risk than the consequences of low relative income. Health inequality - absolute income - relative income (dpeaa)DE-He213 Chronic obstructive pulmonary disease (dpeaa)DE-He213 Materialistic theory (dpeaa)DE-He213 Psychosocial theory (dpeaa)DE-He213 Health equity (dpeaa)DE-He213 Merlo, Juan aut Enthalten in International journal for equity in health London : BioMed Central, 2002 16(2017), 1 vom: 04. Mai (DE-627)356253716 (DE-600)2092056-8 1475-9276 nnns volume:16 year:2017 number:1 day:04 month:05 https://dx.doi.org/10.1186/s12939-017-0566-2 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4367 GBV_ILN_4700 AR 16 2017 1 04 05
language	English
source	Enthalten in International journal for equity in health 16(2017), 1 vom: 04. Mai volume:16 year:2017 number:1 day:04 month:05
sourceStr	Enthalten in International journal for equity in health 16(2017), 1 vom: 04. Mai volume:16 year:2017 number:1 day:04 month:05
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However, the relative role of SEP versus SES in chronic obstructive pulmonary disease (COPD) risk has still not been examined. Method We investigated the association between SES/SEP and COPD risk among 667 094 older adults, aged 55 to 60, residing in Sweden between 2006 and 2011. Absolute income in five groups by population quintiles depicted SEP and relative income expressed as quintile groups within each absolute income group represented SES. We performed sex-stratified logistic regression models to estimate odds ratios and the area under the receiver operator curve (AUC) to compare the discriminatory accuracy of SES and SEP in relation to COPD. Results Even though both absolute (SEP) and relative income (SES) were associated with COPD risk, only absolute income (SEP) presented a clear gradient, so the poorest had a three-fold higher COPD risk than the richest individuals. While the AUC for a model including only age was 0.54 and 0.55 when including relative income (SES), it increased to 0.65 when accounting for absolute income (SEP). SEP rather than SES demonstrated a consistent association with COPD. Conclusions Our study supports the materialistic theory. 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author	Axelsson Fisk, Sten
spellingShingle	Axelsson Fisk, Sten misc Health inequality - absolute income - relative income misc Chronic obstructive pulmonary disease misc Materialistic theory misc Psychosocial theory misc Health equity Absolute rather than relative income is a better socioeconomic predictor of chronic obstructive pulmonary disease in Swedish adults
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topic_title	Absolute rather than relative income is a better socioeconomic predictor of chronic obstructive pulmonary disease in Swedish adults Health inequality - absolute income - relative income (dpeaa)DE-He213 Chronic obstructive pulmonary disease (dpeaa)DE-He213 Materialistic theory (dpeaa)DE-He213 Psychosocial theory (dpeaa)DE-He213 Health equity (dpeaa)DE-He213
topic	misc Health inequality - absolute income - relative income misc Chronic obstructive pulmonary disease misc Materialistic theory misc Psychosocial theory misc Health equity
topic_unstemmed	misc Health inequality - absolute income - relative income misc Chronic obstructive pulmonary disease misc Materialistic theory misc Psychosocial theory misc Health equity
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title	Absolute rather than relative income is a better socioeconomic predictor of chronic obstructive pulmonary disease in Swedish adults
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title_full	Absolute rather than relative income is a better socioeconomic predictor of chronic obstructive pulmonary disease in Swedish adults
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title_sort	absolute rather than relative income is a better socioeconomic predictor of chronic obstructive pulmonary disease in swedish adults
title_auth	Absolute rather than relative income is a better socioeconomic predictor of chronic obstructive pulmonary disease in Swedish adults
abstract	Background While psychosocial theory claims that socioeconomic status (SES), acting through social comparisons, has an important influence on susceptibility to disease, materialistic theory says that socioeconomic position (SEP) and related access to material resources matter more. However, the relative role of SEP versus SES in chronic obstructive pulmonary disease (COPD) risk has still not been examined. Method We investigated the association between SES/SEP and COPD risk among 667 094 older adults, aged 55 to 60, residing in Sweden between 2006 and 2011. Absolute income in five groups by population quintiles depicted SEP and relative income expressed as quintile groups within each absolute income group represented SES. We performed sex-stratified logistic regression models to estimate odds ratios and the area under the receiver operator curve (AUC) to compare the discriminatory accuracy of SES and SEP in relation to COPD. Results Even though both absolute (SEP) and relative income (SES) were associated with COPD risk, only absolute income (SEP) presented a clear gradient, so the poorest had a three-fold higher COPD risk than the richest individuals. While the AUC for a model including only age was 0.54 and 0.55 when including relative income (SES), it increased to 0.65 when accounting for absolute income (SEP). SEP rather than SES demonstrated a consistent association with COPD. Conclusions Our study supports the materialistic theory. Access to material resources seems more relevant to COPD risk than the consequences of low relative income. © The Author(s). 2017
abstractGer	Background While psychosocial theory claims that socioeconomic status (SES), acting through social comparisons, has an important influence on susceptibility to disease, materialistic theory says that socioeconomic position (SEP) and related access to material resources matter more. However, the relative role of SEP versus SES in chronic obstructive pulmonary disease (COPD) risk has still not been examined. Method We investigated the association between SES/SEP and COPD risk among 667 094 older adults, aged 55 to 60, residing in Sweden between 2006 and 2011. Absolute income in five groups by population quintiles depicted SEP and relative income expressed as quintile groups within each absolute income group represented SES. We performed sex-stratified logistic regression models to estimate odds ratios and the area under the receiver operator curve (AUC) to compare the discriminatory accuracy of SES and SEP in relation to COPD. Results Even though both absolute (SEP) and relative income (SES) were associated with COPD risk, only absolute income (SEP) presented a clear gradient, so the poorest had a three-fold higher COPD risk than the richest individuals. While the AUC for a model including only age was 0.54 and 0.55 when including relative income (SES), it increased to 0.65 when accounting for absolute income (SEP). SEP rather than SES demonstrated a consistent association with COPD. Conclusions Our study supports the materialistic theory. Access to material resources seems more relevant to COPD risk than the consequences of low relative income. © The Author(s). 2017
abstract_unstemmed	Background While psychosocial theory claims that socioeconomic status (SES), acting through social comparisons, has an important influence on susceptibility to disease, materialistic theory says that socioeconomic position (SEP) and related access to material resources matter more. However, the relative role of SEP versus SES in chronic obstructive pulmonary disease (COPD) risk has still not been examined. Method We investigated the association between SES/SEP and COPD risk among 667 094 older adults, aged 55 to 60, residing in Sweden between 2006 and 2011. Absolute income in five groups by population quintiles depicted SEP and relative income expressed as quintile groups within each absolute income group represented SES. We performed sex-stratified logistic regression models to estimate odds ratios and the area under the receiver operator curve (AUC) to compare the discriminatory accuracy of SES and SEP in relation to COPD. Results Even though both absolute (SEP) and relative income (SES) were associated with COPD risk, only absolute income (SEP) presented a clear gradient, so the poorest had a three-fold higher COPD risk than the richest individuals. While the AUC for a model including only age was 0.54 and 0.55 when including relative income (SES), it increased to 0.65 when accounting for absolute income (SEP). SEP rather than SES demonstrated a consistent association with COPD. Conclusions Our study supports the materialistic theory. Access to material resources seems more relevant to COPD risk than the consequences of low relative income. © The Author(s). 2017
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title_short	Absolute rather than relative income is a better socioeconomic predictor of chronic obstructive pulmonary disease in Swedish adults
url	https://dx.doi.org/10.1186/s12939-017-0566-2
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up_date	2024-07-03T21:14:46.503Z
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Absolute rather than relative income is a better socioeconomic predictor of chronic obstructive pulmonary disease in Swedish adults

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