Social factors related to the clinical severity of influenza cases in Spain during the A (H1N1) 2009 virus pandemic

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2013
Author
Mayoral, José María
Alonso, Jordi
Garín, Olatz
Herrador, Zaida
Astray, Jenaro
Baricot, Maretva
Castilla, Jesús
Cantón, Rafael
Castro, Ady
Delgado-Rodríguez, Miguel
Ferri, Alicia
Godoy i García, Pere
Gónzález-Candelas, Fernando
Martín, Vicente
Pumarola, Tomás
Quintana, José María
Soldevila, Núria
Tamames, Sonia
Domínguez García, Àngela
CIBERESP Cases and Controls in Pandemic Influenza Working Group
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Mayoral, José María; Alonso, Jordi; Garín, Olatz; Herrador, Zaida; Astray, Jenaro; Baricot, Maretva; ... CIBERESP Cases and Controls in Pandemic Influenza Working Group. (2013) . Social factors related to the clinical severity of influenza cases in Spain during the A (H1N1) 2009 virus pandemic. BMC Public Health, 2013, vol. 13, núm. 118. https://doi.org/10.1186/1471-2458-13-118.
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Abstract
Background: During the 2009 influenza pandemic, a change in the type of patients most often affected by influenza was observed. The objective of this study was to assess the role of individual and social determinants in hospitalizations due to influenza A (H1N1) 2009 infection. Methods: We studied hospitalized patients (cases) and outpatients (controls) with confirmed influenza A (H1N1) 2009 infection. A standardized questionnaire was used to collect data. Variables that might be related to the hospitalization of influenza cases were compared by estimation of the odds ratio (OR) and 95% confidence intervals (CI) and the variables entered into binomial logistic regression models. Results: Hospitalization due to pandemic A (H1N1) 2009 influenza virus infections was associated with non-Caucasian ethnicity (OR: 2.18, 95% CI 1.17 − 4.08), overcrowding (OR: 2.84, 95% CI 1.20 − 6.72), comorbidity and the lack of previous preventive information (OR: 2.69, 95% CI: 1.50 − 4.83). Secondary or higher education was associated with a lower risk of hospitalization (OR 0.56, 95% CI: 0.36 − 0.87) Conclusions: In addition to individual factors such as comorbidity, other factors such as educational level, ethnicity or overcrowding were associated with hospitalization due to A (H1N1) 2009 influenza virus infections.
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http://hdl.handle.net/10459.1/48237
DOI
https://doi.org/10.1186/1471-2458-13-118
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BMC Public Health, 2013, vol. 13, núm. 118
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cc-by, (c) Mayoral et al., 2013
Except where otherwise noted, this item's license is described as cc-by, (c) Mayoral et al., 2013