Family and neighborhood socioeconomic inequality in cryptorchidism and hypospadias : A nationwide study from Sweden

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Li, XinjunLund University,Lunds universitet,Allmänmedicin, kardiovaskulär epidemiologi och levnadsvanor,Forskargrupper vid Lunds universitet,Family Medicine, Cardiovascular Epidemiology and Lifestyle,Lund University Research Groups (författare)

Family and neighborhood socioeconomic inequality in cryptorchidism and hypospadias : A nationwide study from Sweden

Artikel/kapitelEngelska2019

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2018-12-18
Wiley,2019

Nummerbeteckningar

LIBRIS-ID:oai:lup.lub.lu.se:cbcaffd4-0b2b-40d3-859c-232c86518b58
https://lup.lub.lu.se/record/cbcaffd4-0b2b-40d3-859c-232c86518b58URI
https://doi.org/10.1002/bdr2.1444DOI

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Språk:engelska
Sammanfattning på:engelska

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Objectives: To examine whether there is an association between neighborhood deprivation and incidence of cryptorchidism and hypospadias, after accounting for family-level and individual-level sociodemographic characteristics. Methods: All boys born in Sweden between January 1, 2001 and December 31, 2010 were followed. Data were analyzed by multilevel logistic regression, with family-level and individual-level characteristics at the first level and level of neighborhood deprivation at the second level. Results: During the study period, among a total of 497,584 boys, 8,584 (1.7%) and 3,704 (0.7%) were diagnosed with cryptorchidism and hypospadias, respectively. Cumulative rates for cryptorchidism and hypospadias increased with increasing levels of neighborhood deprivation. In the study population, 1.5 per 100 and 2.0 per 100 boys, in the least and most deprived neighborhoods were diagnosed with cryptorchidism and 0.7 per 100 and 0.9 per 100 boys were diagnosed with hypospadias. Incidence of hospitalization for cryptorchidism and hypospadias increased with increasing neighborhood-level deprivation across all family-level and individual-level sociodemographic categories. The odds ratio (OR) for cryptorchidism and hypospadias for those living in high-deprivation neighborhoods versus those living in low-deprivation neighborhoods was 1.13 (95% confidence interval [CI] = 1.05–1.21) and 1.24 (95% CI = 1.12–1.37). High neighborhood deprivation remained significantly associated with higher odds of hypospadias after adjustment for family-level and individual-level sociodemographic characteristics (OR = 1.20, 95% CI = 1.08–1.35). Conclusions: This study is the largest so far on neighborhood influences on cryptorchidism and hypospadias. Our results suggest that neighborhood deprivation is associated with a moderate incidence of hypospadias independent of family-level and individual-level sociodemographic characteristics.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Public Health, Global Health, Social Medicine and Epidemiology hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Pediatrik hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Pediatrics hsv//eng
cryptorchidism and hypospadias
incidence
multilevel modeling
neighborhood-level deprivation sociodemographic factors

Biuppslag (personer, institutioner, konferenser, titlar ...)

Sundquist, JanLund University,Lunds universitet,Allmänmedicin och klinisk epidemiologi,Forskargrupper vid Lunds universitet,Family Medicine and Clinical Epidemiology,Lund University Research Groups,Shimane University,Icahn School of Medicine at Mount Sinai(Swepub:lu)med-jsu (författare)
Hamano, TsuyoshiKyoto Sangyo University,Shimane University (författare)
Sundquist, KristinaLund University,Lunds universitet,Allmänmedicin, kardiovaskulär epidemiologi och levnadsvanor,Forskargrupper vid Lunds universitet,Family Medicine, Cardiovascular Epidemiology and Lifestyle,Lund University Research Groups,Icahn School of Medicine at Mount Sinai,Shimane University(Swepub:lu)med-ksq (författare)
Allmänmedicin, kardiovaskulär epidemiologi och levnadsvanorForskargrupper vid Lunds universitet (creator_code:org_t)

Sammanhörande titlar

Ingår i:Birth Defects Research: Wiley111:2, s. 78-872472-1727

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Av författaren/redakt...: Li, Xinjun; Sundquist, Jan; Hamano, Tsuyoshi; Sundquist, Krist ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Folkhälsovetensk ...

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Pediatrik

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