Family socio-economic status and childhood coeliac disease seem to be unrelated—A cross-sectional screening study

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Family socio-economic status and childhood coeliac disease seem to be unrelated—A cross-sectional screening study. / Norström, Fredrik; Namatovu, Fredinah; Carlsson, Annelie; Högberg, Lotta; Ivarsson, Anneli; Myléus, Anna.

In: Acta Paediatrica, International Journal of Paediatrics, 2020.

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T1 - Family socio-economic status and childhood coeliac disease seem to be unrelated—A cross-sectional screening study

AU - Norström, Fredrik

AU - Namatovu, Fredinah

AU - Carlsson, Annelie

AU - Högberg, Lotta

AU - Ivarsson, Anneli

AU - Myléus, Anna

PY - 2020

Y1 - 2020

N2 - Aim: The aim of our study was to examine whether there is a difference in coeliac disease prevalence in regard to parents' education level and occupation, and whether this differs between screened and clinically diagnosed children at the age of 12 years. Methods: The study, Exploring the Iceberg of Celiacs in Sweden (ETICS), was a school-based screening study of 12-year-old children that was undertaken during the school years 2005/2006 and 2009/2010. Data on parental education and occupation were reported from parents of the children. Specifically, by parents of 10 710 children without coeliac disease, 88 children diagnosed with coeliac disease through clinical care, and 231 who were diagnosed during the study. Results: There were no statistically significant associations between occupation and coeliac disease for either the clinically detected (prevalence ratio 1.16; confidence interval 0.76-1.76) or screening-detected coeliac disease cases (prevalence ratio 0.86; confidence interval 0.66-1.12) in comparison with children with no coeliac disease. Also, there were no statistically significant associations for parental education and coeliac disease diagnosis. Conclusion: There was no apparent relationship between coeliac disease and socio-economic position. Using parents' socio-economic status as a tool to help identify children more likely to have coeliac disease is not recommended.

AB - Aim: The aim of our study was to examine whether there is a difference in coeliac disease prevalence in regard to parents' education level and occupation, and whether this differs between screened and clinically diagnosed children at the age of 12 years. Methods: The study, Exploring the Iceberg of Celiacs in Sweden (ETICS), was a school-based screening study of 12-year-old children that was undertaken during the school years 2005/2006 and 2009/2010. Data on parental education and occupation were reported from parents of the children. Specifically, by parents of 10 710 children without coeliac disease, 88 children diagnosed with coeliac disease through clinical care, and 231 who were diagnosed during the study. Results: There were no statistically significant associations between occupation and coeliac disease for either the clinically detected (prevalence ratio 1.16; confidence interval 0.76-1.76) or screening-detected coeliac disease cases (prevalence ratio 0.86; confidence interval 0.66-1.12) in comparison with children with no coeliac disease. Also, there were no statistically significant associations for parental education and coeliac disease diagnosis. Conclusion: There was no apparent relationship between coeliac disease and socio-economic position. Using parents' socio-economic status as a tool to help identify children more likely to have coeliac disease is not recommended.

KW - children

KW - coeliac disease

KW - education

KW - occupation

KW - screening

U2 - 10.1111/apa.15562

DO - 10.1111/apa.15562

M3 - Article

C2 - 32885467

AN - SCOPUS:85091133429

JO - Acta Pædiatrica

JF - Acta Pædiatrica

SN - 1651-2227

ER -