No popular authors found.
Ads by Google:

Categories

No categories found.


Get Celiac.com's E-Newsletter




Ads by Google:


Questions? Join Our Forum:
~1 Million Posts
& Over 66,000 Members!



SHARE THIS PAGE:
Celiac.com Sponsors:

Poorer Celiac Kids More Likely to Remain Undiagnosed

Celiac.com 03/09/2015 - When you hear estimates saying that celiac disease has a prevalence of about 1% of then general population of a given place, it is important to remember that there are still significant variations in rates of certain subgroups within those general populations.

Photo: CC--Stig NygaardThat is illustrated by a a recent UK study that shows that poor UK children with celiac disease are far more likely to remain undiagnosed, compared their non-poor counterparts. In fact, rich and middle-class children are 80% more likely to receive proper medical diagnosis for celiac disease, compared to poor children, according to results from a recent UK study.

So even though serological studies indicate that celiac disease affects about 1% of all UK children, current estimates of diagnostic patterns among children do not indicate how disease rates might vary by socioeconomic group.

A research team in the UK recently looked into socioeconomic variation in the incidence of childhood celiac disease. The research team included Fabiana Zingone, Joe West, Colin J. Crooks, Kate M. Fleming, Timothy R. Card, Carolina Ciacci, Laila J. Tata. They are variously affiliated with the Division of Epidemiology and Public Health, City Hospital Campus of University of Nottingham in Nottingham, UK, and the Department of Medicine and Surgery at the University of Salerno in Salerno, Italy.

For their study, the team identified all children aged 0–18 years between 1993 and 2012 treated by general practices nationwide that are part of a large population-based patient health database.

Ads by Google:

They assessed the incidence of celiac disease in each quintile of the Townsend index of deprivation and stratified by age, sex, country and calendar year.

From information on 2,063,421 children, they found 1,247 celiac disease diagnoses, for an overall celiac rate of 11.9 per 100 000 person-years, which was similar across the UK countries, and higher in girls than in boys.

Interestingly, they found a range of celiac diagnosis across socioeconomic groups, with the rate of diagnosis being 80% higher in children from the least-deprived areas than in those from the most-deprived areas (incident rate ratio 1.80, 95% CI 1.45 to 2.22). This pattern held for both boys and girls and across all ages.

Across all four countries of the UK, they found similar associations between celiac disease and socioeconomic status. While celiac incidence up to age 2 remained stable over the study period, diagnoses at older ages have almost tripled over the past 20 years.

Children living in less socioeconomically deprived areas in the UK are more likely to be diagnosed with celiac disease. Increased implementation of diagnostic guidelines could result in better case identification in more-deprived areas.

Source:

Celiac.com welcomes your comments below (registration is NOT required).












Related Articles



4 Responses:

 
Rhonda Lovett
Rating: ratingfullratingfullratingfullratingemptyratingempty Unrated
said this on
16 Mar 2015 3:59:40 AM PDT
I have celiac disease and I live in the USA. Diagnosed in 2002. Taking good care of myself. Eating gluten free Foods. I feel GREAT!

 
GERTA FARBER
Rating: ratingfullratingfullratingemptyratingemptyratingempty Unrated
said this on
16 Mar 2015 1:34:32 PM PDT
The most serious omission in this article is no identification of the DIAGNOSIS TESTS! The proper education to any income group is not a problem of affordability!... Education can even point out that a simple illumination of GLUTEN, MAY be an adequate test!
There are widespread fallacies concerning such gluten-free testing, in both diet expense and affect issues.... making this article seriously inadequate.

 
Jefferson
Rating: ratingfullratingfullratingfullratingfullratingfull Unrated ( Author)
said this on
19 Mar 2015 11:34:09 AM PDT
"Education can even point out that a simple illumination of GLUTEN, MAY be an adequate test!" Illumination? Do you mean "elimination?"

 
Maria
Rating: ratingfullratingfullratingfullratingfullratingempty Unrated
said this on
16 Mar 2015 8:57:20 PM PDT
It should be the same in United States; the less educated you are, the less probability you have to get a good job with good insurance. I say for the Hispanic population i.e., from which 8% is estimated to have celiac disease, there is a great deal of ignorance because doctors and authorities do not educate Hispanics about celiac disease or do not think that Hispanic population may have the disease or because they were not told in the Medical School that Hispanics have also the disease or simply because of racism.
The author of this summary does not discuss why
poor children have less chance to be diagnosed; I assume that the authors of the study did (we have an idea why but the study is incomplete without this kind of discussion).




Rate this article and leave a comment:
Rating: * Poor Excellent
Your Name *: Email (private) *:




In Celiac.com's Forum Now:


Then she has already been diagnosed. Dh equals celiac, although I never heard of a MILD case. It's usually quite extraordinarily disturbing.

I would stick to a very basic gluten-free diet as recommended by Dr. Fasano and other celiac experts. It would not hurt for a short amount of time and might get him through his exams. This is the study about dealing with Trace Amounts of Hidden Gluten (not saying your son has non-responsi...

Yes do follow up with testing, once confirmed we can help you along the road. Other intolerance and allergies are very common with this disease. Lactose is broken down by enzymes produced by the tips of your villi in your intestines, they are normally the most damaged and in some cases just gone....

Please follow the advice of celiac experts and get your daughter tested before going gluten free, Your doctor, like many, is woefully misinformed. You should be tested too (all first degree relatives), even if symptom free, and especially since your mother was recently diagnosed. Learn more a...

We in the UK he takes a pack lunch and have asked for a health plan so wait and see. Not easy when he taking his gcse and he wants to do well. Thanks for the advice